Objective
The primary purpose of this study was to develop an operational definition of the
oral condition of ankyloglossia (also called tongue-tie) that occurs in newborns (i.e., age birth–6 months) and that could consistently be
used in research studies.
Study Design
This 4-round Delphi survey developed the consensus New York University–Tongue-Tie
Case Definition (NYU-TTCD) by using a panel of ankyloglossia treatment experts.
Results
This tongue-tie case definition (TTCD) was carefully created in a step-wise manner
from the bottom up by expert panelists over 4 rounds of inquiry. As a functioning
case definition, it offers the diagnostician 2 separate pathways to identifying a
newborn as being tongue tied. One pathway requires but a single pathognomonic anatomic
feature, and the other pathway requires a single functional deficit accompanied by
at least 2 of 12 other diagnostic items (functional, anatomic, or behavioral).
Conclusions
This Delphi survey, as administered to a panel of ankyloglossia treatment experts,
produced the first consensus case definition of tongue-tie for newborns (i.e., age
birth–6 months) for use in epidemiologic research studies ranging from descriptive
prevalence studies to clinical trials. Next-step studies should establish the validity,
reliability, and utility of this novel NYU-TTCD case definition for epidemiologic
and clinical purposes.
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References
- Ankyloglossia.Structural development anomalies of mouth or tongue. 2018; (Available at:) (LA31.2)
- Reliability of the Hazelbaker Assessment Tools for Lingual Freedom.Int Breastfeeding J. 2006; 1: e1-e6
- The development of a tongue assessment tool to assist with tongue-tie identification.Arch Dis Child Fetal Neonatal Ed. 2015; 100: 344-349
- Does frenectomy improve breast-feeding difficulties in infants with ankyloglossia?.Pediatr Int. 2014; 56: 497-505
- Do tongue ties affect breastfeeding?.J Hum Lact. 2004; 20 (1t): 4090
- Randomized controlled trial of division of tongue-tie in infants with feeding problems.J Paediatr Child Health. 2005; 41: 246-250
- Immediate nipple pain relief after frenectomy in breast-fed infants with ankyloglossia.J Pediatr Surg. 2006; 41: 1598-1600
- Efficacy of neonatal release of ankyloglossia: a randomized trial.Pediatrics. 2011; 128: 280-288
- A double-blind, randomized, controlled trial of tongue-tie division and its immediate effect on breastfeeding.Breastfeeding Med. 2012; 7: 189-193
- Randomized controlled trial of early frenectomy in breastfed infants with mild-moderate tongue-tie.Arch Dis Child Fetal Neonatal Ed. 2014; 99: 189-195
- Using topical benzocaine before lingual frenectomy did not reduce crying and should be discouraged.Foundation Acta Paediatr. 2014; 103: 780-782
- Surgical speech disorders.Facial Plast Surg Clin North Am. 2014; 22: 593-609
- Tongue-tie in the newborn: what, when, who and how? Exploring tongue-tie division.Breastfeeding Rev. 2014; 22: 7-10
- The National Institute for Health and Clinical Excellence: an otolaryngology review of the evidence.J Laryngol Otol. 2014; 128: 2-12
- Tongue tie: the evidence for frenectomy.Early Human Devel. 2014; 90: 765-768
- Tongue-tie and frenectomy in infants with breastfeeding difficulties: achieving a balance.Arch Dis Child. 2015; 100: 489-494
- Treatment for ankylglossia and ankylglossia with concommitant lip-tie. Vanderbilt Evidence-based Practice Center.Comparative Effectiveness Rev. 2015; 149
- Treatment of ankyloglossia and breastfeeding outcomes: a systematic review.Pediatrics. 2015; 135: e1458-e1466
- Treatment of ankyloglossia for reasons other than breastfeeding: a systematic review.Pediatrics. 2015; 135: e1467-e1474
- Frenectomy for the correction of ankyloglossia: a review of clinical effectiveness and guidelines [Internet].CADTH Rapid Response Reports. 2016;
- Ankyloglossia and the breastfeeding infant.Adv Neonatal Care. 2016; 16: 108-113
- Experimental application of Delphi Method: use of experts.Management Sci. 1963; 9: 458-467
- Analysis of Future: Delphi Method.Rand Corporation, Santa Monica, CA1967: 3558
- Medical assessment by a Delphi group opinion technic.N Engl J Med. 1973; 288: 1272-1275
- Needs of older Americans assessed by Delphi procedures.J Gerontol. 1972; 27: 275-278
- Oral health services: a Delphi technique estimation of their role in adult inpatient rehabilitation programs.Arch Phys Med Rehab. 1976; 57: 183-188
- Professional attitudes toward dental adhesives: a Delphi Technique survey of academic prosthodontists.J Prosthet Dent. 1999; 82: 80-89
- Defining oral neglect in institutionalized elders: a consensus definition for the protection of vulnerable elderly.J Am Dent Assoc. 2010; 141: 433-440
- What constitutes a proper routine oral cancer examination for patients at low risk? Findings from a Delphi survey.Oral Surg Oral Med Oral Path Oral Radiol. 2013; 116: e379-e386
Article info
Publication history
Published online: January 16, 2019
Accepted:
January 11,
2019
Received in revised form:
January 2,
2019
Received:
October 31,
2018
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
