Partial Airway Obstruction After Lingual Frenotomy

Walsh, Fergus; Kelly, Dermot J.

doi:10.1097/00000539-199505000-00056

Cited by 8 publications

(14 citation statements)

References 4 publications

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“…36 It should also be noted that anterior tethering of the tongue serves, to some degree, to prevent posterior collapse of the tongue and that if the frenulum is released, it could lead to worsening OSA. 37,38 The panel reached consensus that there is no evidence that ankyloglossia causes sleep apnea ( Table 2 ).…”

Section: Discussionmentioning

confidence: 99%

“…Although they are rare, all of these complications have been reported in the literature, and many have been seen by the panelists. 37,43,55-58…”

Section: Discussionmentioning

confidence: 99%

“…Although they are rare, all of these complications have been reported in the literature, and many have been seen by the panelists. 37,43,[55][56][57][58] The panel agreed that informed consent for lingual frenotomy should include mention of the possibility of failure to experience improvement in breastfeeding ( Table 4). While much evidence in the literature supports the idea that lingual frenotomy can lead to improvement in breastfeeding, 43,44,46,50,51,54,[59][60][61][62][63][64][65][66][67][68][69][70][71][72] it is also important to recognize that not all infant-mother dyads experience breastfeeding improvement after the procedure.…”

Section: Frenotomy Indications and Informed Consentmentioning

confidence: 99%

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Clinical Consensus Statement: Ankyloglossia in Children

Messner

Walsh

Rosenfeld

et al. 2020

Otolaryngol.--head neck surg.

113

157

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Objective To identify and seek consensus on issues and controversies related to ankyloglossia and upper lip tie in children by using established methodology for American Academy of Otolaryngology–Head and Neck Surgery clinical consensus statements. Methods An expert panel of pediatric otolaryngologists was assembled with nominated representatives of otolaryngology organizations. The target population was children aged 0 to 18 years, including breastfeeding infants. A modified Delphi method was used to distill expert opinion into clinical statements that met a standardized definition of consensus, per established methodology published by the American Academy of Otolaryngology–Head and Neck Surgery. Results After 3 iterative Delphi method surveys of 89 total statements, 41 met the predefined criteria for consensus, 17 were near consensus, and 28 did not reach consensus. The clinical statements were grouped into several categories for the purposes of presentation and discussion: ankyloglossia (general), buccal tie, ankyloglossia and sleep apnea, ankyloglossia and breastfeeding, frenotomy indications and informed consent, frenotomy procedure, ankyloglossia in older children, and maxillary labial frenulum. Conclusion This expert panel reached consensus on several statements that clarify the diagnosis, management, and treatment of ankyloglossia in children 0 to 18 years of age. Lack of consensus on other statements likely reflects knowledge gaps and lack of evidence regarding the diagnosis, management, and treatment of ankyloglossia. Expert panel consensus may provide helpful information for otolaryngologists treating patients with ankyloglossia.

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Section: Discussionmentioning

confidence: 99%

“…Although they are rare, all of these complications have been reported in the literature, and many have been seen by the panelists. 37,43,55-58…”

Section: Discussionmentioning

confidence: 99%

Section: Frenotomy Indications and Informed Consentmentioning

confidence: 99%

See 1 more Smart Citation

Clinical Consensus Statement: Ankyloglossia in Children

Messner

Walsh

Rosenfeld

et al. 2020

Otolaryngol.--head neck surg.

113

157

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show abstract

“…Complications after frenotomy, frenectomy, and frenulopasty are rare 50,51,69,70 . In an anonymous questionnaire study, 51 excessive bleeding after surgery was seen by 3% of otolaryngologists and 8% of pediatricians.…”

Section: Therapymentioning

confidence: 99%

“…In a case series 50 (N = 156) of frenotomy, only one small diathermy burn to the lip was recorded. One severe complication, an upper airway collapse after elective frenotomy under general anesthesia, was described in a letter to the editor 69 . The first signs of upper airway obstruction developed immediately after removal of the nasopharyngeal airway after the frenotomy.…”

Section: Therapymentioning

confidence: 99%

Ankyloglossia: Facts and Myths in Diagnosis and Treatment

Suter

Bornstein

2009

Journal of Periodontology

161

130

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The lack of an accepted definition and classification of ankyloglossia makes comparisons between studies almost impossible. Because almost no controlled prospective trials for surgical interventions in patients with tongue-ties are present in the literature, no conclusive suggestions regarding the method of choice can be made. It also remains controversial which tongue-ties need to be surgically removed and which can be left to observation.

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Diagnosis and Treatment of Ankyloglossia in Newborns and Infants

Walsh

Tunkel

2017

JAMA Otolaryngol Head Neck Surg

100

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Consistent terminology with emphasis on symptomatic ankyloglossia and a uniform grading system, such as the Hazelbaker Assessment Tool for Lingual Frenulum Function and Coryllos grading, are needed to improve the quality of research in the future. The ability to make definitive practice guidelines is limited with our current understanding of ankyloglossia. Additional research is needed to better understand the complexity of infant feeding and the role of ankyloglossia.

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Partial Airway Obstruction After Lingual Frenotomy

Cited by 8 publications

References 4 publications

Clinical Consensus Statement: Ankyloglossia in Children

Clinical Consensus Statement: Ankyloglossia in Children

Ankyloglossia: Facts and Myths in Diagnosis and Treatment

Diagnosis and Treatment of Ankyloglossia in Newborns and Infants

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