Ankyloglossia: controversies in management

Int J Pediatr Otorhinolaryngol. 2000 Aug 31;54(2-3):123-31. doi: 10.1016/s0165-5876(00)00359-1.

Abstract

Purpose: To determine current beliefs regarding ankyloglossia and its treatment.

Design: Anonymous written survey.

Participants: Otolaryngologists (OTO, n=423), pediatricians (PD, n=425), speech pathologists (SP, n=400), and lactation consultants (LC, n=350) were randomly selected from professional membership lists, with a response rate of 209 (49%), 235 (55%), 150 (37.5%), and 203 (58%), respectively.

Clinical findings: Sixty-nine percent of LCs, but a minority of physician respondents, believe tongue-tie is frequently associated with feeding problems. Sixty percent of OTOs, 50% of SPs, but only 23% of PDs believe tongue-tie is at least sometimes associated with speech difficulties. Sixty-seven percent of OTOs versus 21% of PDs believe tongue-tie is at least sometimes associated with social/mechanical issues. Surgery is recommended at least sometimes for feeding, speech, and social/mechanical issues by 53, 74, and 69% of OTOs, respectively, but by only 21%, 29%, and 19% of PDs.

Conclusion: The significance of ankyloglossia in children remains controversial, both within, and between, specialty groups.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Canada
  • Child
  • Child, Preschool
  • Data Collection
  • Female
  • Humans
  • Lingual Frenum / abnormalities*
  • Lingual Frenum / physiopathology
  • Lingual Frenum / surgery*
  • Male
  • Otolaryngology / statistics & numerical data
  • Practice Patterns, Physicians' / statistics & numerical data
  • Prognosis
  • Risk Assessment
  • Risk Factors
  • Speech Disorders / etiology
  • Surveys and Questionnaires
  • Tongue Diseases / complications
  • Tongue Diseases / congenital
  • Tongue Diseases / diagnosis*
  • Tongue Diseases / surgery*
  • Treatment Outcome
  • United States