{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T02:13:56Z","timestamp":1789611236825,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,8,26]],"date-time":"2019-08-26T00:00:00Z","timestamp":1566777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Ankyloglossia is a condition of altered tongue mobility due to the presence of restrictive tissue between the undersurface of the tongue and the floor of mouth. Potential implications of restricted tongue mobility (such as mouth breathing, snoring, dental clenching, and myofascial tension) remain underappreciated due to limited peer\u2010reviewed evidence. Here, we explore the safety and efficacy of lingual frenuloplasty and myofunctional therapy for the treatment of these conditions in a large and diverse cohort of patients with restricted tongue mobility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Four hundred twenty consecutive patients (ages 29\u2009months to 79\u2009years) treated with myofunctional therapy and lingual frenuloplasty for indications of mouth breathing, snoring, dental clenching, and\/or myofascial tension were surveyed. All procedures were performed by a single surgeon using a scissors and suture technique. Safety and efficacy was assessed &gt;2\u2009months postoperatively by means of patient\u2010reported outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In all, 348 surveys (83% response rate) were completed showing 91% satisfaction rate and 87% rate of improvement in quality of life through amelioration of mouth breathing (78.4%), snoring (72.9%), clenching (91.0%), and\/or myofascial tension (77.5%). Minor complications occurred in &lt;5% of cases including complaints of prolonged pain or bleeding, temporary numbness of the tongue\u2010tip, salivary gland issues, minor wound infection or inflammation, and need for revision to excise scar tissue. There were no major complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Lingual frenuloplasty with myofunctional therapy is safe and potentially effective for the treatment of mouth breathing, snoring, clenching, and myofascial tension in appropriately selected patient candidates. Further studies with objective measures are merited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.297","type":"journal-article","created":{"date-parts":[[2019,8,26]],"date-time":"2019-08-26T10:06:08Z","timestamp":1566813968000},"page":"489-496","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":54,"title":["Lingual frenuloplasty with myofunctional therapy: Exploring safety and efficacy in 348 cases"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3673-9099","authenticated-orcid":false,"given":"Soroush","family":"Zaghi","sequence":"first","affiliation":[{"name":"The Breathe Institute  Los Angeles California U.S.A."},{"name":"UCLA Health  Santa Monica California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanda","family":"Valcu\u2010Pinkerton","sequence":"additional","affiliation":[{"name":"The Breathe Institute  Los Angeles California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mia","family":"Jabara","sequence":"additional","affiliation":[{"name":"The Breathe Institute  Los Angeles California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leyli","family":"Norouz\u2010Knutsen","sequence":"additional","affiliation":[{"name":"The Breathe Institute  Los Angeles California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chirag","family":"Govardhan","sequence":"additional","affiliation":[{"name":"The Breathe Institute  Los Angeles California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joy","family":"Moeller","sequence":"additional","affiliation":[{"name":"The Breathe Institute  Los Angeles California U.S.A."},{"name":"Academy of Orofacial Myofunctional Therapy  Pacific Palisades California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie","family":"Sinkus","sequence":"additional","affiliation":[{"name":"The Breathe Institute  Los Angeles California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca S.","family":"Thorsen","sequence":"additional","affiliation":[{"name":"The Breathe Institute  Los Angeles California U.S.A."},{"name":"Long Beach Speech Pathology  Long Beach California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Downing","sequence":"additional","affiliation":[{"name":"The Breathe Institute  Los Angeles California U.S.A."},{"name":"Orofacial Integrity  Oakland California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9200-9085","authenticated-orcid":false,"given":"Macario","family":"Camacho","sequence":"additional","affiliation":[{"name":"Tripler Army Medical Center  Honolulu Hawaii U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Audrey","family":"Yoon","sequence":"additional","affiliation":[{"name":"Section of Pediatric Dentistry, Division of Growth and Development UCLA School of Dentistry  Los Angeles California U.S.A."},{"name":"Division of Sleep Surgery, Department of Otolaryngology\u2010Head &amp; Neck Surgery Stanford University School of Medicine  Stanford California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William M.","family":"Hang","sequence":"additional","affiliation":[{"name":"William M Hang, DDS, MSD \u2010 A Prof Corp  Agoura Hills California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Hockel","sequence":"additional","affiliation":[{"name":"Life Dental and Orthodontics  Walnut Creek California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Guilleminault","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Sleep Medicine Division Stanford Hospital and Clinics  Redwood City California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stanley Yung\u2010Chuan","family":"Liu","sequence":"additional","affiliation":[{"name":"Division of Sleep Surgery, Department of Otolaryngology\u2010Head &amp; Neck Surgery Stanford University School of Medicine  Stanford California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,26]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Tongue Tie\u2014From Confusion to Clarity: A Guide to the 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