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Lisonek M, Liu S, Dzakpasu S, et al. Changes in the incidence and surgical treatment of ankyloglossia in Canada. Paediatr Child Health. 2017;22(7):382-386doi: 10.1093/pch/pxx112.
Lisonek, M., Liu, S., Dzakpasu, S., Moore, A. M., Joseph, K. S. (2017). Changes in the incidence and surgical treatment of ankyloglossia in Canada. Paediatrics & child health, 22(7), 382-386. https://doi.org/10.1093/pch/pxx112
Lisonek, Michelle, et al. "Changes in the incidence and surgical treatment of ankyloglossia in Canada." Paediatrics & child health vol. 22,7 (2017): 382-386. doi: https://doi.org/10.1093/pch/pxx112
Lisonek M, Liu S, Dzakpasu S, Moore AM, Joseph KS. Changes in the incidence and surgical treatment of ankyloglossia in Canada. Paediatr Child Health. 2017 Oct;22(7):382-386. doi: 10.1093/pch/pxx112. Epub 2017 Sep 25. PMID: 29479253; PMCID: PMC5804819.
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Paediatr Child Health. 2017 Oct;22(7):382-386. doi: 10.1093/pch/pxx112. Epub 2017 Sep 25.

Changes in the incidence and surgical treatment of ankyloglossia in Canada.

Paediatrics & child health

Michelle Lisonek, Shiliang Liu, Susie Dzakpasu, Aideen M Moore, K S Joseph,

Affiliations

  1. Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, British Columbia.
  2. Children's and Women's Hospital and Health Centre of British Columbia, Vancouver, British Columbia.
  3. Maternal, Child and Youth Health, Surveillance and Epidemiology Division, Centre for Chronic Disease Prevention, Public Health Agency of Canada, Ottawa, Ontario.
  4. The Hospital for Sick Children,Toronto, Ontario.
  5. Division of Neonatology, University of Toronto, Toronto, Ontario.
  6. School of Population and Public Health, University of British Columbia, Vancouver, British Columbia.
  7. The BC Children's Hospital Research Institute, Vancouver, British Columbia.

PMID: 29479253 PMCID: PMC5804819 DOI: 10.1093/pch/pxx112

Abstract

BACKGROUND: Recent reports show increases in rates of ankyloglossia and frenotomy in British Columbia. We carried out a study to determine temporal trends and regional variations in ankyloglossia and frenotomy in Canada.

METHODS: The study included all hospital-based live births in Canada (excluding Quebec) between April 2002 and March 2015, with information obtained from the Canadian Institute for Health Information. Information on ankyloglossia and frenotomy was obtained from records of hospital admission for childbirth. Temporal trends and provincial/territorial variations were quantified using rate ratios (RR) and 95% confidence intervals (CI).

RESULTS: Ankyloglossia rates increased from 6.86 in 2002 to 22.6 per 1000 live births in 2014 (P for trend < 0.001), while frenotomy rates increased from 3.76 in 2002 to 14.7 per 1000 live births in 2014 (P for trend < 0.001). Frenotomy rates among infants with ankyloglossia increased from 54.7% in 2002 to 63.9% in 2014 (RR: 1.18, 95% CI: 1.13-1.24). Compared with British Columbia, rates of ankyloglossia were over three-fold higher in Saskatchewan (RR: 3.40, 95% CI: 3.16-3.67), Alberta (RR: 3.50, 95% CI: 3.29-3.72) and the Yukon (RR: 3.62, 95% CI: 2.67-4.92), while rates of frenotomy were three- to four-fold higher in the Yukon (RR: 3.41, 95% CI: 2.28-5.10), Alberta (RR: 4.01, 95% CI: 3.71-4.33) and Saskatchewan (RR: 4.12, 95% CI: 3.76-4.52).

CONCLUSION: A desire to increase rates of breast feeding initiation and absence of standardized criteria for the diagnosis of ankyloglossia have resulted in runaway rates of frenotomy for newborn infants in some parts of Canada.

Keywords: Ankyloglossia; Canada; Epidemiology; Frenotomy

References

  1. Arch Otolaryngol Head Neck Surg. 2000 Jan;126(1):36-9 - PubMed
  2. Pediatrics. 2002 Nov;110(5):e63 - PubMed
  3. Int J Pediatr Otorhinolaryngol. 2000 Aug 31;54(2-3):123-31 - PubMed
  4. Arch Dis Child Fetal Neonatal Ed. 2015 Jul;100(4):F344-8 - PubMed
  5. Ned Tijdschr Geneeskd. 2010;154:A918 - PubMed
  6. J Hum Lact. 2013 May;29(2):190-5 - PubMed
  7. Arch Dis Child. 2015 May;100(5):489-94 - PubMed
  8. Chronic Dis Can. 2009;29(3):96-100 - PubMed
  9. J Paediatr Child Health. 2005 May-Jun;41(5-6):246-50 - PubMed
  10. CMAJ Open. 2016 Jan 26;4(1):E33-40 - PubMed
  11. Can Fam Physician. 2016 Mar;62(3):231-2 - PubMed
  12. J Hum Lact. 2004 Nov;20(4):409-14 - PubMed
  13. Arch Dis Child Fetal Neonatal Ed. 2014 May;99(3):F189-95 - PubMed
  14. Pediatrics. 2011 Aug;128(2):280-8 - PubMed
  15. J Am Board Fam Pract. 2005 Jan-Feb;18(1):1-7 - PubMed
  16. J Pediatr Surg. 2006 Sep;41(9):1598-600 - PubMed
  17. Paediatr Child Health. 2011 Apr;16(4):222 - PubMed
  18. Pediatrics. 2015 Jun;135(6):e1458-66 - PubMed
  19. Breastfeed Med. 2012 Jun;7(3):189-93 - PubMed
  20. Can Fam Physician. 2007 Jun;53(6):1027-33 - PubMed
  21. Paediatr Child Health. 2015 May;20(4):209-18 - PubMed

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