{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T00:01:43Z","timestamp":1788566503892,"version":"build-2803163510"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"vor","delay-in-days":5023,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2002,12]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>We wanted to determine whether ankyloglossia is associated with articulation problems and the effect of frenuloplasty on speech and tongue mobility.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>We conducted a prospective study of 30 children aged 1 to 12 years with ankyloglossia undergoing frenuloplasty. Outcomes were assessed by measurements of tongue mobility, speech evaluation, and parent questionnaires.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Mean tongue protrusion improved from 14.2\u00a0mm preoperatively to 25.8\u00a0mm postoperatively (<jats:italic>P<\/jats:italic> &lt; 0.01). Similarly, mean tongue elevation improved from 5.2 to 22\u00a0mm (<jats:italic>P<\/jats:italic> &lt; 0.01). Preoperative speech pathology evaluation documented articulation problems thought due to ankyloglossia in 15 of 21 children. Postoperative evaluation in 15 of these children showed improvement in articulation in 9, no change in 4 who had normal speech preoperatively, and an ongoing articulation disorder in 2. Parent perception of speech intelligibility on a scale of 1 to 5 improved from 3.4 to 4.2 (<jats:italic>P<\/jats:italic> &lt; 0.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>Tongue mobility and speech improve significantly after frenuloplasty in children with ankyloglossia who have articulation problems.<\/jats:p><\/jats:sec>","DOI":"10.1067\/mhn.2002.129731","type":"journal-article","created":{"date-parts":[[2003,2,4]],"date-time":"2003-02-04T21:49:09Z","timestamp":1044395349000},"page":"539-545","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":115,"title":["The Effect of Ankyloglossia on Speech in Children"],"prefix":"10.1002","volume":"127","author":[{"given":"Anna H.","family":"Messner","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery and Pediatrics Palo Alto California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. Lauren","family":"Lalakea","sequence":"additional","affiliation":[{"name":"Stanford University Division of Otolaryngology\u2013Head and Neck Surgery Palo Alto California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,9]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00359-1"},{"key":"e_1_2_6_3_1","first-page":"2371","article-title":"Evaluation and treatment for ankyloglossia","volume":"262","author":"Paradise JL","year":"1990","journal-title":"JAMA"},{"key":"e_1_2_6_4_1","first-page":"1031","volume-title":"Nelson Textbook of Pediatrics","author":"Ulshen M.","year":"1996"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.1.36"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/089033449000600318"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1044\/jshr.1102.382"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.1995.tb00810.x"},{"key":"e_1_2_6_9_1","first-page":"93","article-title":"Frenotomy and frenuloplasty: If, when, and how","volume":"13","author":"Lalakea ML","year":"2002","journal-title":"Otolaryngol Head Neck Surg"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(63)93057-5"},{"key":"e_1_2_6_11_1","first-page":"8","article-title":"Tongue\u2010tie","volume":"6","author":"Horton CE","year":"1969","journal-title":"Cleft Palate J"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.1985.0328"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1067\/mhn.2002.129731","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1067\/mhn.2002.129731","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1067\/mhn.2002.129731","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T11:42:54Z","timestamp":1760960574000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1067\/mhn.2002.129731"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,12]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2002,12]]}},"alternative-id":["10.1067\/mhn.2002.129731"],"URL":"https:\/\/doi.org\/10.1067\/mhn.2002.129731","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2002,12]]},"assertion":[{"value":"2016-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}