“Surgical Interventions for the Treatment of Ankyloglossia: A Systematic Review and Subgroup Analysis of Conventional Frenotomy, Laser Frenotomy and Z-plasty”
Usman Khan, Jake Macpherson, Paul Hong
Objectives: To evaluate the benefits of conventional (CF), laser (LF) and Z-plasty (ZF) frenotomies for the treatment of ankyloglossia in the pediatric population.
Methods: A comprehensive search of PUBMED, EMBASE and COCHRANE databases was performed, and articles were assessed by two reviewers independently according to the PRISMA criteria.
Results: Initial search identified a total of 1036 articles. Thirty-six articles assessing CF (30, n=1894), LF (3, n=88) and/or ZF (3, n=218) met the inclusion criteria. Standardized breast-feeding outcomes included maternal nipple pain (MNP; VAS scale), LATCH scores and BSES scores. Other outcomes were speech, surgical complications, surgery time, bleeding and tongue mobility. CF was supported by a higher quality of evidence when compared to other interventions. Pooled analysis of studies utilizing standardized assessment tools demonstrated improvement in MNP for CF and LF.
Conclusions: There is no established benefit of laser or z-plasty over conventional frenotomy for the treatment of ankyloglossia.
- To provide recommendations regarding the benefits of different surgical methods for the treatment of ankyloglossia.
- To provide insights into the quality of evidence available for comparing outcomes of different surgical interventions when treating ankyloglossia.
- To outline the variety of outcomes assessed in the international literature for determining the effectiveness of different types of frenotomies.
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Authors' Contact Details
Corresponding Author: Mr. Usman Khan
Senior Author: Dr. Paul Hong
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