ANQUILOGLOSIA TRATAMIENTO PDF

ABSTRACT: Ankyloglossia may prevent the tongue from contacting the anterior palate, which promotes an infantile swallow and hamper the progression to an adult-like swallow. The surgical cut of the frenum tissue that connects the tongue to the jawbone frenulectomy and the language rehabilitation treatment with functional oral devices, represent an alternative treatment for this problem. An year-old boy reported with language performance problems, dental malposition and diagnostic of ankyloglossia condition, received frenulectomy surgery and language rehabilitation treatment with functional oral devices during six months. Language diagnosis was carried out in three periods of time: prior to the surgery, four weeks after the surgery and six months later. Combined surgical and functional therapies proved to be a better alternative than only surgical therapy.

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ABSTRACT: Ankyloglossia may prevent the tongue from contacting the anterior palate, which promotes an infantile swallow and hamper the progression to an adult-like swallow.

The surgical cut of the frenum tissue that connects the tongue to the jawbone frenulectomy and the language rehabilitation treatment with functional oral devices, represent an alternative treatment for this problem. An year-old boy reported with language performance problems, dental malposition and diagnostic of ankyloglossia condition, received frenulectomy surgery and language rehabilitation treatment with functional oral devices during six months.

Language diagnosis was carried out in three periods of time: prior to the surgery, four weeks after the surgery and six months later. Combined surgical and functional therapies proved to be a better alternative than only surgical therapy. Combined therapies increased the speech abilities as well as swallowing functions, therefore, the patient's self-esteem. Ankyloglossia varies in degree of severity from mild cases characterized by mucous membrane bands, to complete ankyloglossia, whereby the tongue is tethered to the floor of the mouth Horton et al.

Ankyloglossia can also prevent the tongue from contacting the anterior palate, promoting an infantile swallow and hampering the progression to an adult-like swallow which can result in an open bite deformity and in some cases in mandibular prognathism. This sound is usually the last one a child masters; some people never learn to produce it, they substitute it with other sounds, such as the velar approximant, the uvular approximant, and the uvular trill often called "French r" Catford, The surgical cut of the frenum tissue that connects the tongue to the jawbone is called frenulectomy Tongue-tie surgery , a procedure through which one of the folds of tissue is removed by using scalpel or laser techniques.

An year-old boy reported with language performance problems and dental malposition. Although there was a history of previous attention through dental restorations, the patient did not receive proper attention to the language limitations.

The extraoral examination was contributory to determine the ankyloglossia condition due to the heart-shaped tongue, caused by the traction of the lingual frenulum Fig.

The intraoral examination revealed the presence of a short lingual frenulum. The diagnosis was a language problem characterized by disability on the articulation of certain phonemes due to the ankyloglossia condition. The patient and the parents were informed about the diagnosis and the alternatives of treatment.

The treatment plan included the surgical cut of the frenulum tongue frenulectomy and language rehabilitation treatment thought functional oral devices.

Clinical aspect of the tongue showing the heart-shape originated by a short lingual frenulum. Frenulectomy surgery. The procedure to cut partially the tissue that connects the tongue base to the jawbone was done by applying numbing shots of lidocaine.

The frenum was carefully cut with a scalpel, avoiding the blood vessels. After the cut, the area opened in the shape of a diamond. The tongue was immediately freed. Finally, it was proceeded the suture of the edges Fig. After four weeks, the tissue had healed completely. Surgical cut of the frenulum tongue Frenulectomy and suture union of the rhomboidal walls. Diagnosis of language. Language performance was measured in three periods of time: prior to the surgery T0 , four weeks after the surgery T1 and six months later T2.

Language therapy. The patient received therapy in sessions of an hour, two sessions per week. The complete therapy was carried out during six months, with an excellent cooperation and disposition of the patient. In this particular case the results of the combined therapy surgical-functional were satisfactory: thepatient increased his speech abilities, improving his swallowing function and his self-esteem. His speech changed to clear and fluid by the end of the therapy.

Prototypes of a vibrostimulation device structured with a micro motor and accessory for lingual exercises. Ankyloglossia is responsible for some articulations problems that lower speech intelligibility. Combined surgical treatment and speech-language rehabilitation achieved significant improvement of language function and abilities and expressive language. Functional therapy with intraoral vibratory devices is not harmful and simple to apply as an alternative to reinforce an integral treatment of language problems caused by ankyloglossia.

One of the risks of frenulectomy surgery carry is profuse bleeding because the tongue contains many blood vessels. Therefore lingual frenulectomies are more likely than other types of surgeries to cause a lot of bleeding or long-lasting bleeding.

However, this is a quite rare complication. The first step to establish the right treatment for this anomaly is the proper examination and the proper knowledge in order to recognize this anomaly, if the tongue does not move freely, language may not be correctly performed. A characteristic sign of ankyloglossia is the heart-shaped tongue when the patient is requested to project the tongue forward.

Early speech-language evaluation and oral inspection may avoid language problems; the early attention of this condition gives as a consequence better results. Surgical treatment combined with therapy of language stimulation reinforces the rehabilitation of the language. Professionals of dentistry should consider the interdisciplinary work for these cases.

The adequate treatment to these problems plays a determinant role in the socialization of children in school age.

Future research is recommended determinate the efficiency of these therapies. Intraoral vibrostimulation device positioned. Carter, E. Prognostic testing for functional articulation disorders among children in the first grade.

Speech Hear Disord. Catford, J. On Rs, rhotacism and paleophony. Ghandour, H. Factors affecting stimulability of erred sounds in common types of dyslalia.

Grigore, O. Intelligent System for Impaired. Speech Evaluation. Horton, C. Cleft Palate J. Keith, R. Handbook of Speech Pathology and Audiology.

Lalakea, M. Ankyloglossia: the adolescent and adult perspective. Head Neck Surg. Messner, A. Ankyloglossia: controversies in management. The effect of ankyloglossia on speech in children.

Powell, T. Stimulability as a factor in the phonologic generalization of misarticulating preschool children. Speech Hear Res. Ruscello, D. Nonspeech oral motor treatment issues related to children with developmental speech sound disorders.

Speech Hear Serv. Received: Accepted: Servicios Personalizados Revista. Direccion para correspondencia ABSTRACT: Ankyloglossia may prevent the tongue from contacting the anterior palate, which promotes an infantile swallow and hamper the progression to an adult-like swallow. The surgical cut of the frenum tissue that connects the tongue to the jawbone is called frenulectomy Tongue-tie surgery , a procedure through which one of the folds of tissue is removed by using scalpel or laser techniques CASE REPORT An year-old boy reported with language performance problems and dental malposition.

ANQUILOGLOSIA TRATAMIENTO PDF

Frenectomy or Frenotomy for Ankyloglossia

Ankyloglossia, or tongue-tie, exists when the inferior lingual frenulum attaches to the bottom of the tongue and restricts its movement. This condition can impair the normal mobility of the tongue and interfere with speech or newborn feeding. If the tongue can touch the anterior dentition, mobility is adequate for the development of normal speech. However, in situations where the inferior lingual frenulum significantly impedes tongue excursion, a frenulectomy may be performed in order to free the tongue. Definitions of ankyloglossia vary, and management suggestions are not based on randomized controlled trials. Based on current available evidence, frenotomy cannot be recommended.

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