Posterior Tongue Tie, Base of Tongue Movement, and Pharyngeal Dysphagia: What is the Connection?

Brooks, Laura; Deshpande, Anita; Marchica, Cinzia; Cooley, Anthony

doi:10.1007/s00455-019-10040-x

Cited by 13 publications

(8 citation statements)

References 2 publications

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“…A presença ou ausência de um curto ou frênulo lingual apertado sozinho pode ou não estar diretamente associado a deficiências na mobilidade da língua, por consequência, muitos pacientes com frênulo lingual restritivo podem ter apenas pequenas dificuldades e podem compensar as limitações no movimento da língua (BROOKS, et al, 2020).…”

Section: Discussionunclassified

“…Os pacientes podem compensar o movimento da língua, por exemplo, levantando a mandíbula e/ou o assoalho da boca, pois as compensações, em alguns casos, podem não ser benignos e podem ser a gênese de futuras distúrbios miofuncionais ou temporomandibulares (BROOKS, et al, 2020). De acordo com LALAKEA ( 2003), a palavra "Anquiloglossia" é derivada etimologicamente do grego antigo pelas palavras 'ankúlos' que significa 'dobrar' ou 'torto, curvo, arredondado' e 'glôssa', que se refere à 'língua', como tal a anquiloglossia referese mais apropriadamente a alterações na mobilidade da língua que às vezes pode ser atribuída a um aperto ou frênulo lingual curto.…”

Section: Discussionunclassified

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Tratamento multidisciplinar de pacientes adultos com anquiloglossia: série de casos

Araújo¹,

Silva²,

Meira³

et al. 2022

Braz. J. Hea. Rev.

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Introdução: A anquiloglossia é uma condição que pode gerar vários problemas para pacientes adultos, como dificuldade na comunicação, respiração e mastigação, o que leva a impactos negativos na qualidade de vida desses pacientes. Objetivo: O objetivo do presente estudo é relatar três casos de cirurgia de frenectomia lingual em pacientes adultos onde estes pacientes procuraram atendimento na clínica odontológica do Centro Universitário - FAMETRO queixando-se de dificuldade de fala. Metodologia: Trata-se de uma pesquisa experimental e exploratória Resultados: Assim, após avaliação clínica intraoral e extraoral, foram realizados os procedimentos cirúrgicos e de preservação do caso. Os pacientes tiveram o acompanhamento do fonoaudiólogo no pré, trans e pós-operatório. Resultados e discussões: Dessa maneira, os relatos de experiência sobre os procedimentos realizados na cirurgia destes pacientes, além das condutas necessárias no pós-operatório como a prescrição de medicações, acompanhamento da cicatrização do frênulo da língua com o trabalho concomitante ao do profissional fonoaudiólogo serão abordados nesse trabalho. Os resultados apresentados durante este trabalho, demonstraram que a cirurgia de anquiloglossia resulta em uma melhora significativa para o posicionamento do corpo da língua com o palato para estabelecer a postura oral de repouso ideal, da mecânica da deglutição e da fonética do paciente. Conclusão: Portanto o tratamento multidisciplinar é importante para melhor reabilitação do paciente melhorando a qualidade de vida.

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Section: Discussionunclassified

Tratamento multidisciplinar de pacientes adultos com anquiloglossia: série de casos

Araújo¹,

Silva²,

Meira³

et al. 2022

Braz. J. Hea. Rev.

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“…Restricted tongue mobility has long been appreciated to impact speech, 1,2 feeding 3,4 and oral hygiene 5 and more recently has also been potentially implicated in maxillofacial development, 6,7 mouth breathing, 8 myofascial tension 9 and even sleep‐disordered breathing 10 , 11 12 there are many other causes for impaired tongue mobility (such as airway obstruction and lack of generalised practice, as well as inadequate tongue space and extraoral fascial restrictions, among other factors) that are often underappreciated 9 .…”

Section: Introductionmentioning

confidence: 99%

Assessment of posterior tongue mobility using lingual‐palatal suction: Progress towards a functional definition of ankyloglossia

Zaghi¹,

Shamtoob²,

Peterson³

et al. 2021

J of Oral Rehabilitation

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Background A functional definition of ankyloglossia has been based on assessment of tongue mobility using the tongue range of motion ratio (TRMR) with the tongue tip extended towards the incisive papilla (TIP). Whereas this measurement has been helpful in assessing for variations in the mobility of the anterior one‐third of the tongue (tongue tip and apex), it may be insufficient to adequately assess the mobility of the posterior two‐thirds body of the tongue. A commonly used modification is to assess TRMR while the tongue is held in suction against the roof of the mouth in lingual‐palatal suction (LPS). Objective This study aims to explore the utility and normative values of TRMR‐LPS as an adjunct to functional assessment of tongue mobility using TRMR‐TIP. Study Design Cross‐sectional cohort study of 611 subjects (ages: 3‐83 years) from the general population. Methods Measurements of tongue mobility using TRMR were performed with TIP and LPS functional movements. Objective TRMR measurements were compared with subjective self‐assessment of resting tongue position, ease or difficulty elevating the tongue tip to the palate, and ease or difficulty elevating the tongue body to the palate. Results There was a statistically significant association between the objective measures of TRMR‐TIP and TRMR‐LPS and subjective reports of tongue mobility. LPS measurements were much more highly correlated with differences in elevating the posterior body of the tongue as compared to TIP measurements (R2 0.31 vs 0.05, P < .0001). Conclusions This study validates the TRMR‐LPS as a useful functional metric for assessment of posterior tongue mobility.

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Section: Introductionmentioning

confidence: 99%

“…12,13 Recently, a 21-month-old child with posterior tongue-tie, significant dysphagia, and aspiration improved significantly after release, as imaged by videofluoroscopic swallow study. 14 Ankyloglossia has been linked to sleep difficulties and sleep apnea in children and adults. [15][16][17] A tongue-tie prevents the tongue from resting on the palate.…”

Section: Introductionmentioning

confidence: 99%

Functional Improvements of Speech, Feeding, and Sleep After Lingual Frenectomy Tongue-Tie Release: A Prospective Cohort Study

Baxter¹,

Merkel-Walsh²,

Baxter³

et al. 2020

Clin Pediatr (Phila)

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Recent studies suggest that speech, solid feeding, and sleep difficulties may be linked to restricted tongue function. Children with tongue restrictions and speech, feeding, and sleep issues underwent lingual frenectomies with a CO2 laser, paired with myofunctional exercises. Questionnaires were completed before, 1 week after, and 1 month following treatment. Thirty-seven patients participated in the study (mean age 4.2 years [range 13 months to 12 years]). Overall, speech improved in 89%, solid feeding improved in 83%, and sleep improved in 83% of patients as reported by parents. Fifty percent (8/16) of speech-delayed children said new words after the procedure ( P = .008), 76% (16/21) of slow eaters ate more rapidly ( P < .001), and 72% (23/32) of restless sleepers slept less restlessly ( P < .001). After tongue-tie releases paired with exercises, most children experience functional improvements in speech, feeding, and sleep. Providers should screen for oral restrictions in children and refer for treatment when functions are impaired.

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Posterior Tongue Tie, Base of Tongue Movement, and Pharyngeal Dysphagia: What is the Connection?

Cited by 13 publications

References 2 publications

Tratamento multidisciplinar de pacientes adultos com anquiloglossia: série de casos

Tratamento multidisciplinar de pacientes adultos com anquiloglossia: série de casos

Assessment of posterior tongue mobility using lingual‐palatal suction: Progress towards a functional definition of ankyloglossia

Functional Improvements of Speech, Feeding, and Sleep After Lingual Frenectomy Tongue-Tie Release: A Prospective Cohort Study

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