Abstract：
OBJECTIVE: We sought to characterize the prevalence of ankyloglossia in our neonatal intensive care unit (NICU) population and to determine characteristics of this cohort compared to infants in the birth center (BC).
METHODS: Prospective data were collected using a standardized flow sheet. Breastfeeding infants undergoing evaluation for tongue-tie in the BC and NICU were included. Coryllos type, tip to frenulum length, tongue function, frequency of frenotomy, and breastfeeding outcomes were compared.
RESULTS: Of 20,879 infants birthed at or admitted to the institution during the study period, there were fewer patients diagnosed with ankyloglossia in the BC compared to the NICU (3.3% BC vs. 5.4% NICU, p < 0.01). Of these, 163 underwent frenotomy: 86 in the BC and 77 in the NICU. For those undergoing frenotomy, gestational age (39.1 ± 1.3 BC, 34.4 ± 4.4 NICU, p < 0.01) and age at time of procedure (3.2 days BC, 29.2 NICU, p < 0.01) were the only demographic factors significantly different between the groups. There was no difference in Coryllos type or function score. In a subset of NICU infants with multiple assessments over time, function scores after frenotomy were significantly improved compared to pre-frenotomy (p < 0.01).
CONCLUSIONS: Standard assessment tools appear to be appropriate for use in infants in the NICU, despite the higher rates of prematurity, low birth weights, and increased comorbidities. Assessment and intervention for tongue-tie can be one critical intervention to move these patients closer to oral feeding and discharge to home.
METHODS: Level 3 Laryngoscope, 2024.
METHODS: Prospective data were collected using a standardized flow sheet. Breastfeeding infants undergoing evaluation for tongue-tie in the BC and NICU were included. Coryllos type, tip to frenulum length, tongue function, frequency of frenotomy, and breastfeeding outcomes were compared.
RESULTS: Of 20,879 infants birthed at or admitted to the institution during the study period, there were fewer patients diagnosed with ankyloglossia in the BC compared to the NICU (3.3% BC vs. 5.4% NICU, p < 0.01). Of these, 163 underwent frenotomy: 86 in the BC and 77 in the NICU. For those undergoing frenotomy, gestational age (39.1 ± 1.3 BC, 34.4 ± 4.4 NICU, p < 0.01) and age at time of procedure (3.2 days BC, 29.2 NICU, p < 0.01) were the only demographic factors significantly different between the groups. There was no difference in Coryllos type or function score. In a subset of NICU infants with multiple assessments over time, function scores after frenotomy were significantly improved compared to pre-frenotomy (p < 0.01).
CONCLUSIONS: Standard assessment tools appear to be appropriate for use in infants in the NICU, despite the higher rates of prematurity, low birth weights, and increased comorbidities. Assessment and intervention for tongue-tie can be one critical intervention to move these patients closer to oral feeding and discharge to home.
METHODS: Level 3 Laryngoscope, 2024.
摘要：
目的：我们试图描述新生儿重症监护病房（NICU）人群中的强直性失语的患病率，并确定该队列与出生中心（BC）婴儿相比的特征。
方法：使用标准化流程图收集前瞻性数据。包括在BC和NICU中接受舌带评估的母乳喂养婴儿。Coryllos类型，尖端到系带长度，舌功能,骨折切开术的频率，并比较母乳喂养结局.
结果：在研究期间，在该机构出生或入院的20879名婴儿中，与NICU相比，BC中被诊断为强直的患者较少(3.3%BCvs.5.4%NICU,p<0.01)。其中,163例接受了肾切开术：不列颠哥伦比亚省86例，NICU77例。对于那些接受剖腹手术的人来说，胎龄（39.1±1.3BC，34.4±4.4NICU,p<0.01）和手术时的年龄（公元前3.2天，29.2NICU，p<0.01）是两组之间唯一显着差异的人口统计学因素。Coryllos类型或功能评分没有差异。随着时间的推移，在具有多种评估的NICU婴儿的子集中，与肾面切开术前相比，肾面切开术后的功能评分显着改善（p<0.01）。
结论：标准评估工具似乎适用于NICU中的婴儿，尽管早产率较高，低出生体重,并增加了合并症。舌带的评估和干预可能是使这些患者更接近口服喂养和出院回家的关键干预措施。
方法：三级喉镜，2024.
方法：使用标准化流程图收集前瞻性数据。包括在BC和NICU中接受舌带评估的母乳喂养婴儿。Coryllos类型，尖端到系带长度，舌功能,骨折切开术的频率，并比较母乳喂养结局.
结果：在研究期间，在该机构出生或入院的20879名婴儿中，与NICU相比，BC中被诊断为强直的患者较少(3.3%BCvs.5.4%NICU,p<0.01)。其中,163例接受了肾切开术：不列颠哥伦比亚省86例，NICU77例。对于那些接受剖腹手术的人来说，胎龄（39.1±1.3BC，34.4±4.4NICU,p<0.01）和手术时的年龄（公元前3.2天，29.2NICU，p<0.01）是两组之间唯一显着差异的人口统计学因素。Coryllos类型或功能评分没有差异。随着时间的推移，在具有多种评估的NICU婴儿的子集中，与肾面切开术前相比，肾面切开术后的功能评分显着改善（p<0.01）。
结论：标准评估工具似乎适用于NICU中的婴儿，尽管早产率较高，低出生体重,并增加了合并症。舌带的评估和干预可能是使这些患者更接近口服喂养和出院回家的关键干预措施。
方法：三级喉镜，2024.
