국내 소아청소년 환자에서의 혀유착증 진단과 설소대 수술 시행의 최근 경향
Trends in Ankyloglossia and Surgical Treatment among Pediatric Patients in South Korea
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
이 연구의 목적은 2011년부터 2020년까지 대한민국 소아 청소년 환자들의 혀유착증 진단과 그 수술적 치료의 동향을 조사하는 것이다. 건강보험심사평가원의 보건의료 빅데이터 개방시스템에서 제공하는 자료를 이용하여 혀유착증의 진단과 설소대 수술 시행의 연간 경향을 분석하였다. 설소대 수술 시행과 관련된 세부 요인을 조사하기 위해, 소아청소년 환자표본자료를 이용하였다. 혀유착증 진단의 경우 2011년 10만 명당 204.4명에서2020년 356.6명으로 증가하는 경향을 보였으며, 설소대 수술은 26.8명에서 34.3명까지 증가하였다. 설소대 수술에 대한 로지스틱 회귀분석 결과, 남자가 여자보다 수술을 진행할 확률이 높았고, 0 - 4세의 연령군에서 가장 높은 진료 확률을 보였으며 병원급 요양기관에서수술이 시행될 확률이 가장 높았다. 0 - 4세 연령군에서는 소아청소년과에서, 5 - 9세의 연령군에서는 소아치과에서 가장 많이 수술이 진행되었다. 그 이상의 연령에서는 보존과와구강악안면외과에서 가장 높은 비율로 수술을 시행하였다. 혀의 기능은 악안면의 성장에영향을 미칠 수 있는 만큼, 소아치과의사는 성장하는 어린이의 구강 연조직의 기능적 관리있어서도 면밀한 주의 및 관심을 기울여야 할 것으로 사료된다.
Abstract
The objective of this study was to investigate trends in ankyloglossia and its surgical treatment among pediatric patients in South Korea from 2011 to 2020. Data from Health Insurance Review and Assessment Service (HIRA)’s Healthcare Bigdata Hub were used for analysis of the ankyloglossia diagnosis rate and frenum surgery rate. Considering annual population change, crude rates per 100,000 were calculated and analyzed. To investigate other factors of frenum surgery incidence besides gender and age, pediatric patient sample data from HIRA were used. The diagnosis rate of ankyloglossia increased from 204.4 in 2011 to 356.6 per 100,000 people in 2020, while the frenum surgery rate increased from 26.8 to 34.3 per 100,000 people. Males were more likely to receive frenum surgery than females. Surgeries were more likely to be done at a hospital instead of a clinic or a general hospital. In the age group of 0 - 4 years, the largest number of frenum surgeries were performed in pediatrics, and in the age group of 5 - 9 years, the largest number of surgeries were conducted in pediatric dentistry. In the older age groups, the largest proportion of frenum surgeries were performed in the departments of conservative dentistry and oral and maxillofacial surgery. The diagnosis of ankyloglossia and the operation of frenum surgery among South Korean children increased during the last decade. Since the function of the tongue can affect maxillofacial development in many aspects, pediatric dentists should pay more attention to the functional management of intraoral soft tissue in growing children.
참고문헌 (28)
- Walsh J, "Ankyloglossia and other oral ties", Otolaryngol Clin North Am, 52, pp.795~811 (2019)
- Lalakea ML, "Ankyloglossia : does it matter?", Pediatr Clin North Am, 50, pp.381~397 (2003)
- Cruz PV, "Prevalence of ankyloglossia according to different assessment tools: A meta-analysis", J Am Dent Assoc, 153, pp.1026~1040 (2022)
- Brożek-Mądry E, "Short lingual frenulum and head-forward posture in children with the risk of obstructive sleep apnea", Int J Pediatr Otorhinolaryngol, 144, pp.110699~ (2021)
- Kupietzky A, "Ankyloglossia in the infant and young child : clinical suggestions for diagnosis and management", Pediatr Dent, 27, pp.40~46 (2005)
- Sfasciotti GL, "Frenulectomy with diode laser technology in Paeditric patients: quantitative and qualitative evaluations. Randomized double-blind clinical trial", Appl Sci, 10, pp.4114~ (2020)
- Messner AH, "Ankyloglossia : controversies in management", Int J Pediatr Otorhinolaryngol, 54, pp.123~131 (2000)
- Walsh J, "Ankyloglossia and lingual frenotomy : national trends in inpatient diagnosis and management in the United States, 1997-2012", Otolaryngol Head Neck Surg, 156, pp.735~740 (2017)
- Lisonek M, "Changes in the incidence and surgical treatment of ankyloglossia in Canada", Paediatr Child Health, 22, pp.382~386 (2017)
- Ellehauge E, "Trends of ankyloglossia and lingual frenotomy in hospital settings among children in Denmark", Dan Med J, 67, pp.A01200051~ (2020)
- Kapoor V, "Frenotomy for tongue-tie in Australian children, 2006-2016 : An increasing problem", Med J Aust, 208, pp.88~89 (2018)
- LeFort Y, "Academy of Breastfeeding Medicine Position Statement on ankyloglossia in breastfeeding dyads", Breastfeed Med, 16, pp.278~281 (2021)
- "Breastfeeding recommendations"[URL]
- Joseph KS, "Temporal trends in ankyloglossia and frenotomy in British Columbia, Canada, 2004-2013 : a population-based study", CMAJ Open, 4, pp.E33~E40 (2016)
- Choi EJ, "Survey on Breastfeeding in Korea" (2016), Korea Institute for Health and Social Affairs (KIHASA)
- Manyeh AK, "Estimating the rate and determinants of exclusive breastfeeding practices among rural mothers in Southern Ghana", Int Breastfeed J, 15, pp.7~ (2020)
- "Breastfeeding rate at 6 months after birth"[URL]
- "Statistics of medical conduct"[URL]
- "Number of care institutions by type"[URL]
- "2020 Dentist major training dental hospital (training institution) allocation of quota for the first year of internship and residency"[URL]
- Bae SY, "Language Development of Korean Children", J Korean Soc Laryngol Phoniatr Logop, 7, pp.98~105 (1996)
- Joe KS, "Features of consonant development in children with ankyloglossia", Commun Sci Disord, 5, pp.1~11 (2001)
- 김나영, "영유아 구강검진에 대한 부모와 치과의사의 인식과 요구도 및 정확도 조사", 대한소아치과학회지, 49(2), pp.217~227 (2022), 대한소아치과학회
- Martinelli RLC, "Effect of lingual frenotomy on tongue and lip rest position: a nonrandomized clinical trial", Int Arch Otorhinolaryngol, 26, pp.E069~E074 (2021)
- Srinivasan B, "Skeletal and dental characteristics in subjects with ankyloglossia", Prog Orthod, 14, pp.44~ (2013)
- Jang SJ, "Relationship between the lingual frenulum and craniofacial morphology in adults", Am J Orthod Dentofacial Orthop, 139(4 Suppl), pp.E361~E367 (2011)
- Bussi MT, "Is ankyloglossia associated with obstructive sleep apnea?", Braz J Otorhinolaryngol, 88(Suppl 1), pp.S156~S162 (2022)
- "Guildeline for using patient sample data"[URL]