Association Between the Language Development and Behavioral-Emotional Problems in Children With Ankyloglossia
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Background and Objectives The study attempted to clarify the correlation between thedegree of behavioral-emotional problems and language development in patients with ankylo-glossia and to identify pre- and post-operative changes in pronunciation, language, and behav-ioral-emotional problems. Subjects and Method This prospective cohort study was conducted at a tertiary academiccenter. Patients with ankyloglossia exhibiting articulation disorders were divided into normaland language delay groups according to the degree of language development. Articulation wasevaluated using the Korean-specific Urimal Test of Articulation and Phonation (U-TAP), andlanguage development was evaluated using the Preschool Receptive-Expressive LanguageScale (PRES). The difference in the degree of behavioral-emotional development between thetwo groups was analyzed using the Strengths and Difficulties Questionnaire test. Moreover,changes in articulation, language development, and behavioral-emotional development scoreswere compared before and 3 months post-operatively in the two groups. Results Thirty patients with ankyloglossia were enrolled and classified into the normal group(n=11) and language delay group (n=19). Children of the language delay group exhibited signif-icantly delayed improvements in emotional symptoms compared to those in the normal group(2.55±1.0 4 vs. 1.68±1.49 in language delay vs. normal group, respectively; p=0.037). The U-TAP and PRES test scores were improved three months post-operatively in the entire group,but there was no significant difference after surgery when compared between the two groups. Conclusion Behavioral-emotional development was delayed in patients with ankyloglossiaaccompanied by language delay. Furthermore, articulation and language development im-proved three months after frenoplasty in all patients. However, behavioral-emotional develop-ment was delayed in patients with ankyloglossia accompanied by language delay.
Abstract
Background and Objectives The study attempted to clarify the correlation between thedegree of behavioral-emotional problems and language development in patients with ankylo-glossia and to identify pre- and post-operative changes in pronunciation, language, and behav-ioral-emotional problems. Subjects and Method This prospective cohort study was conducted at a tertiary academiccenter. Patients with ankyloglossia exhibiting articulation disorders were divided into normaland language delay groups according to the degree of language development. Articulation wasevaluated using the Korean-specific Urimal Test of Articulation and Phonation (U-TAP), andlanguage development was evaluated using the Preschool Receptive-Expressive LanguageScale (PRES). The difference in the degree of behavioral-emotional development between thetwo groups was analyzed using the Strengths and Difficulties Questionnaire test. Moreover,changes in articulation, language development, and behavioral-emotional development scoreswere compared before and 3 months post-operatively in the two groups. Results Thirty patients with ankyloglossia were enrolled and classified into the normal group(n=11) and language delay group (n=19). Children of the language delay group exhibited signif-icantly delayed improvements in emotional symptoms compared to those in the normal group(2.55±1.0 4 vs. 1.68±1.49 in language delay vs. normal group, respectively; p=0.037). The U-TAP and PRES test scores were improved three months post-operatively in the entire group,but there was no significant difference after surgery when compared between the two groups. Conclusion Behavioral-emotional development was delayed in patients with ankyloglossiaaccompanied by language delay. Furthermore, articulation and language development im-proved three months after frenoplasty in all patients. However, behavioral-emotional develop-ment was delayed in patients with ankyloglossia accompanied by language delay.
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