연령에 따른 설소대 절제술 후 혀 길이와 운동성 및 자음정확도의 변화에 대한 연구
The Effect of Frenotomy on the Tongue Length, Motion, and Speech According to Age
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Background and Objectives Ankyloglossia often results in articulation disorders, whichdepends on age, articulation ability, and mobility of the tongue. A primary treatment strategyincludes surgery and/or speech therapy. This study aimed to evaluate the changes of thetongue length, tongue mobility, and percentage of consonants correct (PCC) after frenotomy. We investigated the optimal surgery timing for ankyloglossia. Subjects and Method A total of 136 patients underwent frenotomy for the tongue tie betweenJanuary 2016 and December 2019. There were 90 males and 46 females, with the meanage of 5.23, which ranged from 2 to 10 years. The length of the tongue was measured for all patientsduring the operation preoperatively and postoperatively. The mobility of the tongue andPCC were performed preoperatively and 1 month after surgery by two speech therapists. Patientswere divided according to age into three groups: 2-3 years, 4-5 years, and over 6 years old. Results The mean tongue length of all age groups was significantly elongated after surgery(p<0.05). After frenotomy, the mobility of tongue, including horizontal protrusion, protrusionwith upward pointing, circumlocution, and lateral movement, was improved. Also, PCCs ofall age groups were significantly improved after surgery (p<0.05). Conclusion Frenotomy can be an effective procedure for children with ankyloglossia in allage groups. After frenotomy, length of the tongue, mobility of the tongue and PCC were significantlyimproved.
Abstract
Background and Objectives Ankyloglossia often results in articulation disorders, whichdepends on age, articulation ability, and mobility of the tongue. A primary treatment strategyincludes surgery and/or speech therapy. This study aimed to evaluate the changes of thetongue length, tongue mobility, and percentage of consonants correct (PCC) after frenotomy. We investigated the optimal surgery timing for ankyloglossia. Subjects and Method A total of 136 patients underwent frenotomy for the tongue tie betweenJanuary 2016 and December 2019. There were 90 males and 46 females, with the meanage of 5.23, which ranged from 2 to 10 years. The length of the tongue was measured for all patientsduring the operation preoperatively and postoperatively. The mobility of the tongue andPCC were performed preoperatively and 1 month after surgery by two speech therapists. Patientswere divided according to age into three groups: 2-3 years, 4-5 years, and over 6 years old. Results The mean tongue length of all age groups was significantly elongated after surgery(p<0.05). After frenotomy, the mobility of tongue, including horizontal protrusion, protrusionwith upward pointing, circumlocution, and lateral movement, was improved. Also, PCCs ofall age groups were significantly improved after surgery (p<0.05). Conclusion Frenotomy can be an effective procedure for children with ankyloglossia in allage groups. After frenotomy, length of the tongue, mobility of the tongue and PCC were significantlyimproved.
참고문헌 (14)
- Koh JW, "Effect of frenulotomy in tongue-tie : Focused on alveolar sounds", J Korean Soc Laryngol Phoniatr, 11(1), pp.5~11 (2000)
- Marmet C, "Neonatal frenotomy may be necessary to correct breastfeeding problems", J Hum Lact, 6(3), pp.117~121 (1990)
- Greene JS, "Anomalies of the speech mechanism and associated voice and speech disorders", N Y State J Med, 45(6), pp.605~608 (1945)
- Lalakea ML, "Ankyloglossia : The adolescent and adult perspective", Otolaryngol Head Neck Surg, 128(5), pp.746~752 (2003)
- Block JR, "The role of the speech clinician in determining indications for frenulotomy in cases of ankyloglossia", N Y State Dent J, 34(8), pp.479~481 (1968)
- 이형주, "설소대 단축증 환자에서 설소대 절단술 후 혀 운동성 및 발음 명료도의 개선", 대한이비인후-두경부외과학회지, 53(8), pp.491~496 (2010), 대한이비인후과학회
- Kim IB, "Distribution of ankyloglossia according to length of frenum and influence of ankyloglossia in relation to angle’s classification and mandibular dentition", J Korean Dent Assoc, 38(5), pp.442~451 (2000)
- Fernando C, "Tongue tie--from confusion to clarity: A guide to the diagnosis and treatment of ankyloglossia" (1998), Tandem Publications
- Kim SJ, "Articulatory and phonological disorders" (2007), Sigmapress
- Choi JN, "A preliminary study on the determining indicatory factors for frenulotomy : Maximum lingual length-protrusion of 3-6 year old normal children with Boley Gauge(Digimatic Caliper®)", Speech Sciences, 8(3), pp.161~172 (2001)
- 김용덕, "설소대 절제술이 설운동과 발음에 미치는 영향", 대한구강악안면외과학회지, 28(4), pp.9~317 (2002), 대한구강악안면외과학회
- Jung YJ, "Effect of speech therapy on alveolar sound after lingual frenulotomy in tongue-tie patients", Korean J Otolaryngol, 44(3), pp.317~325 (2001)
- Cho KS, "The characteristics of development of articulation in pediatrics with ankyloglossia", Commun Sci Disord, 5(2), pp.1~11 (2001)
- Sedano HO, "Congenital oral anomalies in argentinian children", Community Dent Oral Epidemiol, 3(2), pp.61~63 (1975)