TONGUE TIE AND LIP TIE, ORAL MOTOR LIMITATION, DIAGNOSIS AND TREATMENT OPTIONS IN BABIES

Öz

Background/aim: This article has been prepared in order to emphasize the negative effects of tongue tie and lip tie on infant feeding and oral motor activity in infants and current Materials and methods: This presentation has been prepared by researching current scientific studies and guides. Results: Tongue tie (hypertrophic lingual frenulum, ankyloglossia) and lip tie are genetic conditions that can cause feeding problems, limitation of mouth and jaw muscle activity, problems with the development of facial and jaw bones, and symptoms such as reflux and colic pain in infants. Tongue ties may be short and tight, or they may be very close to the tip of the tongue. In both cases, it may cause adverse effects on tongue and intraoral muscle activity in infants. Lip ties occur when the tissue that connects the upper lip to the gums (frenulum) attaches too short or too tightly to the gum. Both lip tie and tongue tie can cause serious adverse effects on breastfeeding and nutrition in babies, permanent changes in the jaw and teeth, speech disorders and psychiatric effects in the future, breast damage and psychological effects in mothers. Conclusion: In this presentation, it is aimed to give information about examination and limitation assessment methods, treatment options, breastfeeding and nutritional support, post-operative care recommendations in babies with tongue and lip ties, in the light of current publications.

Anahtar Kelimeler

• Tongue Tie
• Lip Tie
• Hypertrophic Lingual Frenulum
• Short Tongue Tie
• Short Lip Tie
• Infant Nutrition

Kaynakça

1. Genna, C., & Coryllos, E. (2009). Breastfeeding and tongue tie. Journal of Huma n Lactation, 25(1), 108. https://doi.org/10.1177/08903344090250011501
2. Kotlow L. A. (1999). Ankyloglossia (tonguetie): a diagnostic and treatment quandary. Quintessence international (Berlin, G ermany : 1985), 30(4), 259 262.
3. Ghaheri, B. A., Cole, M., Fausel, S. C., Chuop, M., & Mace, J. C. (2017). Breastfeeding improvement following tongue‐tie and lip‐tie release: a prospective cohort study. The Laryngoscope, 127(5), 1217 1223. https://doi.org/10.1002/lary.26306
4. Kotlow, L. A. (2010). The influence of the maxillary frenum on the development and pattern of dental caries on anterior teeth in breastfeeding infants: prevention, diagnosis, and treatm ent. Journal of Human Lactation, 26(3), 304 308. https://doi.org/10.1177/0890334410362520
5. Baxter, R., & Baxter, D. (2018). Tongue tied: How a tiny string under the tongue impacts nursing, speech, feeding, and more. Alabama Tongue Tie Center Inc..
6. Ingram, J., Johnson, D., Copeland, M., Churchill, C., Taylor, H., & Emond, A. (2015). The development of a tongue assessment tool to assist with tongue tie identification. Archives of Disease in Childhood Fetal and Neonatal Edition, 100(4), F344 F349. https://doi.org/10.1136/archdischild 2014 307503
7. Amir, L. H., James, J. P., & Donath, S. M. (2006). Reliability of the hazelbaker assessment t ool for lingual frenulum function. International breastfeeding journal, 1, 1 6. https://doi.org/10.1186/1746 4358 1 3
8. https://www.dilbagiameliyati.com

9. https://www.drghaheri.com/blog/2014/10/8/the difference between a lip tie and a normal frenulum
10. Kotlow, L. A. The Breastfeeding Dilemma: Misdiagnosed TOTS or Just Ignoring their Existence? Med Case Rep J 2018; 1: 102. 2 Figure 2: Class 3 maxillary lip tie. doi: https://10.31531/2581 5563.1000102
11. Wen, Z., Walner, D. L., Popova, Y., & Walner, E. G. (2022). Tongue tie and breastfeeding. International journal of pediatric otorhinolaryngology, 160, 111242. https://doi.org/10.1016/j.ijporl.2022.111242
12. American Academy of Pediatrics. (2000). Breastfeeding: Best for baby and mother. AAP Newsletter, 2, 2 5. Retrieved from https://www.researchgate.net/publication/2652526664
13. Messner, A. H., Walsh, J., Rosenfeld, R. M., Sch wartz, S. R., Ishman, S. L., Baldassari, C., ... & Satterfield, L. (2020). Clinical consensus statement: ankyloglossia in children. Otolaryngology Head and Neck Surgery, 162(5),597 611. https://doi .org/10.1177/0194599820915457
14. Ghaheri, B. A., Lincoln, D., Mai, T. N. T., & Mace, J. C. (2022). Objective improvement after frenotomy for posterior tongue tie: a prospective randomized trial. Otolaryngology Head and Neck Surgery, 166(5), 976 984. https://doi.org/10.1177/01945998211039784