• Proceedings of the KSLP Conference
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• 1999.11a
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• pp.188-188
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• 1999

배경 : 흔히 설소대 단축증이 조음장애를 일으키는 원인 중의 하나라고 인식하여 왔으나 설소대 절개술 후에 설소대 단축증 환아들의 조음에 어떠한 변화가 일어나는 지에 대한 연구는 미흡하다. 목적 : 따라서 본원에서는 설소대 절개술이 필요하다고 진단된 아동들에 대한 조음장애의 정도를 알아보고, 설소대 절개술 전 후의 자음정확도를 분석하여 설소대 절개술의 효과에 대해 알아보고자 하였다. (중략)

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.12 no.2
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• pp.158-160
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• 2001

Ankyloglossia is the presence of a lingual frenulum, which can range from a mucous membrane band to a short and thick band and, in extreme cases, to fusion of the tongue to the floor of the mouth. The effects of such a condition, in addition to speech defects and occasionally restriction of sucking, including dental deformities, such as open bite, or even prognathism. Treatment is surgical. The preferred treatment is horizontal sectioning of the frenulum down to the lingual septum and then suturing of the mucosa. The main problem after the healing of surgical wound is adhesion and contracture. Adhesion restrict the movement of tongue like tongue-tie. Z-plasty at the site of incision can solve this problem by changing the direction of scar. We have experienced a patient with ankyloglossia with speech defect, who underwent frenuloomy by Z-plasty. So we present a surgical treatment of Ankyloglossia using Z-plasty and discuss the treatment with a review of literature.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.14 no.1
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• pp.10-15
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• 2003

Background and Objectives : Ankyloglossia, commonly known as tongue-tie, is the result of a short, fibrous lingual frenulum or highly attached geioglossus muscle. This condition may cause sucking and swallowing problems, articulation disorders, interference with the tongue's cleansing action, increased the potential for caries, and inability to lick the lips, play a wind instrument, and 'french kiss' Treatment is surgical procedure. In the most cases, horizontal sectioning and mucosal suture(the conventional procedure) is preferred, but in some cases, the Z-plastic procedure is effective. This study is aimed to compare the result of the two procedures. Materials and Methods : Twenty tongue-tie patients underwent operation. Ten patients were treated with the Z-plastic procedure and ten patients were treated with the conventional method randomly. We checked preoperative mobile tongue length, postoperative mobile tongue length, operation time and postoperative wound states. Results : Among the 20 cases of tongue-tie, 2 cases are excepted due to pre-operative state, thus we compared 18 cases of tongue-tie patients. There is no statistically significant difference between the two procedures except in operation time. The Z-plastic procedure apparently needs a little more operating time. Conclusion : Patients treated with the Z-plastic procedures appeared to have better outcomes, but the data shows no statistical significance except in operating time. Consequently, the Z-plastic procedure is indicated in a limited amount of cases.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.11 no.1
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• pp.5-11
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• 2000

Background and Objectives : Tongue-tie, or partial ankyloglossia, is manifested by an abnormally short and thick lingual frenulum. Degree of tongue-tie varies from the mild to the rare, severe and its treatment of choice is frenulotomy. Theoretically tongue-tie can affect expression of alveolar sounds. The purpose of this study is to evaluate the degree of articulation problem and to evaluate the efficacy of frenulotomy itself on alveolar sounds in tongue-tie patients. Materials and Methods : Prospectively, the authors performed preoperative and postoperative speech evaluation using picture consonants test for tongue-tie patients. Percentage of consonants correct(PCC), mean value of each alveolar phoneme depends on articulation site were evaluated. for exclusion of other articulatory improving factors except of frenulotomy itself, postoperative picture consonants test was performed 1 month after surgery. Results : Preoperative speech evaluation was performed to 37(male 21, female 16) patients and postoperative speech evaluation was performed to 17(male 9, female 8) patients, the other 20 patients were follow-up loss. Low PCC was observed in tongue-tie patients and PCC of female was higher an at of male in 2-4 years old patients. Overall PCC was improved after frenulotomy. Preoperative mean value of liquids and fricatives was lower than the other alveolar phonemes(p＜0.05) and it was improved postoperatively(p＜0.05). Conclusion : Frenulotomy itself can improve the articulation of liquids and fricatives on short follow-up. Speech therapy would be needful for improvement of the other alveolar phonemes.

• Journal of the korean academy of Pediatric Dentistry
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• v.49 no.4
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• pp.357-367
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• 2022

Sleep disordered breathing (SDB) is a disease characterized by repeated hypopnea and apnea during sleep due to complete or partial obstruction of upper airway. The prevalence of pediatric SDB is approximately 12 - 15%, and the most common age group is preschool children aged 3 - 5 years. Children show more varied presentations, from snoring and frequent arousals to enuresis and hyperactivity. The main cause of pediatric SDB is obstruction of the upper airway related to enlarged tonsils and adenoids. If SDB is left untreated, it can cause complications such as learning difficulties, cognitive impairment, behavioral problems, cardiovascular disease, metabolic syndrome, and poor growth. Pediatric dentists are in a special position to identify children at risk for SDB. Pediatric dentists recognize clinical features related to SDB, and they should screen for SDB by using the pediatric sleep questionnaire (PSQ), lateral cephalometry radiograph, and portable sleep monitoring test and refer to sleep specialists. As a therapeutic approach, maxillary arch expansion treatment, mandible advancement device, and lingual frenectomy can be performed. Pediatric dentists should recognize that prolonged mouth breathing, lower tongue posture, and ankyloglossia can cause abnormal facial skeletal growth patterns and sleep problems. Pediatric dentists should be able to prevent these problems through early intervention.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.15 no.2
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• pp.145-152
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• 2004

Background and Objectives : The current study aimed to 1) compare of Lingual function and alveolar sounds between 4-year-old Korean children with and without ankyloglossia, 2) investigate the correlation between ① maximum lingual length-protrusion(MLL-P) and percentage of consonants corrects(PCC) focused on alveolar sounds, ② lingual movement and PCC focused on alveolar sounds, ③ MLL-P and lingual movement. Materials and Method : Twenty-two 4-year-old children participated as subjects in the study: a control group of 11 normal children and an experimental group of 11 children who were previously diagnosed as having ankyloglossia. They were measured for lingual function (lingual length, lingual movement) and the performances of speech articulation. Results : Children with ankyloglossia displayed significantly shorter MLL-P than 4 year normal children. Experimental group displayed significantly worse lingual movement, lower PCC in Picture consonants test, and lower PCC of alveolar sounds than control group. Ther was significantly high correlation between MLL-P and lingual movement of experimental group. Conclusion : This paper describes clinical measure and functional aspects of the tongue. Such baseline analysis provides a more definitive appraisal of lingual function as well as a more objective basis for diagnosis and treatment of ankyloglossia.