Ankyloglossia, Dentofacial Abnormalities, Speech Delay
Conditions
Keywords
ankyloglossia, speech delay, myofunctional therapy, dentofacial abnormalities
Brief summary
Children with ankyloglossia (tongue tie) can have abnormal tongue function, putting them at a disadvantage when it comes to speech and articulation. Furthermore, abnormal tongue posture within the oral cavity increases the likelihood of myofunctional disorders.
Detailed description
The current body of literature surrounding ankyloglossia and speed delay is mixed. The literature base is riddled with retrospective reviews, poor descriptions of surgical intervention, and the lack of standardized grading schemes with respect to articulation. Furthermore, the candidacy for intervention in these instances only involves children with anterior tongue tie. There is a complete lack of investigation surrounding the impact of posterior tongue tie on articulation. The other area that has inadequately been studied is the impact ankyloglossia has on myofunctional outcomes. There are data now that demonstrate how ankyloglossia is correlated with a vaulted palate and has long term orthodontic consequences. This study aims to demonstrate how release of posterior tongue tie improves lingual strength and posture.
Interventions
PROCEDURELingual frenuloplasty
Surgical release of ankyloglossia with suture reorientation of the wound to improve lingual mobility, done under local or general anesthesia
Sponsors
The Oregon Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
5 Years to 12 Years
Healthy volunteers
Yes
Inclusion criteria
* Children ages 5-12 with posterior tongue tie who are undergoing treatment just for ankyloglossia * Children must already be working with an SLP who has done a speech and myofunctional evaluation
Exclusion criteria
* Children undergoing other procedures at the same time as the frenuloplasty (tonsillectomy, adenoidectomy, etc) * Significant medical comorbidities (cardiovascular, neurological, etc) * Anterior tongue tie or lip tie * Previous lingual surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Speech/Articulation | Baseline (timepoint 0) and 2 months post-intervention (surgical group) or 2 months post-therapy alone (control group) | Using the GFTA-3 test of articulation |
| Tongue mobility | Baseline (timepoint 0) and 2 months post-intervention (surgical group) or 2 months post-therapy alone (control group) | Using the TRMR grading scale |
| Tongue strength | Baseline (timepoint 0) and 2 months post-intervention (surgical group) or 2 months post-therapy alone (control group) | Using the IOPI instrument |
Contacts
Primary ContactBobak Ghaheri, MD
Outcome results
None listed