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CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2022; 26(01): e069-e074
DOI: 10.1055/s-0041-1726050
Original Research

Effect of Lingual Frenotomy on Tongue and Lip Rest Position: A Nonrandomized Clinical Trial

Roberta Lopes Castro Martinelli 
1   Lingual frenulum inspection Department, Hospital Santa Therezinha, Brotas, SP, Brazil
,
Irene Queiroz Marchesan 
2   Speech and Myofunctional Disorders Department, CEFAC Health and Education, São Paulo, SP, Brazil
,
Reinaldo Jordão Gusmão 
3   Clínica Respirare Otorhinolaryngology Department, Universidade Estadual de Campinas, Campinas, SP, Brazil
,
Giédre Berretin-Felix 
4   Speech, Language and Hearing Sciences Department, Universidade de São Paulo, Bauru, SP, Brazil
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Abstract

Introduction The tongue plays an important role in the development of craniofacial structures. At rest, the light and constant pressure of the tongue against the hard palate, counterbalanced by the pressure provided by proper lip sealing, serves as a guide for maxillary growth. Ankyloglossia makes tongue coupling against the hard palate difficult, impacting maxillary development, which may lead to breathing disorders.

Objective To verify the effect of lingual frenotomy on the resting position of the tongue and lips in infants with ankyloglossia.

Methods The sample consisted of 334 infants aged between 1 and 60 days old diagnosed with ankyloglossia. The groups were divided in: a) experimental group (EG), which consisted of infants whose mothers agreed with lingual frenotomy; b) control group (CG), which consisted of infants whose mothers either refused lingual frenotomy or were waiting for surgery. Both the position of the lips and of the tongue at rest were assessed while the infants were sleeping during the quiet sleep phase. For mothers who refused their infants to undergo the surgical procedure, a follow-up of the infants was proposed to verify possible interference of the frenulum with the resting position of the tongue and lips. Infants whose mothers agreed with surgery were referred for lingual frenotomy.

Results Regarding the position of the tongue and lips at rest at the initial and final assessments, the statistical analysis demonstrated significant differences between both groups.

Conclusion Lingual frenotomy enabled infants diagnosed with ankyloglossia to maintain both tongue coupling against the hard palate and closed lips at rest.

Keywords

lingual frenum - ankyloglossia - surgical procedure - tongue


Publication History

Received: 29 September 2020

Accepted: 20 December 2020

Article published online:
05 July 2021

© 2021. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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