{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T02:13:55Z","timestamp":1789611235901,"version":"build-2803163510"},"reference-count":38,"publisher":"European Respiratory Society (ERS)","issue":"3","content-domain":{"domain":["publications.ersnet.org"],"crossmark-restriction":true},"short-container-title":["ERJ Open Res"],"accepted":{"date-parts":[[2016,5,27]]},"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:p>A short lingual frenulum has been associated with difficulties in sucking, swallowing and speech. The oral dysfunction induced by a short lingual frenulum can lead to oral-facial dysmorphosis, which decreases the size of upper airway support. Such progressive change increases the risk of upper airway collapsibility during sleep.<\/jats:p><jats:p>Clinical investigation of the oral cavity was conducted as a part of a clinical evaluation of children suspected of having sleep disordered breathing (SDB) based on complaints, symptoms and signs. Systematic polysomnographic evaluation followed the clinical examination. A retrospective analysis of 150 successively seen children suspected of having SDB was performed, in addition to a comparison of the findings between children with and without short lingual frenula.<\/jats:p><jats:p>Among the children, two groups of obstructive sleep apnoea syndrome (OSAS) were found: 1) absence of adenotonsils enlargement and short frenula (n=63); and 2) normal frenula and enlarged adenotonsils (n=87). Children in the first group had significantly more abnormal oral anatomy findings, and a positive family of short frenulum and SDB was documented in at least one direct family member in 60 cases.<\/jats:p><jats:p>A short lingual frenulum left untreated at birth is associated with OSAS at later age, and a systematic screening for the syndrome should be conducted when this anatomical abnormality is recognised.<\/jats:p>","DOI":"10.1183\/23120541.00043-2016","type":"journal-article","created":{"date-parts":[[2016,7,30]],"date-time":"2016-07-30T00:49:15Z","timestamp":1469839755000},"page":"00043-2016","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":92,"title":["A frequent phenotype for paediatric sleep apnoea: short lingual frenulum"],"prefix":"10.1183","volume":"2","author":[{"given":"Christian","family":"Guilleminault","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shehlanoor","family":"Huseni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Lo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"81","published-online":{"date-parts":[[2016,7,29]]},"reference":[{"key":"2024101706485509000_2.3.00043-2016.1","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.smrv.2014.11.008","article-title":"Pediatric sleep-disordered-breathing: new evidence on its development","volume":"24","author":"Guilleminault","year":"2015","journal-title":"Sleep Med Rev"},{"key":"2024101706485509000_2.3.00043-2016.2","doi-asserted-by":"crossref","first-page":"184","DOI":"10.3389\/fneur.2012.00184","article-title":"Pediatric obstructive sleep apnea and the critical role of orofacial growth: evidences","volume":"3","author":"Huang","year":"2013","journal-title":"Front Neurol"},{"key":"2024101706485509000_2.3.00043-2016.3","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1007\/s11325-015-1238-3","article-title":"Missing teeth and pediatric obstructive sleep apnea","volume":"20","author":"Guilleminault","year":"2016","journal-title":"Sleep Breath"},{"key":"2024101706485509000_2.3.00043-2016.4","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1007\/s11325-015-1154-6","article-title":"Mouth breathing, nasal \u201cdisuse\u201d, and pediatric sleep-disordered breathing","volume":"19","author":"Lee","year":"2015","journal-title":"Sleep Breath"},{"key":"2024101706485509000_2.3.00043-2016.5","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.1.36"},{"key":"2024101706485509000_2.3.00043-2016.6","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.18.1.1"},{"key":"2024101706485509000_2.3.00043-2016.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2005.00604.x"},{"key":"2024101706485509000_2.3.00043-2016.8","first-page":"59","article-title":"A study of pathology associated with short lingual frenum","volume":"69","author":"Garc\u00eda Pola","year":"2002","journal-title":"ASDC J Dent Child"},{"key":"2024101706485509000_2.3.00043-2016.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(03)00258-4"},{"key":"2024101706485509000_2.3.00043-2016.10","doi-asserted-by":"crossref","first-page":"31","DOI":"10.52010\/ijom.2004.30.1.3","article-title":"Lingual frenulum: classification and speech interference","volume":"30","author":"Marchesan","year":"2004","journal-title":"Int J Orofacial Myology"},{"key":"2024101706485509000_2.3.00043-2016.11","first-page":"25","article-title":"Ankyloglossia and its influence on maxillary and mandibular development. 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