Changes in the incidence and surgical treatment of ankyloglossia in Canada

Paediatrics & Child Health
Michelle LisonekCanadian Perinatal Surveillance System (Public Health Agency of Canada)

Abstract

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. 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). 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 high...Continue Reading

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Citations

Jan 10, 2020·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Mariana do Rêgo Barros de Andrade FragaValdenice Aparecida de Menezes
Apr 15, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Anna H MessnerLisa Satterfield
May 20, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Eric X WeiJonathan Walsh
Apr 19, 2019·Paediatrics & Child Health·Amelie Stritzke, Jennifer MacPherson
Jun 9, 2020·European Journal of Pediatrics·Stephanie Van BiervlietMarleen D'Hondt
Jul 12, 2019·JAMA Otolaryngology-- Head & Neck Surgery·Christen CalowayChristopher J Hartnick
May 23, 2019·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Nikki MillsS Ali Mirjalili
Aug 2, 2020·International Journal of Pediatric Otorhinolaryngology·Gillian R DiercksChristopher J Hartnick
May 6, 2021·CoDAS·Mariana do Rêgo Barros de Andrade FragaValdenice Aparecida de Menezes
Dec 17, 2021·Ear, Nose, & Throat Journal·Jonathan MelongPaul Hong

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