Evaluation of the lingual frenulum in neonates. A Systematic Review
Evaluación del frenillo lingual en neonatos. Una revisión sistemática
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Introduction: the objective of this review is to answer the question: What is the most effective methodology for assessing lingual frenulum in neonates? Under the parameters of objectivity, clarity and validation.
Methods: the study was conducted through a systematic review carried out using the Cochrane methodology, in which the evaluation descriptors, lingual frenulum, ankyloglossia, and newborn were used, and developed in the Pubmed, Science Direct and Scielo data banks. To analyze the level of evidence and degree of clinical recommendation, the GRADE and CEBM classification of Oxford was taken into account.
Results: through the review we found 2 evaluations and a screening specifically for newborns that evaluates from 0 to 30 days, which are validated through specificity studies.
Analysis and discussion: it was identified that the main parameters to diagnose an alteration in the lingual frenum are its anatomy and functionality.
Conclusions: according to the studies found, there is an effective method for the diagnosis of the lingual frenulum in neonates.
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- Miranda PP, Cardoso CL, Gomes E. Intervenciones en la alteración del frenillo lingual: revisión sistemática. En t. Arco. Otorrinolaringol. [Internet]. Septiembre de 2016 [consultado el 30 de abril de 2021];20(3):275-280. https://doi.org/10.1055/s-0035-1568135.
- Pérez NN, López M. Anquiloglosia en niños de 5 a 11 años de edad: Diagnóstico y tratamiento. Rev Cubana Estomatol [Internet]. 2002 Dic [citado 2021 Mayo 14];39(3):282-301. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75072002000300002&lng=es
- Pompéia LE, Ilinsky RS, Ortolani CLF, Faltin JK. A influência da anquiloglossia no crescimento e desenvolvimento do sistema estomatognático. Rev. paul. pediatr. [Internet]. 2017 June [cited 2021 Apr 30];35(2):216-221. DOI: https://doi.org/10.1590/1984-0462/;2017;35;2;00016
- Kupietzky A, Botzer E. Anquiloglosia en el lactante y el niño pequeño: sugerencias clínicas para el diagnóstico y el tratamiento. Odontología pediátrica. 2005;27(1):40-46. Disponible en: https://www.ingentaconnect.com/content/aapd/pd/2005/00000027/00000001/art00009#expand/collapse
- Jaque Rocha S, Jeldes Díaz P, Mieres Madrid J. Valoración de movimientos orofaciales en menores de 3 a 4 años con desarrollo normal: datos normativos. Repositorio académico de la Universidad de Chile; 2011. Disponible en: http://repositorio.uchile.cl/handle/2250/114886
- Pransky SM, Lago D, Hong P. Breastfeeding difficulties and oral cavity anomalies: The influence of posterior ankyloglossia and upper-lip ties. Int J Pediatr Otorhinolaryngol [Internet]. 2015 Oct [cited 2018 May 30];79(10):1714–7. DOI: https://doi.org/10.1016/j.ijporl.2015.07.033
- Ferreira González I, Urrútia G, Alonso-Coello P. Revisiones sistemáticas y metaanálisis: bases conceptuales e interpretación. Revista Española de Cardiología. 2011;64(8):688-696. DOI: https://doi.org/10.1016/j.recesp.2011.03.029
- Orte-González EM, Alba-Giménez L, Serrano-Alvar B. La anquiloglosia y las dificultades que presenta en el amamantamiento. Matronas Profesión. 2017;18(3):e50-e57. Disponible en: https://www.federacion-matronas.org/revista/wp-content/uploads/2018/01/revbibliografica-anquiologlosia.pdf
- Corrêa MSNP, Abanto Alvarez J, Corrêa FNP, Bonini G, Alves FBT. Anquiloglosia y amamantamiento: Revisión y reporte de caso. REH [Internet]. 16 sep. 2014 [citado 30abr.2021];18(2):123. DOI: https://doi.org/10.20453/reh.v18i2.1844
- Messner AH, Lalakea ML, Aby J, Macmahon J, Bair E. Ankyloglossia: Incidence and Associated Feeding Difficulties. Arch Otolaryngol Head Neck Surg. 2000;126(1):36–39. DOI: https://doi.org/10.1001/archotol.126.1.36
- Ballard JL, Auer CE, Khoury JC. Ankyloglossia: Assessment, Incidence, and Effect of Frenuloplasty on the Breastfeeding Dyad. Pediatrics. November 2002;110(5):e63. DOI: https://doi.org/10.1542/peds.110.5.e63
- Griffiths DM. Do Tongue Ties Affect Breastfeeding? Journal of Human Lactation. 2004;20(4):409-414. DOI: https://doi.org/10.1177/0890334404266976
- Notestine GE. The Importance of the Identification of Ankyloglossia (Short Lingual Frenulum) as a Cause of Breastfeeding Problems. Journal of Human Lactation. 1990;6(3):113-115. DOI: https://doi.org/10.1177/089033449000600316
- González Jiménez D, Costa Romero M, Riaño Galán I, González Martínez MT, Rodríguez Pando MC, Lobete Prieto C. Prevalencia de anquiloglosia en recién nacidos en el Principado de Asturias. Anales de Pediatría. August 2014;81(2):115-119. DOI: https://doi.org/10.1016/j.anpedi.2013.10.030
- Carmona Romero MF, Lozada Ramón DS, Romero Pinzón GA. Efecto de una leche comercial suplementada con probióticos sobre factores biológicos asociados a caries dental de niños. Repositorio Institucional Universidad Cooperativa de Colombia. (Tesis de pregrado); 2018. Recuperado de: https://repository.ucc.edu.co/handle/20.500.12494/6629
- Oliveira YA. Prevalência da anquiloglossia em lactentes: estudo Rretrospectivo. Trabalho de Conclusão de Curso (Graduação em Odontologia). Repositório Institucional - Universidade Federal de Uberlândia; 2017. Disponible en: https://repositorio.ufu.br/handle/123456789/19427
- Hazelbaker AK. The Assessment Tool for Lingual Frenulum Function (ATLFF): Use in a Lactation Consultant Private Practice. [Thesis]. Pasadena, CA: Pacific Oaks College; 1993.
- Hazelbaker AK. Assessment Tool for Lingual Frenulum Function (ATLFF). Clinical Lactation [Internet]. Springer Publishing Company; 2017;8(3):132–3. Doi: http://dx.doi.org/10.1891/2158-0782.8.3.13
- Aguilar Cañas S, Llanos Redondo A, Ayala Nieto A, Portilla Portilla E, Espinal Rangel R. Metodologia: tamiz auditivo neonatal. Revista Signos Fónicos. 2016;2(3):161-172. DOI: https://doi.org/10.24054/01204211.v3.n3.2016.2002
- Robles-Andrade MS, Guerrero-Sierra C. Impacto de la anquiloglosia y la frenotomía lingual en la alimentación neonatal. Perinatol. Reprod. Hum. [Internet]. 2014 Sep [citado 2021 Mayo 14];28(3):154-158. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0187-53372014000300006&lng=es.
- Ricke LA, Baker NJ, Madlon-Kay DJ, DeFor TA. Newborn tongue-tie: prevalence and effect on breast-feeding. J Am Board Fam Pract. 2005 Jan-Feb;18(1):1-7. DOI: https://doi.org/10.3122/jabfm.18.1.1
- Aguilar Cañas S, Crespo Pérez N, Mejía Martínez N, Ramírez Arias L, Tamara Moncada V. Ruta de atención, criterios y metodologías para atención de lactantes con anquiloglosia. Revista Signos Fónicos. 2018;4(2). DOI: https://doi.org/10.24054/01204211.v2.n2.2018.3971
- O'Shea JE, Foster JP, O'Donnell CP, Breathnach D, Jacobs SE, Todd DA, Davis PG. Frenotomy for tongue-tie in newborn infants. Cochrane Database Syst Rev. 2017 Mar 11;3(3). DOI: https://doi.org/10.1002/14651858.CD011065.pub2
- Lopes R, Martinelli DC, Marchesan IQ. Protocol for Infants: Relationship Between Anatomic and Functional Aspects. Revista CEFAC. 2013;15(3):599–609. DOI https://doi.org/10.1590/S1516-18462013005000032
- Martinelli RL, Marchesan IQ, Berretin-Felix G. Lingual frenulum protocol with scores for infants. Int J Orofacial Myology. 2012 Nov;38:104-12.. DOI: http://www.abramofono.com.br/wp-content/uploads/2012/02/Lingual-Frenulum-Protocol-with-scores-for-infants-IJOM-2012.pdf
- Fernández-Dávila M. Características en la producción del habla en niños de 6 a 7 años con frenillo lingual alterado. Revista Signos Fónicos.2015; 1(2). DOI: https://doi.org/10.24054/01204211.v2.n2.2015.1731
- Amir L, James J, Donath S Reliability of the hazelbaker assessment tool for lingual frenulum function.. Int Breastfeed J. 2006;1(1):3 DOI: https://doi.org/10.1186/1746-4358-1-3
- Ingram J, Johnson D, Copeland M, Churchill C, Taylor H, Emond A. The development of a tongue assessment tool to assist with tongue-tie identification. Archives of Disease in Childhood - Fetal and Neonatal Edition. 2015;100(4):F344–F349. Disponible en: https://fn.bmj.com/content/100/4/F344.short
- O’Shea JE, Foster JP, O’Donnell CP, Breathnach D, Jacobs SE, Todd DA, et al. Frenotomy for tongue-tie in newborn infants. Cochrane Database Syst Rev [Internet]. 2017 Mar 11 [cited 2018 May 30];3:CD011065. DOI: https://doi.org/10.1002/14651858.CD011065.pub2
- Lopes de Castro Martinelli RL, Marchesan IQ, Lauris JR, Honório HM, Gusmão RJ, Berretin-Felix G. Validade e confiabilidade da triagem: "teste da linguinha". Rev. CEFAC [Internet]. 2016 Dec [cited 2021 Apr 30];18(6):1323-1331. DOI: https://doi.org/10.1590/1982-021620161868716
- Lopes de Castro Martinelli R, Marchesan IQ, Berretin-Felix G. Lingual frenulum evaluation protocol for infants: relationship between anatomic and functional aspects. Rev. CEFAC. 2013 Mai-Jun;15(3):599-610. Available from: https://www.scielo.br/pdf/rcefac/2013nahead/en_162-11.pdf
- Lopes de Castro Martinelli R, Jordão Gusmão R, Moya Daza MP, Queiroz Marchesan I, Berretin-Felix G. Profile of Scientific Production on Ankyloglossia. Int J Med Surg Sci [Internet]. 2020;8(1):1-13.. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1151622
- de Almeida KR, Leal TP, Kubo H, Castro TES, Ortolani CLF. 'Lingual frenotomy in a newborn, from diagnosis to surgery: a case report', Revista CEFAC: Atualizacao Cientifica em Fonoaudiologia e Educacao. 2018;20(2):258.DOI: https://dx.doi.org/10.1590/1982-0216201820212917
- Das Graças Mosele P, Ferreira dos Santos J, Cristina de Godói V, Marson Costa F, Marco De Toni P, Ide Fujinaga C. Assessment Scale of Newborn Sucking for Breastfeeding. Revista CEFAC. Set-Out. 2014;16(5):1548–57. DOI: https://doi.org/10.1590/1982-0216201426412
- Lopes de Castro Martinelli R. Validação do protocolo de avaliação do frênulo da língua em bebês. Biblioteca digital Universidade de São Paulo; 2016. DOI: https://doi.org/10.11606/T.25.2016.tde-17052016-150210
- Todd DA. Tongue-tie in the newborn: what, when, who and how? Exploring tongue-tie division. Breastfeed Rev [Internet]. 2014 Jul [cited 2018 May 30];22(2):7–10. Disponible en: https://search.informit.org/doi/10.3316/INFORMIT.598687183131831
- Llanos Redondo A, Rangel Navia HJ, Aguilar Cañas SJ, Tamara Moncada VA, Crespo Pérez NC. Evaluación de anquiloglosia y lactancia materna en lactantes de 0 a 24 meses. Revista Salud Bosque. 2020;10(2). DOI: https://doi.org/10.18270/rsb.v10i2.3015