儿童舌系带过短和阻塞性睡眠呼吸暂停的研究进展

doi:10.6040/j.issn.1673-3770.0.2020.148

摘要/Abstract

摘要： 舌系带过短及阻塞性睡眠呼吸暂停均是小儿的一种常见疾病,有研究表明舌系带过短是儿童睡眠呼吸障碍的危险因素,舌系带过短会引起小儿早期口腔发育障碍,导致牙颌面畸形,增加睡眠时上气道塌陷的风险。儿童舌系带过短需要及时发现和治疗,否则会引起严重的后果,因此,在临床工作中,应该对两者的相关性引起高度重视。就儿童舌系带过短及阻塞性睡眠呼吸暂停两者的相关性作系统性的综述。

关键词: 舌系带过短, 睡眠呼吸暂停, 牙颌面畸形, 上气道塌陷

Abstract: Short lingual frenula and obstructive sleep apnea are common disorders in children. Studies have shown that a short lingual frenulum is a risk factor for sleep apnea, and it can cause early oral development disorders in children, lead to dental and maxillofacial deformities, and increase the risk of upper airway collapse during sleep. Short lingual frenula should be detected and treated early in children to prevent more severe complications. In clinical practice, the correlation between sleep apnea and a short lingual frenulum should always be considered. This article systematically reviews the correlation between a short lingual frenulum and obstructive sleep apnea in children.

Key words: Short lingual frenulum, Sleep apnea, Dental and maxillofacial deformities, Upper airway collapse

中图分类号:

R782

杨慕,肖旭平. 儿童舌系带过短和阻塞性睡眠呼吸暂停的研究进展[J]. 山东大学耳鼻喉眼学报, 2021, 35(3): 100-105.

YANG Mu,XIAO Xuping. Research progress on short lingual frenulum and obstructive sleep apnea in children[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(3): 100-105.

参考文献

[1] Guilleminault C, Huseni S, Lo L. A frequent phenotype for paediatric sleep apnoea: short lingual frenulum[J]. ERJ Open Res, 2016, 2(3): 00043-02016. doi:10.1183/23120541.00043-2016.
[2] Kaditis AG, Alonso Alvarez ML, Boudewyns A, et al. Obstructive sleep disordered breathing in 2- to 18-year-old children: diagnosis and management[J]. Eur Respir J, 2016, 47(1): 69-94. doi:10.1183/13993003.00385-2015.
[3] Varadan M, Chopra A, Sanghavi AD, et al. Etiology and clinical recommendations to manage the complications following lingual frenectomy: a critical review[J]. J Stomatol Oral Maxillofac Surg, 2019, 120(6): 549-553. doi:10.1016/j.jormas.2019.06.003.
[4] Villa MP, Evangelisti M, Barreto M, et al. Short lingual frenulum as a risk factor for sleep-disordered breathing in school-age children[J]. Sleep Med, 2020, 66: 119-122. doi:10.1016/j.sleep.2019.09.019.
[5] Belmehdi A, Harti KE, Wady WE. Ankyloglossia as an oral functional problem and its surgical management[J]. Dent Med Probl, 2018, 55(2): 213-216. doi:10.17219/dmp/85708.
[6] Sharma S, Khan S, Sharma V. Ankyloglossia: Surgical management and functional rehabilitation of tongue[J]. Indian J Dent Res, 2017, 28(5): 585. doi:10.4103/ijdr.ijdr_739_16.
[7] Pompéia LE, Ilinsky RS, Ortolani CLF, et al. Ankyloglossia and its influence on growth and development of the stomatognathic system[J]. Rev Paul Pediatr, 2017, 35(2): 216-221. doi:10.1590/1984-0462/;2017;35;2;00016.
[8] Lopatien(·overe)K, Šidlauskas A, Vasiliauskas A, et al. Relationship between malocclusion, soft tissue profile, and pharyngeal airways: a cephalometric study[J]. Medicina, 2016, 52(5): 307-314. doi:10.1016/j.medici.2016.09.005.
[9] Jackson GW. Orthodontic and orthognathic surgical treatment of a pediatric Osa patient[J]. Case Rep Dent, 2016: 5473580. doi:10.1155/2016/5473580.
[10] 毛渤淳, 郭春丽, 尹恒, 等. 功能性构音障碍与舌系带短的相关性研究[J]. 口腔疾病防治, 2019, 27(10): 642-646. doi: 10.12016/j.issn.2096-1456.2019.10.006. MAO Bochun, GUO Chunli, YIN Heng, et al. Study on the correlation between functional articulation disorders and the short lingual frenulum[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2019, 27(10): 642-646. doi: 10.12016/j.issn.2096-1456.2019.10.006.
[11] 邓炳辉, 林云雁, 朱浩标, 等. 自制舌系带止血钳应用于舌系带过短矫治术[J]. 山东大学耳鼻喉眼学报, 2013, 27(3): 62-65. doi: 10.6040/j.issn.1673-3770.0.2012.365. DENG Binghui, LIN Yunyan, ZHU Haobiao, et al. Use of self made lingual frenum hemostat in short lingual frenum correction surgery[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2013, 27(3): 62-65. doi: 10.6040/j.issn.1673-3770.0.2012.365.
[12] 韦靖, 王小杰, 李红辉, 等.舌系带过短 4170 例儿童在门诊矫正术的体会[J]. 广西医学, 2009, 31(11): 1614-1616. doi: 10.3969/j.issn.0253-4304.2009.11.020.
[13] Kotlow LA. Ankyloglossia(tongue-Tie): a diagnostic and treatment quandary[J]. Quintessence Int, 1999, 30(4): 259-262.
[14] Kotlow L. Diagnosis and treatment of ankyloglossia and tied maxillary fraenum in infants using Er: YAG and 1064 diode lasers[J]. Eur Arch Paediatr Dent, 2011, 12(2): 106-112. doi:10.1007/BF03262789.
[15] Gao F, Li YR, Xu W, et al. Upper airway morphological changes in obstructive sleep apnoea: effect of age on pharyngeal anatomy[J]. J Laryngol Otol, 2020, 134(4): 354-361. doi:10.1017/S0022215120000766.
[16] Huang YS, Guilleminault C. Pediatric obstructive sleep apnea and the critical role of oral-facial growth: evidences[J]. Front Neur, 2013, 3: 184. doi:10.3389/fneur.2012.00184.
[17] Guilleminault C, Abad VC, Chiu HY, et al. Missing teeth and pediatric obstructive sleep apnea[J]. Schlaf Atmung, 2016, 20(2): 561-568. doi:10.1007/s11325-015-1238-3.
[18] Lee SY, Guilleminault C, Chiu HY, et al. Mouth breathing, “nasal disuse, ” and pediatric sleep-disordered breathing[J]. Schlaf Atmung, 2015, 19(4): 1257-1264. doi:10.1007/s11325-015-1154-6.
[19] Khan MN, Asim MA, Shah I. Management of obstructive sleep apnea syndrome associated with severe micrognathia[J]. J Coll Physicians Surg Pak, 2018, 28(9): S184-S186. doi:10.29271/jcpsp.2018.09.S184.
[20] DI Venere D, Corsalini M, Nardi GM, et al. Obstructive site localization in patients with Obstructive Sleep Apnea Syndrome: a comparison between otolaryngologic data and cephalometric values[J]. Oral Implantol(Rome), 2017, 10(3): 295-310. doi:10.11138/orl/2017.10.3.295.
[21] Fernández-Ferrer L, Montiel-Company JM, Pinho T, et al. Effects of mandibular setback surgery on upper airway dimensions and their influence on obstructive sleep apnoea-a systematic review[J]. J Craniomaxillofac Surg, 2015, 43(2): 248-253. doi:10.1016/j.jcms.2014.11.017.
[22] 徐蓉, 吴绯红, 苏筱芮, 等. 阻塞性睡眠呼吸暂停低通气综合征上气道舌骨位置改变的研究[J]. 实用医学杂志, 2015, 31(19): 3216-3219. doi:10.3969/j.issn.1006-5725.2015.19.031. XU Rong, WU Feihong, SU Xiaorui, et al. The clinical significance of the changed positions of hyoid bone in the upper airway of OSAHS patients by 128-slice computed tomography[J]. The Journal of Practical Medicine, 2015, 31(19): 3216-3219. doi:10.3969/j.issn.1006-5725.2015.19.031.
[23] Hei RY, Qin J, Li SH. Predictive value of hyoid cephalometrics for retroglossal obstruction in patients with obstructive sleep apnoea hypopnea syndrome[J]. J Laryngol Otol, 2019, 133(2): 119-124. doi:10.1017/s002221511900001x.
[24] 刘燕, 魏萍, 寇巍, 等. 儿童腺样体肥大与耳鼻咽喉科常见疾病关系的研究进展[J]. 山东大学耳鼻喉眼学报, 2019, 33(4): 149-154. doi: 10.6040/j.issn.1673-3770.0.2018.266. LIU Yan, WEI Ping, KOU Wei, et al. Research of the relationship between adenoid hypertrophy and the common diseases of pediatric otolaryngology[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 149-154. doi: 10.6040/j.issn.1673-3770.0.2018.266.
[25] 章小青, 吴琳, 柴鸣雷, 等. 阻塞性睡眠呼吸暂停低通气综合征对学龄前儿童生长发育的影响[J]. 浙江中西医结合杂志, 2019, 29(12): 991-993.
[26] Lo Bue A, Salvaggio A, Insalaco G. Obstructive sleep apnea in developmental age. A narrative review[J]. Eur J Pediatr, 2020, 179(3): 357-365. doi:10.1007/s00431-019-03557-8.
[27] Rapoport DM. POINT: is the apnea-hypopnea index the best way to quantify the severity of sleep-disordered breathing[J]. Chest, 2016, 149(1): 14-16. doi:10.1378/chest.15-1319.
[28] Dezio M, Piras A, Gallottini L, et al. Tongue-tie, from embriology to treatment: a literature review[J]. J Pediatr Neonat Indiv Med, 2015, 4(1). doi: 10.7363/040101
[29] Huang YS, Quo S, Berkowski AJ, et al. Short lingual frenulum and obstructive sleep apnea in children[J]. Int J Pediatr Res, 2015, 1: 003. doi: 10.23937/2469-5769/1510003.
[30] Klockars T. Familial ankyloglossia(tongue-Tie)[J]. Int J Pediatr Otorhinolaryngol, 2007, 71(8): 1321-1324. doi:10.1016/j.ijporl.2007.05.018.
[31] Olivi G, Signore A, Olivi M, et al. Lingual frenectomy: functional evaluation and new therapeutical approach[J]. Eur J Paediatr Dent, 2012, 13(2): 101-106.
[32] Moss-Salentijn L. Melvin L. moss and the functional matrix[J]. J Dent Res, 1997, 76(12): 1814-1817. doi:10.1177/00220345970760120201.
[33] Guilleminault C, Akhtar F. Pediatric sleep-disordered breathing: new evidence on its development[J]. Sleep Med Rev, 2015, 24: 46-56. doi:10.1016/j.smrv.2014.11.008.
[34] Harvold EP, Tomer BS, Vargervik K, et al. Primate experiments on oral respiration[J]. Am J Orthod, 1981, 79(4): 359-372. doi:10.1016/0002-9416(81)90379-1.
[35] Vargervik K, Miller AJ, Chierici G, et al. Morphologic response to changes in neuromuscular patterns experimentally induced by altered modes of respiration[J]. Am J Orthod, 1984, 85(2): 115-124. doi:10.1016/0002-9416(84)90003-4.
[36] García Pola MJ, González García M, García Martín JM, et al. A study of pathology associated with short lingual frenum[J]. ASDC J Dent Child, 2002, 69(1): 59-62.
[37] Defabianis P. Ankyloglossia and its influence on maxillary and mandibular development.(A seven year follow-up case report)[J]. Funct Orthod, 2000, 17(4): 25-33.
[38] Martinelli RLC, Marchesan IQ, Berretin-Felix G. Longitudinal study of the anatomical characteristics of the lingual frenulum and comparison to literature[J]. Rev CEFAC, 2014, 16: 1202-1207. doi: 10.1590/1982-021620149913.
[39] Verma Roshan K, Johnson J Jai Richo, Goyal Manoj, et al. Oropharyngeal exercises in the treatment of obstructive sleep apnoea: our experience[J]. Sleep Breath, 2016, 20: 1193-1201. doi: 10.1007/s11325-016-1332-1.
[40] Guilleminault C, Huang YS, Monteyrol PJ, et al. Critical role of myofascial reeducation in pediatric sleep-disordered breathing[J]. Sleep Med, 2013, 14(6): 518-525. doi:10.1016/j.sleep.2013.01.013.
[41] Campbell J. Frenotomy for tongue-Tie in newborn infants[J]. Int J Nurs Stud, 2019, 91: 146-147. doi:10.1016/j.ijnurstu.2018.03.022.
[42] Power RF, Murphy JF. Tongue-Tie and frenotomy in infants with breastfeeding difficulties: achieving a balance[J]. Arch Dis Child, 2015, 100(5): 489-494. doi:10.1136/archdischild-2014-306211.
[43] Meek JY, Hatcher AJ, Breastfeeding SO. The breastfeeding-friendly pediatric office practice[J]. Pediatrics, 2017, 139(5): e20170647. doi:10.1542/peds.2017-0647.
[44] Hale M, Mills N, Edmonds L, et al. Complications following frenotomy for ankyloglossia: a 24-month prospective New Zealand Paediatric Surveillance Unit study[J]. J Paediatr Child Health, 2020, 56(4): 557-562. doi:10.1111/jpc.14682.
[45] Garrocho-Rangel A, Herrera-Badillo D, Pérez-Alfaro I, et al. Treatment of ankyloglossia with dental laser in paediatric patients: Scoping review and a case report[J]. Eur J Paediatr Dent, 2019, 20(2): 155-163. doi:10.23804/ejpd.2019.20.02.15.
[46] Isaiah A, Pereira KD. Infected sublingual hematoma: a rare complication of frenulectomy[J]. Ear Nose Throat J, 2013, 92(7): 296-297. doi:10.1177/014556131309200706.
[47] Maciag M, Sediva I, Alexander-Scott N. Submandibular swelling and fever following frenulectomy in a 13-day-old infant[J]. Clin Pediatr(Phila), 2016, 55(10): 990-992. doi:10.1177/0009922815627014.

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