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Short lingual frenulum as a risk factor for sleep-disordered breathing in school-age children.

舌系带短是学龄儿童睡眠呼吸障碍的危险因素。

  • 影响因子:2.78
  • DOI:10.1016/j.sleep.2019.09.019
  • 作者列表:"Villa MP","Evangelisti M","Barreto M","Cecili M","Kaditis A
  • 发表时间:2020-02-01
Abstract

BACKGROUND:Recent evidence has emphasized the role of a short lingual frenulum in the pathogenesis of sleep-disordered breathing (SDB) in childhood. The oral dysfunction induced by a short frenulum may promote oral-facial dysmorphism, decreasing the size of upper airway lumen and increasing the risk of upper airway collapsibility during sleep. The aim of this study was to evaluate the presence of a short lingual frenulum as risk factor for SDB in children of school age, with and without snoring, who were recruited from the community. METHODS:Children aged 6-14 years were recruited from a school in Rome. For all participants, the previously described Sleep Clinical Record (SCR) was completed, and orthodontic evaluation and measurement of lingual frenulum were performed. Tongue strength and endurance were evaluated in all participants using the Iowa Oral Performance Instrument (IOPI). SDB was defined as positive SCR (≥6.5). RESULTS:We assessed 504 children with mean age of 9.6 ± 2.3 years, and in 114 of them (22.6%) a short frenulum was identified. Children with a short lingual frenulum were at significantly higher risk for a positive SCR compared to those with a frenulum of normal length (odds ratio = 2.980, 95% confidence interval = 1.260-6.997). Participants with positive or negative SCR did not differ in tongue strength or endurance. CONCLUSION:Short lingual frenulum is a risk factor for SDB. An early multidisciplinary approach and screening for SDB are indicated when this anatomical abnormality is recognized.

摘要

背景: 最近的证据强调了短舌系带在儿童睡眠呼吸障碍 (SDB) 发病机制中的作用。短系带引起的口腔功能障碍可能促进口腔-面部畸形,减少上气道管腔的大小,增加睡眠时上气道塌陷的风险。本研究的目的是评估从社区招募的学龄儿童 (有打鼾和无打鼾) 是否存在短舌系带作为 SDB 的危险因素。 方法: 从罗马的一所学校招募 6-14 岁的儿童。对于所有参与者,完成先前描述的睡眠临床记录 (SCR),并进行正畸评估和舌系带测量。使用 Iowa 口腔性能仪 (IOPI) 对所有参与者的舌头强度和耐力进行评价。SDB 定义为 SCR 阳性 (≥ 6.5)。 结果: 我们评估了 504 例儿童,平均年龄为 9.6 ± 2.3 岁,其中 114 例 (22.6%) 确定为短系带。与舌系带长度正常的儿童相比,舌系带短的儿童 SCR 阳性的风险显著较高 (比值比 = 2.980,95% 置信区间 = 1.260-6.997)。SCR 阳性或阴性的参与者在舌头强度或耐力方面没有差异。 结论: 舌系带短是 SDB 的危险因素。当这种解剖异常被识别时,就需要早期的多学科方法和 SDB 筛查。

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