Sažetak sa skupa
Comparison of conventional surgical treatment of ankyloglossia and new surgical treatment methods in the pediatric population: a systematic review
Iva Franković
; KB Sveti Duh, Ulica Sveti Duh 64, 10000 Zagreb, Hrvatska
Tena Šimunjak
; KB Sveti Duh, Ulica Sveti Duh 64, 10000 Zagreb, Hrvatska
Matea Zrno
; KB Sveti Duh, Ulica Sveti Duh 64, 10000 Zagreb, Hrvatska
Matija Miškec
; KB Sveti Duh, Ulica Sveti Duh 64, 10000 Zagreb, Hrvatska
Boris Šimunjak
; KB Sveti Duh, Ulica Sveti Duh 64, 10000 Zagreb, Hrvatska; Fakultet dentalne mediciine i zdravstva Sveučilišta Josipa Jurja Strossmayera Osijek, Crkvena ulica 21, 31000 Osijek, Hrvatska; Sveučilište Josipa Jurja Strossmayera u Osijeku, Fakultet za dentalnu medicinu i zdravstvo, Crkvena 21, 31000 Osijek, Hrvatska
Tomislav Baudoin
; KBC Sestre milosrdnice, Vinogradska cesta 29, 10000 Zagreb, Hrvatska; Medicinski fakultet Sveučilišta u Zagrebu, Šalata 3, Zagreb, Hrvatska
Sažetak
Objective: The aim of this study is to present and compare a conventional surgical treatment of ankyloglossia
with newer or other described surgical treatment methods in the pediatric population. Methods: A
comprehensive literature review was conducted using the PUBMED and COCHRANE database considering
randomized controlled trials published in the English language from its inception to June 30, 2025. Results:
Twelve articles were included in the analysis. Five studies were based on a conventional procedure affecting
the anterior part of the frenulum (AF procedures), six on a procedure affecting the posterior part of the frenulum
(PF procedures), while one study compared the two. We attempted to compare these two groups of surgical
methods by presenting breastfeeding outcomes, tongue movement outcomes, speech outcomes and adverse
events. There were two studies with AF procedure and two with PF procedure demonstrating a significant
reduction in maternal pain scores. The study comparing AF and PF procedure showed no difference in the
reduction of mastalgia between the two methods. Tongue movement outcomes were measured only in the PF
procedure group of studies. Four studies reported improved tongue mobility. Only two studies investigated
speech outcomes. One study showed a significant improvement in the articulation, and the study comparing Z
frenuloplasty with AF procedure showed a significantly greater improvement in the frenuloplasty group. No
serious adverse events were reported in any study. Conclusion: There are studies comparing different types of
surgical treatment for ankyloglossia, mainly comparing the type of instrument used. We believe that the
difference may lie in the way the procedure is performed rather than in the instrument itself. Therefore, we
divided the surgical interventions into those affecting the anterior frenulum such as conventional surgical blunt
scissor resection and those affecting the complete frenulum to the genioglossus fascia regardless of the
instrument used, including Z frenuloplasty. Although the literature does not show clear advantages of any of
these techniques, it seems that currently authors prefer procedures affecting the posterior frenulum.
Ključne riječi
ankyloglossia; frenulectomy; frenulotomy; frenuloplasty
Hrčak ID:
336299
URI
Datum izdavanja:
10.11.2025.
Posjeta: 128 *