연령에 따른 설소대 절제술 후 혀 길이와 운동성 및 자음정확도의 변화에 대한 연구

김주은; 금보람; 이성원; 박성민; 권빈; 김희진; 박일석

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자료유형: 학술저널

저자정보: 김주은 (한림대학교 의과대학 동탄성심병원 이비인후-두경부외과학교실) 금보람 (한림대학교 의과대학 동탄성심병원 이비인후과학교실) 이성원 (한림대학교 의과대학 동탄성심병원 이비인후-두경부외과학교실) 박성민 (한림대학교 의과대학 동탄성심병원 이비인후-두경부외과학교실) 권빈 (한림대학교 의과대학 동탄성심병원 이비인후-두경부외과학교실) 김희진 (한림대학교 의과대학 동탄성심병원 이비인후과학교실) 박일석 (한림대학교)

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후-두경부외과학회지 제64권 제2호

발행연도: 2021.1

수록면: 98 - 102 (5page)

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Background and Objectives Ankyloglossia often results in articulation disorders, whichdepends on age, articulation ability, and mobility of the tongue. A primary treatment strategyincludes surgery and/or speech therapy. This study aimed to evaluate the changes of thetongue length, tongue mobility, and percentage of consonants correct (PCC) after frenotomy. We investigated the optimal surgery timing for ankyloglossia. Subjects and Method A total of 136 patients underwent frenotomy for the tongue tie betweenJanuary 2016 and December 2019. There were 90 males and 46 females, with the meanage of 5.23, which ranged from 2 to 10 years. The length of the tongue was measured for all patientsduring the operation preoperatively and postoperatively. The mobility of the tongue andPCC were performed preoperatively and 1 month after surgery by two speech therapists. Patientswere divided according to age into three groups: 2-3 years, 4-5 years, and over 6 years old. Results The mean tongue length of all age groups was significantly elongated after surgery(p<0.05). After frenotomy, the mobility of tongue, including horizontal protrusion, protrusionwith upward pointing, circumlocution, and lateral movement, was improved. Also, PCCs ofall age groups were significantly improved after surgery (p<0.05). Conclusion Frenotomy can be an effective procedure for children with ankyloglossia in allage groups. After frenotomy, length of the tongue, mobility of the tongue and PCC were significantlyimproved.

#Ankyloglossia #Articulation disorders #Tongue diseases .

참고문헌 (14)

참고문헌 신청

Koh JW / 2000 / Effect of frenulotomy in tongue-tie : Focused on alveolar sounds / J Korean Soc Laryngol Phoniatr 11(1):5~11

Marmet C / 1990 / Neonatal frenotomy may be necessary to correct breastfeeding problems / J Hum Lact 6(3):117~121

Greene JS / 1945 / Anomalies of the speech mechanism and associated voice and speech disorders / N Y State J Med 45(6):605~608

Lalakea ML / 2003 / Ankyloglossia : The adolescent and adult perspective / Otolaryngol Head Neck Surg 128(5):746~752

Block JR / 1968 / The role of the speech clinician in determining indications for frenulotomy in cases of ankyloglossia / N Y State Dent J 34(8):479~481

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