Is ankyloglossia associated with obstructive sleep apnea?

Objectives: To investigate the evidence on the association between ankyloglossia and obstructive sleep apnea. Methods: An integrative literature review was carried out in the databases. Observational and interventional studies that assessed the lingual frenulum in children with sleep-disordered brea...

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Main Authors: Marieli Timpani Bussi, Camila de Castro Corrêa, Arthur Justi Cassettari, Lorena Torres Giacomin, Ana Célia Faria, Ana Paula Sereni Manfredi Moreira, Itamá Magalhães, Mila Oliveira da Cunha, Silke Anna Theresa Weber, Edilson Zancanella, Almiro José Machado Júnior
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Brazilian Journal of Otorhinolaryngology
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Online Access:http://www.sciencedirect.com/science/article/pii/S1808869421001816
Description
Summary:Objectives: To investigate the evidence on the association between ankyloglossia and obstructive sleep apnea. Methods: An integrative literature review was carried out in the databases. Observational and interventional studies that assessed the lingual frenulum in children with sleep-disordered breathing were included. As exclusion criteria: studies in animals, in vitro, letters to the editor, expert opinions, other reviews. The selected articles were analyzed regarding the study design, sample, characterization of the lingual frenulum and sleep assessment, in addition to the main results and conclusions. Results: Ninety-seven articles were identified, but only 4 met the inclusion criteria. Two retrospective studies concluded that the untreated shortened lingual frenulum at birth is associated with obstructive sleep apnea. A prospective study concluded that there was an improvement in speech and deglutition after lingual frenectomy, in addition to improved sleep. A retrospective cohort concluded that lingual frenuloplasty combined with myofunctional therapy is effective in the treatment of snoring and mouth breathing. Conclusion: The studies included in this review contribute to corroborate the association between ankyloglossia and obstructive sleep apnea.
ISSN:1808-8694