{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T13:07:39Z","timestamp":1774444059586,"version":"3.50.1"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T00:00:00Z","timestamp":1713484800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Plastic surgeons can help to eliminate stunting by surgically treating children born with congenital craniofacial anomalies such as tongue-tie, or ankyloglossia. Releasing ankyloglossia can help to support breastfeeding and the later development of orofacial anatomy and physiology. Failure to do so can lead to growth and development difficulties in children. We report a heartbreaking case of a stunted 8 year-old female with underdiagnosed and untreated ankyloglossia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>The patient was consulted with a short stature, speech disorder, and swallowing disorder. History taking and physical examination led to a diagnosis of type 4 (posterior) ankyloglossia. The Hazelbaker Assessment Tool for Lingual Frenulum Function mandated a frenotomy. Under general anesthesia, frenotomy was performed surgically, and significant tongue mobility was gained.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>This case alerted both surgeon and pediatrician that collaboration is a must to intervene in such a specific congenital anomalies. Posterior (type 4) ankyloglossia may cause difficulties in tongue mobility which can lead to difficulties in breastfeeding and swallowing, speech disorders, and malocclusion. Posterior ankyloglossia is not only the most severe form of ankyloglossia, but also the most difficult to diagnose.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In the absence of social and environmental factors, posterior (type 4) ankyloglossia was the single most responsible factor in this growth and development delay in the girl. Timely diagnosis and treatment could have prevented such a stunted condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109648","type":"journal-article","created":{"date-parts":[[2024,4,20]],"date-time":"2024-04-20T23:04:42Z","timestamp":1713654282000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Stunted girl: A heartbreaking case report of underdiagnosed and untreated posterior ankyloglossia"],"prefix":"10.1097","volume":"118","author":[{"given":"Robertus Arian","family":"Datusanantyo","sequence":"first","affiliation":[{"name":"Department of Surgery, Prof. Dr. W. Z. Johannes General Hospital\/Faculty of Medicine and Veterinary Medicine, Universitas Nusa Cendana, Kupang, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simplicia Maria","family":"Anggrahini","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Prof. Dr. W. Z. Johannes General Hospital\/Faculty of Medicine and Veterinary Medicine, Universitas Nusa Cendana, Kupang, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arif Tri","family":"Prasetyo","sequence":"additional","affiliation":[{"name":"Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"1","key":"R1-73-20260325","doi-asserted-by":"crossref","first-page":"48","DOI":"10.21109\/kesmas.v15i1.2771","article-title":"Determinants of stunted children in Indonesia: a multilevelanalysis at the individual, household, and community levels","volume":"15","author":"Wicaksono,","year":"2020","journal-title":"Kesmas"},{"issue":"5","key":"R2-73-20260325","doi-asserted-by":"crossref","DOI":"10.3390\/nu11051106","article-title":"Determinants of the stunting of children under two years old in Indonesia: a multilevel analysis of the 2013 Indonesia basic health survey","volume":"11","author":"Titaley,","year":"2019","journal-title":"Nutrients"},{"issue":"5 May","key":"R3-73-20260325","article-title":"Determinants of stunting in children under five years old in South Sulawesi and West Sulawesi Province: 2013 and 2018 Indonesian Basic Health Survey","volume":"18","author":"Anastasia,","year":"2023","journal-title":"PLoS One"},{"issue":"1","key":"R4-73-20260325","doi-asserted-by":"crossref","first-page":"5","DOI":"10.52010\/ijom.2018.44.1.1","article-title":"Examining the effects of ankyloglossia on swallowing function","volume":"44","author":"Moulton,","year":"2018","journal-title":"International Journal of Orofacial Myology [Internet]."},{"issue":"1","key":"R5-73-20260325","first-page":"79","article-title":"Diagnosis, classification and management of ankyloglossia including its influence on breastfeeding","volume":"XXIII","author":"Brz\u0119cka,","year":"2019","journal-title":"Developmental Period Medicint."},{"issue":"8","key":"R6-73-20260325","doi-asserted-by":"crossref","first-page":"1204","DOI":"10.1902\/jop.2009.090086","article-title":"Ankyloglossia: facts and myths in diagnosis and treatment","volume":"80","author":"Suter,","year":"2009","journal-title":"J. Periodontol."},{"issue":"2","key":"R7-73-20260325","first-page":"216","article-title":"Ankyloglossia and its influence on growth and development of the stomatognathic system","volume":"35","author":"Pomp\u00e9ia,","year":"2017","journal-title":"Rev. Paul. Pediatr."},{"issue":"5","key":"R8-73-20260325","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg."},{"key":"R10-73-20260325","article-title":"Clinical review prevalence, diagnosis, and treatment of ankyloglossia methodologic review","volume":"53","author":"Segal,","year":"2007","journal-title":"Can. Fam. Physician"},{"key":"R11-73-20260325","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1016\/j.adaj.2022.07.011","article-title":"Prevalence of ankyloglossia according to different assessment tools: a meta-analysis","volume":"153","author":"Cruz,","year":"2022","journal-title":"Journal of the American Dental Association. American Dental Association"},{"issue":"4","key":"R12-73-20260325","first-page":"259","article-title":"Ankyloglossia (tongue-tie): a diagnostic and treatment quandary","volume":"30","author":"Kotlow,","year":"1999","journal-title":"Quintessence Int [Internet]"},{"issue":"3","key":"R13-73-20260325","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1089\/bfm.2017.0116","article-title":"Defining tip-frenulum length for ankyloglossia and its impact on breastfeeding: a prospective cohort study","volume":"13","author":"Walker,","year":"2018","journal-title":"Breastfeed. Med."},{"issue":"9","key":"R16-73-20260325","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1016\/j.ijporl.2010.05.025","article-title":"Defining ankyloglossia: a case series of anterior and posterior tongue ties","volume":"74","author":"Hong,","year":"2010","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"issue":"6","key":"R17-73-20260325","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1016\/j.ijporl.2009.02.011","article-title":"Posterior ankyloglossia: a case report","volume":"73","author":"Chu,","year":"2009","journal-title":"Int. J. Pediatr. Otorhinolaryngol."},{"key":"R18-73-20260325","doi-asserted-by":"crossref","DOI":"10.1186\/1746-4358-1-3","article-title":"Reliability of the Hazelbaker assessment tool for lingual frenulum function","volume":"1","author":"Amir,","year":"2006","journal-title":"Int. Breastfeed. 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