TY - JOUR T1 - Bebek Dostu Bir Üniversite Hastanesinde Çocuklarda Dil Altı Bağına Yaklaşım TT - Approach to Lingual Frenulum in Children at a Baby-Friendly University Hospital AU - Aracıer Uçaner, Fatma Nur AU - Kapısız, Alparslan AU - Türker, Leyla Nur AU - Arkan, Gökhan AU - Kaya, Cem AU - Karabulut, Ramazan AU - Türkyılmaz, Zafer AU - Sönmez, Kaan PY - 2025 DA - August Y2 - 2025 DO - 10.29058/mjwbs.1572494 JF - Medical Journal of Western Black Sea JO - Med J West Black Sea PB - Zonguldak Bülent Ecevit Üniversitesi WT - DergiPark SN - 2822-4302 SP - 150 EP - 157 VL - 9 IS - 2 LA - tr AB - Amaç: Ankiloglossi, dil ucu hareketliliğini kısıtlayan, dil bağı olarak da bilinen konjenital bir oral anomalidir. Frenotomi işlemi başlıca tedaviyöntemi olarak uygulanmaktadır. Bu çalışmamızın amacı; 2012-2022 yılları arasında kliniğimizde ankiloglossi tanısı ile frenotomi işlemiuygulanan 0-18 yaş arası hastalardaki deneyimlerimizi paylaşmaktır.Gereç ve Yöntemler: Çalışmaya 2012-2022 yılları arasında kliniğimizde frenotomi yapılmış olan toplam 164 hasta dahil edilmiştir. Dilbağının sınıflaması ve tedavisi Ferres -Amat klasifikasyonuna göre yapılmıştır. Hastalar yaş, cinsiyet, başvuru şikâyetleri, dil bağı derecesive cerrahi prosedürleri dikkate alınarak değerlendirilmiştir. Ayrıca dil bağı hastalarının yaş gruplarına göre cinsiyet dağılımı ve evreleriincelenmiş, farklı yaş gruplarındaki evre dağılımlarının karşılaştırması yapılmıştır.Bulgular: Bebek dostu hastanemizde çoğunluğu yenidoğan polikliniği, emzirme destek merkezi relaktasyon ünitesi, dil ve konuşma terapisibölümü tarafından kliniğimize dil altı bağı nedeniyle yönlendirilmiş olan 164 hastaya frenotomi operasyonu uygulanmıştır. Bu hastaların%74,4’ü bir yaş altı, %64,6'sı erkek çocuklardan oluşmaktadır. Asıl şikayet bir yaş altı bebeklerde emme güçlüğü, bir yaş üstü çocuklardakonuşma bozukluğu olduğu tespit edilmiştir.Sonuç: Frenotomi işlemi merkezimiz hekimleri tarafından genellikle düz klemp yardımı ile frenulumun ezilmesinin ardından makasla eksizeederek yapılmıştır. Bazı vakalarda ise hemostaz için bipolar koter gereksinimi olmuştur. Literatürde bahsedilen komplikasyon oranlarınınaksine opere edilen iki hastada alt dudakta bipolar koter temasına bağlı yanık meydana gelmiş ve gerekli yara yeri bakımı yapılmıştır.Kliniğimizde yapılan işlemler sonrasında emzirme sorunlarıyla gelen hastaların takiplerinde şikâyetler azalmış, emme ve kilo alımı sağlanmışve en azından annelerin kaygıları giderilmiştir KW - Ankiloglossi KW - frenotomi KW - dil bağı KW - emzirme KW - konuşma terapisi N2 - Aim: Ankyloglossia, also known as tongue-tie, is a congenital oral anomaly that restricts the mobility of the tongue tip. Frenotomy is theprimary treatment method for ankyloglossia. The aim of this study is to share our experiences with patients aged 0-18 years who underwentfrenotomy for ankyloglossia in our clinic between 2012 and 2022.Material and Methods: A total of 164 patients who underwent frenotomy between 2012 and 2022 at the Department of Pediatric Surgery,Faculty of Medicine, Gazi University, were included in this study. The classification and treatment of tongue-tie were based on the Ferres-Amat classification. Patients were evaluated based on age, gender, presenting complaints, degree of tongue-tie, and surgical procedures.Additionally, the gender distribution and grade classification of tongue-tie patients were analyzed according to age groups, and the differencesin grade distribution among different age groups were compared Results: In our baby-friendly hospital, 164 patients, the majority of whom were referred to our clinic by breastfeeding and speech therapyclinics with tongue-tie complaints, underwent frenotomy. The patients presenting to our center with complaints of tongue-tie are 74.4% underone year of age, and 64.6% male. The primary complaint in infants under one year of age was difficulty in sucking while breastfeeding, whilein children over one year of age, it was speech disorder.Conclusion: The frenotomy procedure was typically performed by our physicians using a straight clamp to crush the frenulum, followedby excision with scissors. In some cases, bipolar cautery was required for hemostasis. Contrary to the complication rates mentioned inthe literature, only two of our operated patients experienced burns on the lower lip due to bipolar cautery contact, and appropriate woundcare was provided. Following the procedures performed in our clinic, complaints decreased in patients who presented with breastfeedingproblems, sucking and weight gain were achieved, and at the very least, maternal anxiety was alleviated CR - 1. Hill RR, Lee CS, Pados BF. The prevalence of ankyloglossia in children aged <1 year: a systematic review and meta-analysis. Pediatr Res. 2021;90(2):259-66. https://doi.org/10.1038/ s41390-020-01239-y CR - 2. Bruney TL, Scime NV, Madubueze A, Chaput KH. Systematic review of the evidence for resolution of common breastfeeding problems-Ankyloglossia (Tongue Tie). Acta Paediatr. 2022;111(5):940-47. https://doi.org/10.1111/apa.16289 CR - 3. Zhao H, He X, Wang J. 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