Abstract：
BACKGROUND: Surgical intervention for tongue-tie, or ankyloglossia performed by paediatric dentists can alleviate symptoms and improve functional abilities in infants and children. Despite widespread practice, there are currently no established clinical guidelines or consistent approaches for pre- and post-operative care of children.
OBJECTIVE: The aim of this study was to explore approaches to pre- and post-operative care for children with ankyloglossia having frenum surgery.
METHODS: A scoping review of peer-reviewed articles in four electronic databases was conducted. Intervention studies that reported on pre- or post-operative regimens for infants, children and adolescents (0 to 18 years) with a diagnosis of tongue-tie or ankyloglossia, who had surgical intervention such as frenotomy or frenectomy, were included and quality assessments performed.
RESULTS: Twenty-three studies were identified, with seven studies incorporating both pre- and post-operative care, and 16 studies focussing solely on post-operative care. Tongue exercises were commonly prescribed, and only three studies examined the relationship between post-operative care and recovery outcomes. Considerable variability existed in study design, prescribed care and outcome measures.
CONCLUSIONS: There was substantial variability in pre- and post-operative care protocols, including dosage, frequency and duration of exercises and other care regimens for infants and children having frenum surgery. Further research is needed to determine the most effective course of pre- and post-operative care for children undergoing frenum surgery.
OBJECTIVE: The aim of this study was to explore approaches to pre- and post-operative care for children with ankyloglossia having frenum surgery.
METHODS: A scoping review of peer-reviewed articles in four electronic databases was conducted. Intervention studies that reported on pre- or post-operative regimens for infants, children and adolescents (0 to 18 years) with a diagnosis of tongue-tie or ankyloglossia, who had surgical intervention such as frenotomy or frenectomy, were included and quality assessments performed.
RESULTS: Twenty-three studies were identified, with seven studies incorporating both pre- and post-operative care, and 16 studies focussing solely on post-operative care. Tongue exercises were commonly prescribed, and only three studies examined the relationship between post-operative care and recovery outcomes. Considerable variability existed in study design, prescribed care and outcome measures.
CONCLUSIONS: There was substantial variability in pre- and post-operative care protocols, including dosage, frequency and duration of exercises and other care regimens for infants and children having frenum surgery. Further research is needed to determine the most effective course of pre- and post-operative care for children undergoing frenum surgery.
摘要：
背景：舌带手术干预，由儿科牙医进行的强直或强直可以减轻症状并改善婴儿和儿童的功能。尽管实践广泛，目前尚无既定的临床指南或一致的儿童术前和术后护理方法.
目的：本研究的目的是探索术前和术后治疗系带手术患儿的方法。
方法：对四个电子数据库中的同行评审文章进行了范围审查。干预研究报道了婴儿手术前或手术后的方案，儿童和青少年（0至18岁）诊断为舌结或强直，接受过手术干预的人，如骨折切开术或骨折切除术，纳入并进行质量评估。
结果：确定了23项研究，七项研究结合了术前和术后护理，16项研究仅关注术后护理。舌头锻炼通常是规定的，只有3项研究检查了术后护理和康复结局之间的关系.研究设计中存在相当大的可变性，规定的护理和结果措施。
结论：术前和术后护理方案存在很大差异，包括剂量，进行系带手术的婴儿和儿童的锻炼频率和持续时间以及其他护理方案。需要进一步的研究来确定接受系带手术的儿童的术前和术后护理的最有效过程。
目的：本研究的目的是探索术前和术后治疗系带手术患儿的方法。
方法：对四个电子数据库中的同行评审文章进行了范围审查。干预研究报道了婴儿手术前或手术后的方案，儿童和青少年（0至18岁）诊断为舌结或强直，接受过手术干预的人，如骨折切开术或骨折切除术，纳入并进行质量评估。
结果：确定了23项研究，七项研究结合了术前和术后护理，16项研究仅关注术后护理。舌头锻炼通常是规定的，只有3项研究检查了术后护理和康复结局之间的关系.研究设计中存在相当大的可变性，规定的护理和结果措施。
结论：术前和术后护理方案存在很大差异，包括剂量，进行系带手术的婴儿和儿童的锻炼频率和持续时间以及其他护理方案。需要进一步的研究来确定接受系带手术的儿童的术前和术后护理的最有效过程。
