Frenuloplasty for Speech and Myofunctional Outcomes

The Oregon Clinic

Status: Not yet enrolling

Conditions: Ankyloglossia; Dentofacial Abnormalities; Speech Delay

Treatments: Procedure: Lingual frenuloplasty

Study type: Interventional

Funder types: Other

Identifiers

NCT06089629

Speech2023

Details and patient eligibility

About

Children with ankyloglossia (tongue tie) can have abnormal tongue function, putting them at a disadvantage when it comes to speech and articulation. Furthermore, abnormal tongue posture within the oral cavity increases the likelihood of myofunctional disorders.

Full description

The current body of literature surrounding ankyloglossia and speed delay is mixed. The literature base is riddled with retrospective reviews, poor descriptions of surgical intervention, and the lack of standardized grading schemes with respect to articulation. Furthermore, the candidacy for intervention in these instances only involves children with anterior tongue tie. There is a complete lack of investigation surrounding the impact of posterior tongue tie on articulation.

The other area that has inadequately been studied is the impact ankyloglossia has on myofunctional outcomes. There are data now that demonstrate how ankyloglossia is correlated with a vaulted palate and has long term orthodontic consequences. This study aims to demonstrate how release of posterior tongue tie improves lingual strength and posture.

Enrollment: 50 estimated patients

Sex: All

Ages: 5 to 12 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Children ages 5-12 with posterior tongue tie who are undergoing treatment just for ankyloglossia
• Children must already be working with an SLP who has done a speech and myofunctional evaluation

Exclusion criteria

• Children undergoing other procedures at the same time as the frenuloplasty (tonsillectomy, adenoidectomy, etc)
• Significant medical comorbidities (cardiovascular, neurological, etc)
• Anterior tongue tie or lip tie
• Previous lingual surgery

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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50 participants in 2 patient groups

Control group

No Intervention group

Description:

Nonsurgical intervention with speech and myofunctional therapy

Intervention group

Experimental group

Description:

Surgical intervention with frenuloplasty followed by speech and myofunctional therapy

Treatment:

Procedure: Lingual frenuloplasty