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KMID : 0361020210640020098
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Korean Journal of Otolaryngology - Head and Neck Surgery
2021 Volume.64 No. 2 p.98 ~ p.102
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The Effect of Frenotomy on the Tongue Length, Motion, and Speech According to Age
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Kim Ju-Eun
Keum Bo-Ram
Li Sung-Won
Park Sung-Min
Kwon Bin
Kim Hee-Jin
Park Il-Seok
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Abstract
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Background and Objectives : Ankyloglossia often results in articulation disorders, whichdepends on age, articulation ability, and mobility of the tongue. A primary treatment strategyincludes surgery and/or speech therapy. This study aimed to evaluate the changes of thetongue length, tongue mobility, and percentage of consonants correct (PCC) after frenotomy.
We investigated the optimal surgery timing for ankyloglossia.
Subjects and Method : A total of 136 patients underwent frenotomy for the tongue tie betweenJanuary 2016 and December 2019. There were 90 males and 46 females, with the meanage of 5.23, which ranged from 2 to 10 years. The length of the tongue was measured for all patientsduring the operation preoperatively and postoperatively. The mobility of the tongue andPCC were performed preoperatively and 1 month after surgery by two speech therapists. Patientswere divided according to age into three groups: 2-3 years, 4-5 years, and over 6 years old.
Results : The mean tongue length of all age groups was significantly elongated after surgery(p<0.05). After frenotomy, the mobility of tongue, including horizontal protrusion, protrusionwith upward pointing, circumlocution, and lateral movement, was improved. Also, PCCs ofall age groups were significantly improved after surgery (p<0.05).
Conclusion : Frenotomy can be an effective procedure for children with ankyloglossia in allage groups. After frenotomy, length of the tongue, mobility of the tongue and PCC were significantlyimproved.
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KEYWORD
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Ankyloglossia, Articulation disorders, Tongue diseases
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