Speech and Language Outcomes in Patients with Ankyloglossia Undergoing Frenulectomy: A Retrospective Pilot Study

Srihari Daggumati, Jason E. Cohn, Matthew J. Brennan, Marissa Evarts, Brian J. McKinnon, Alyssa R. Terk

Research output: Contribution to journalArticlepeer-review

Abstract

Ankyloglossia is a controversial topic with no standardized treatment guidelines. A retrospective chart review was conducted to identify children who underwent lingual frenulectomy for speech and language impairment. Impairment severity was recorded pre- and postoperatively as mild, mild to moderate, moderate, moderate to severe, or severe. Variables were tested with chi-square analysis for their statistical relationship to improvements in speech and language. Children with preoperative moderate and moderate-to-severe speech and language impairment attained better speech and language outcomes after frenulectomy as compared with children with mild and mild-to-moderate impairment (100% vs 82%, P =.015). Sutured closure after frenulectomy was associated with better speech and language improvements (100% vs 83%, P =.033). One could consider observation of patients with mild and mild-to-moderate speech and language impairments. Sutured closure might result in better improvements in speech and language impairments. This pilot study sheds light on the potential impact of a larger study currently underway.

Original languageEnglish (US)
JournalOTO Open
Volume3
Issue number1
DOIs
StatePublished - 2019

Keywords

  • ankyloglossia
  • frenulectomy
  • frenulum
  • pediatric otolaryngology
  • speech
  • tongue-tie

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

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