Pediatric surgery international · 2025
Effectiveness of frenuloplasty and post-operative speech rehabilitation in patients with ankyloglossia and dysarthria.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ito Yasuo, Miyaguni Kazuaki, Sugihara Tetsuro, Kosugi Go, Tookaichi Nene, Kaneko Myu
Аннотация
PURPOSE: To assess the effectiveness of frenuloplasty and post-operative rehabilitation as remedies for speech disorders in children with ankyloglossia.
METHODS: Articulation testing was done before and after surgery in 74 patients with ankyloglossia and dysarthria who underwent frenuloplasties. Overall evaluations included disease classification, Tongue-tie Assessment Score status, correctly pronounced word counts (word accuracy test), abnormal articulation profiling (omission, substitution, and distortion), speech intelligibility rating, and range of tongue mobility. Articulation testing took place at pre-operative baseline and post-operatively at 1, 3, and 6 months, as well as at 1 year and on final days of any training required beyond 1 year. Test results were appraised in phases, examining patient groups at 6 months (n = 39), 1 year (n = 19), and > 1 year (n = 8) of rehabilitation.
RESULTS: Rehabilitation ≥ 6 months was necessary in 89.2% (66/74) of patients. Counts of correctly pronounced words gradually rose as a result. Both speech intelligibility and range of tongue mobility also steadily improved. In terms of abnormal articulation, omission and substitution increasingly declined after surgery, whereas distortion showed a slowing or heightened tendency at ~ 3-6 months.
CONCLUSION: Long-term rehabilitation is required to correct dysarthria, once acquired. Ankyloglossia should be corrected before patients learn to speak.
METHODS: Articulation testing was done before and after surgery in 74 patients with ankyloglossia and dysarthria who underwent frenuloplasties. Overall evaluations included disease classification, Tongue-tie Assessment Score status, correctly pronounced word counts (word accuracy test), abnormal articulation profiling (omission, substitution, and distortion), speech intelligibility rating, and range of tongue mobility. Articulation testing took place at pre-operative baseline and post-operatively at 1, 3, and 6 months, as well as at 1 year and on final days of any training required beyond 1 year. Test results were appraised in phases, examining patient groups at 6 months (n = 39), 1 year (n = 19), and > 1 year (n = 8) of rehabilitation.
RESULTS: Rehabilitation ≥ 6 months was necessary in 89.2% (66/74) of patients. Counts of correctly pronounced words gradually rose as a result. Both speech intelligibility and range of tongue mobility also steadily improved. In terms of abnormal articulation, omission and substitution increasingly declined after surgery, whereas distortion showed a slowing or heightened tendency at ~ 3-6 months.
CONCLUSION: Long-term rehabilitation is required to correct dysarthria, once acquired. Ankyloglossia should be corrected before patients learn to speak.