RESUMEN
Este trabajo tiene como objetivodescribir el perfil de la producción científica referente a anquiloglosia. Para ello fuerealizada una investigación por medio de la búsqueda de artículos científicos indexados en las bases de datos electrónicas LILACS y PUBMED. Para la revisión bibliométrica fueron considerados y tabulados los datos referidos al año de publicación, tipo de estudio y nivel de evidencia. Los datos fueron discutidos sobre la óptica cuantitativa y de valores representativos. Los primeros resultados permitieron analizar 651 estudios publicados. La mayor parte de las investigaciones sobre anquiloglosia encontradas correspondieron a estudios de tipo descriptivo y serie de casos (49,31%) seguido de relato de caso, investigación in vitro, en animales y revisión de literatura (24,27%), cohorte y casos-controles (11,98%), opinión de experto (11,68%), ensayo clínico randomizado (1,54%) y revisión sistemática (1,22%). Pocos estudios abordaron complicaciones durante o después de la realización de la cirugía para liberación del frenillo lingual. En conclusión, la producción científica sobre anquiloglosia ha mostrado un creciente aumento en los últimos 28 años, siendo publicados estudios con nivel de evidencia 1, 2 y 3, cuyo mayor enfoque fue realizado en la cirugía para la liberación del frenillo lingual.
This work aims to describe the profileof scientific production referring to ankyloglossia. For this an investigation was carried out by searching for scientific articles indexed in the electronic databases LILACS and PUBMED. For the bibliometric review, the data referring to the year of publication, type of study and level of evidence were examined and tabulated. The data were discussed on the quantitative and representative values optics. The first results allowed to analyzic 651 published studies were analyzed. Most of the research on tongue tie found correspond to descriptive studies and case series (49.31%), followed by case reports, in vitro research, in animals and literature review (24.27%), cohort and cases and controls (11.98%), specialist opinion (11.68%), randomized clinical trials (1.54%) and systematic reviews (1.22%). Few studies addressed complications during or after lingual frenulum release surgery. In conclusion Scientific production on ankyloglossia has shown an increasing increase in the last 28 years, with studies with evidence levels 1, 2 and 3 being published, whose main focus was the performance of surgery to release the lingual frenulum.
Asunto(s)
Bibliometría , Investigación Biomédica/estadística & datos numéricos , Anquiloglosia , Epidemiología DescriptivaRESUMEN
PURPOSE: To propose a classification of the different lingual frenulum and to relate them to speech disorders. METHODS: We evaluated 1402 patients' frenulum with an age range of 5 years 8 months to 62 years 10 months between 1978 and 2002. Pictures were taken of the altered frenulum. Measures of maximal mouth opening, with and without tongue suction, were taken with a sliding caliper. Speech samples were also taken. Frenulum were then classified as normal; short; with anterior insertion, and short with anterior insertion. RESULTS: From the 1402 patients evaluated, 127 (9%) presented with an altered frenulum insertion. For this study we considered only those with short or with anterior insertion. For those who had an altered frenulum, 62 (48.81%) presented with speech disorders. The more frequent speech disorders were: omission and substitution of /r/; {R}, and consonant clusters with /r/, and of /s/ and /z/. Frontal and lateral lisps also occurred. The frenulum of 21 patients was classified as short and of these, 12 patients (57%) presented with speech disorders. Of the 106 patients with anterior insertion, 50 (47.2%) presented with a speech disorder. After statistical analyses the relation between altered frenulum and speech disorders was considered significant with p<0.001. CONCLUSION: The lingual frenulum was classified as normal, short and with anterior insertion. An altered frenulum may predispose the individual to exhibit an accompanying speech disorder.