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Onur Balaban, Joseph D Tobias
Gomez-Lopez-Hernandez syndrome, also known as cerebello-trigeminal dermal dysplasia, is a rare neurocutaneous syndrome classically characterized by the triad of rhombencephalosynapsis, trigeminal anesthesia, and bilateral parietal alopecia. Associated clinical features include a characteristic facial appearance (mid-face hypoplasia, hypertelorism, and low-set, posteriorly rotated ears), brachycephaly, strabismus, ataxia, developmental delay, short stature, and corneal opacities. Given the associated congenital anomalies, anesthetic care may be required for various surgical interventions...
June 2016: Middle East Journal of Anesthesiology
Junsujee Wakhanrittee, Jiraporn Khorana, Siriphut Kiatipunsodsai
PURPOSE: To study the effects of frenulotomy on nipple pain, latch and the success in exclusive breastfeeding (EBF) at 3-month follow-up. METHODS: A prospective cross-sectional study of 328 mother-infant pairs with both tongue-tie and breastfeeding problems was performed. Nipple pain and latch were evaluated using numeric rating scale and LATCH score, respectively, and compared between pre and post-operatively at 24 h and 1 week. The success rate of EBF was assessed at 3 months after frenulotomy...
October 2016: Pediatric Surgery International
Gabriel Ferreira Nicoloso, Iuri Silveira dos Santos, Jorge Abel Flores, Bruno Lopes da Silveira, Marta Dutra Machado Oliveira
Ankyloglossia entails short lingual frenum, impairing satisfactory tongue movement and leading to problems related to deglutition, feeding and diction. This clinical report uses laser technology, rather than traditional surgical procedure with scalpel, to perform a lingual frenulotomy on a 9-year old child diagnosed with ankyloglossia, aiming to investigate more conservative and less traumatic dental procedures. Due to the many advantages of the laser device, such as bloodless surgical field, absence of sutures, minimal swelling and post-surgical pain, the high intensity diode laser is a viable alternative technique in soft tissue surgeries...
2016: Journal of Clinical Pediatric Dentistry
Jack Donati-Bourne, Zainab Batool, Charles Hendrickse, Douglas Bowley
OBJECTIVES: Recent reports have highlighted the benefits of surgical division of tongue-tie (frenulotomy) in infants with breastfeeding difficulties. There is no clear consensus defining the appropriate age for this procedure to be undertaken in selected infants. We aimed to evaluate the impact of delays in time between referral and frenulotomy in relation to maternal abandonment of breastfeeding. MATERIALS AND METHODS: This was a prospective cohort study done in out-patient Neonatal Surgery Department, Birmingham Heartlands Hospital, Birmingham, UK, between April 2013 and July 2013...
January 2015: Journal of Neonatal Surgery
Jamshid Yousefi, Fariba Tabrizian Namini, Seyed Mohammad Ali Raisolsadat, Rowan Gillies, Azar Ashkezari, John G Meara
INTRODUCTION: Ankyloglossia is a congenital anomaly in which the lingual frenulum is unusually short and thick, thus decreasing tongue mobility. In the context of the newborn or young infant it is a subject of ongoing controversy within and between medical specialties. The controversy involves not only the definition but also the management of this anomaly. A tight lingual frenulum is considered a minor malformation by some investigators. Usual treatments for ankyloglossia include speech therapy, as well as simple frenulotomy and frenuloplasty...
March 2015: Iranian Journal of Otorhinolaryngology
Katie Rose, Anand V Kasbekar, Alison Flynn, Sujata De
OBJECTIVES: Tongue tie (ankyloglossia) describes a short lingual frenulum that can lead to breastfeeding difficulties. It affects between 4% and 10% of infants and can be treated by frenulotomy. We developed a nurse-delivered frenulotomy service at a tertiary pediatric hospital and audited our results. STUDY DESIGN: Observational study. SETTING: Tertiary pediatric hospital. SUBJECTS AND METHODS: An outpatient tongue tie clinic was set up by an ear, nose, and throat consultant...
January 2015: Otolaryngology—Head and Neck Surgery
Yasuo Ito, Toshimitsu Shimizu, Tomomi Nakamura, Chie Takatama
BACKGROUND: The aim of this study was to determine the effectiveness of tongue-tie division (frenuloplasty/ frenulotomy) for speech articulation disorder in children with ankyloglossia (tongue-tie). METHODS: Articulation test was done in five children (3-8 years old) with speech problems who underwent tongue-tie division. The test consisted of 50 pictures of common Japanese words with 2-3 syllables. The patients were interviewed by a speech therapist and asked to pronounce what the picture card showed...
April 2015: Pediatrics International: Official Journal of the Japan Pediatric Society
Neeraj Sethi, Dominique Smith, Sahr Kortequee, Victoria M M Ward, Susan Clarke
OBJECTIVES: Ankyloglossia is a common, congenital abnormality often causing feeding difficulties in infants. This study aimed to evaluate indications and outcomes of frenulotomy performed in infants with ankyloglossia for breast-feeding difficulties. METHODS: 85 patients were prospectively identified as they underwent frenulotomy in Pinderfields Hospital ENT outpatient department between February 2008 and February 2011. 52 patients were successfully followed up with a telephone questionnaire about effects on breast-feeding and any complications...
May 2013: International Journal of Pediatric Otorhinolaryngology
Dusanka Dobanovacki, Biljana Lucić Prostran, Dragan Sarac, Jelena Antić, Mirjana Petković, Tanja Lakić
INTRODUCTION: The prepuce envelops the glans as a variant of a mucocutaneous tissue presenting with a lot offunctions, the most important of them being to protect the infant's glans from feces and ammonia in diapers, to protect the glans from abrasions and trauma throughout life, and to provide sufficient skin in erection. Circumcision was recognized as a method of solving foreskin problems a long time before Christ. Practicing male circumcision in history was customary several thousand years ago and has spread worldwide...
July 2012: Medicinski Pregled
Rosemary Jackson
A tongue-tie (ankyloglossia) is defined as a lingual frenulum that is short, tight and restricts normal tongue movement. The tongue-tied newborn baby then has a mechanical difficulty attaching to his mum's breast and maintaining attachment to feed effectively. In the hands of skilled carers, this mechanical problem can be resolved by releasing the frenulum (frenulotomy) and the baby's access to his/her mother's breast milk be preserved. Published research on this subject has undergone justifiable criticism...
June 2012: Community Practitioner: the Journal of the Community Practitioners' & Health Visitors' Association
Benjamin H Miranda, Catherine J Milroy
A prospective study (62 neonates) of ankyloglossia and breastfeeding difficulty is presented. At 2 weeks post-frenulotomy, there were significant improvements in weight (15+/-1.2 centiles) and breastfeeding, including number of sessions/24h (19%) and bottle top-ups/24h (81%) (p<0.0001).
September 2010: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
A K K Khoo, N Dabbas, N Sudhakaran, N Ade-Ajayi, S Patel
INTRODUCTION: In mother-infant pairs experiencing breastfeeding difficulties, frenulotomy for tongue-tie may improve breastfeeding. We tested the hypothesis that those experiencing nipple pain are most likely to benefit from the procedure in a prospective cohort study. MATERIALS AND METHODS: Mother-infant pairs attending a dedicated clinic for the assessment and treatment of tongue-tie completed a standardised, structured symptom questionnaire. Three months later outcome was assessed by questionnaire...
December 2009: European Journal of Pediatric Surgery
Donna T Geddes, Diana B Langton, Ian Gollow, Lorili A Jacobs, Peter E Hartmann, Karen Simmer
OBJECTIVE: There is evidence that infants with ankyloglossia can experience breastfeeding difficulties including poor attachment to the breast, suboptimal weight gain, and maternal nipple pain, which may lead to early weaning of the infant. No studies have investigated the cause of these breastfeeding difficulties. The objective of this study was to determine the effectiveness of frenulotomy in infants experiencing persistent breastfeeding difficulties despite professional assistance by measuring changes in milk transfer and tongue movement during breastfeeding before and after frenulotomy...
July 2008: Pediatrics
P Impellizzeri, N Turiaco, P Antonuccio, A Manganaro, C Romeo
AIM: Phimosis is a common condition in the pediatric age. Circumcision has been the technique of choice for the surgical correction of this condition. As an alternative to circumcision different techniques of preputioplasty have been described in the last years. The aim of this paper was to report our experience with the preputioplasty technique in the treatment of phimosis in pediatric age. METHODS: A preputioplasty is performed for phimosis correction in 109 patients aged between 4 and 16 years...
February 2006: Minerva Pediatrica
R Pascotto, E Giancotti
BACKGROUND: To device a new surgical technique of preputial plasty for the treatment of phimosis, as an alternative to circumcision, easy to perform, which preserves the normal function of the prepuce. METHODS: The new technique consists of three lengthwise incisions of the stenosing wase and their diagonal suture, the triple incision preputial plasty, described by others, modified adding frenulotomy and two more incisions between the previous ones, which are left to heal spontaneously...
June 1998: Minerva Chirurgica
P Hoebeke, P Depauw, E Van Laecke, W Oosterlinck
A number of minor urological surgical procedures can be readily carried out in children in outpatient clinics with the availability of a good topical local anaesthetic. In boys, the separation of preputial adhesions, frenulotomy, meatoplasty, meatal dilatation following circumcision or meatal surgery, the removal of smegma and excision of penile skin lesions can be performed as outpatient treatment. In girls, hymenal abnormalities, meatal abnormalities and labial adhesions come into consideration for its use...
December 1997: Acta Urologica Belgica
J E Wright
OBJECTIVE: To review the presenting features of tongue-tie in childhood and indications for frenulotomy, drawing conclusions from a retrospective study of patients encountered in paediatric surgical practice and from the literature. METHODOLOGY: A disease index was kept enabling histories to be selected for analysis. All patients were seen by the author and all operations performed by the author or a registrar under supervision in a standard manner. Patients were reviewed 2 weeks after operation...
August 1995: Journal of Paediatrics and Child Health
J R Block
No abstract text is available yet for this article.
October 1968: New York State Dental Journal
W Bigenzahn
The differential diagnosis of myofunctional, articulational and specific ENT-disorders is a phoniatric domain. The symptoms of orofacial dysfunctions are presented and aetiological factors of myofunctional disorders of the orofacial region are discussed for children. In many cases the surgery of ENT-disorders (e.g. adenotomy, tonsillectomy, frenulotomy) makes favorable conditions for logopedic oriented myofunctional therapies according to the age.
May 1990: Laryngo- Rhino- Otologie
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