PDF(Pubmed)
Abstract：
OBJECTIVE: Children with ankyloglossia, an abnormally short, thickened, or tight lingual frenulum, may have restricted tongue mobility and sequelae, such as speech and feeding difficulties and social concerns. We systematically reviewed literature on feeding, speech, and social outcomes of treatments for infants and children with ankyloglossia.
METHODS: Medline, PsycINFO, Cumulative Index of Nursing and Allied Health Literature, and Embase were searched. Two reviewers independently assessed studies against predetermined inclusion/exclusion criteria. Two investigators independently extracted data on study populations, interventions, and outcomes and assessed study quality.
RESULTS: Two randomized controlled trials, 2 cohort studies, and 11 case series assessed the effects of frenotomy on feeding, speech, and social outcomes. Bottle feeding and social concerns, such as ability to use the tongue to eat ice cream and clean the mouth, improved more in treatment groups in comparative studies. Supplementary bottle feedings decreased over time in case series. Two cohort studies reported improvement in articulation and intelligibility with treatment. Other benefits were unclear. One randomized controlled trial reported improved articulation after Z-frenuloplasty compared with horizontal-to-vertical frenuloplasty. Numerous noncomparative studies reported speech benefits posttreatment; however, studies primarily discussed modalities, with outcomes including safety or feasibility, rather than speech. We included English-language studies, and few studies addressed longer-term speech, social, or feeding outcomes; nonsurgical approaches, such as complementary and alternative medicine; and outcomes beyond infancy, when speech or social concerns may arise.
CONCLUSIONS: Data are currently insufficient for assessing the effects of frenotomy on nonbreastfeeding outcomes that may be associated with ankyloglossia.
METHODS: Medline, PsycINFO, Cumulative Index of Nursing and Allied Health Literature, and Embase were searched. Two reviewers independently assessed studies against predetermined inclusion/exclusion criteria. Two investigators independently extracted data on study populations, interventions, and outcomes and assessed study quality.
RESULTS: Two randomized controlled trials, 2 cohort studies, and 11 case series assessed the effects of frenotomy on feeding, speech, and social outcomes. Bottle feeding and social concerns, such as ability to use the tongue to eat ice cream and clean the mouth, improved more in treatment groups in comparative studies. Supplementary bottle feedings decreased over time in case series. Two cohort studies reported improvement in articulation and intelligibility with treatment. Other benefits were unclear. One randomized controlled trial reported improved articulation after Z-frenuloplasty compared with horizontal-to-vertical frenuloplasty. Numerous noncomparative studies reported speech benefits posttreatment; however, studies primarily discussed modalities, with outcomes including safety or feasibility, rather than speech. We included English-language studies, and few studies addressed longer-term speech, social, or feeding outcomes; nonsurgical approaches, such as complementary and alternative medicine; and outcomes beyond infancy, when speech or social concerns may arise.
CONCLUSIONS: Data are currently insufficient for assessing the effects of frenotomy on nonbreastfeeding outcomes that may be associated with ankyloglossia.
摘要：
目的：儿童强直，一个异常短暂的，加厚，或者紧的舌系带，可能会限制舌头的活动和后遗症，如言语和喂养困难和社会问题。我们系统地回顾了有关喂养的文献，演讲,以及对婴儿和儿童的治疗的社会结果。
方法：Medline，PsycINFO,护理和相关健康文献的累积指数，Embase被搜查了.两名评审员根据预定的纳入/排除标准独立评估研究。两名研究人员独立提取了研究人群的数据，干预措施，和结果，并评估研究质量。
结果：两项随机对照试验，2项队列研究，11个病例系列评估了开腹手术对进食的影响，演讲,和社会结果。奶瓶喂养和社会问题，比如用舌头吃冰淇淋和清洁口腔的能力，在比较研究中，治疗组的改善更多。在病例系列中，补充奶瓶喂养量随着时间的推移而减少。两项队列研究报告了治疗后关节和清晰度的改善。其他好处尚不清楚。一项随机对照试验报道，与水平至垂直的连续成形术相比，Z-连续成形术后的关节改善。许多非比较研究报告了治疗后的言语益处；然而，研究主要讨论模式，结果包括安全性或可行性，而不是演讲。我们包括英语学习，很少有研究涉及长期演讲，社会,或喂养结果；非手术方法，如补充和替代医学；以及婴儿期以外的结果，当言论或社会问题可能出现时。
结论：目前的数据不足以评估肾切开术对非母乳喂养结局的影响，而非母乳喂养结局的影响可能与闭锁有关。
方法：Medline，
结果：两项随机对照试验，
结论：目前的数据不足以评估肾切开术对非母乳喂养结局的影响，而非母乳喂养结局的影响可能与闭锁有关。
