Development of a tongue-tie case definition in newborns using a Delphi survey: The NYU–Tongue-Tie Case Definition
| Autor: | Ralph V. Katz, Malik K. Zubi, Lisa K. Ryan, Bianca A. Dearing, Gurpreet K. Sokhal, James M. Ryan |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
New York MEDLINE Delphi method Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine Pathognomonic Tongue Surveys and Questionnaires medicine Humans Radiology Nuclear Medicine and imaging Dentistry (miscellaneous) Ankyloglossia Lingual Frenum Operational definition business.industry Infant Newborn Reproducibility of Results 030206 dentistry Clinical trial medicine.anatomical_structure 030220 oncology & carcinogenesis Family medicine Research studies Prevalence studies Surgery Oral Surgery business |
| Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 129:21-26 |
| ISSN: | 2212-4403 |
| DOI: | 10.1016/j.oooo.2019.01.012 |
| Popis: | Objective The primary purpose of this study was to develop an operational definition of the oral condition of ankyloglossia (also called tongue-tie) that occurs in newborns (i.e., age birth–6 months) and that could consistently be used in research studies. Study Design This 4-round Delphi survey developed the consensus New York University–Tongue-Tie Case Definition (NYU-TTCD) by using a panel of ankyloglossia treatment experts. Results This tongue-tie case definition (TTCD) was carefully created in a step-wise manner from the bottom up by expert panelists over 4 rounds of inquiry. As a functioning case definition, it offers the diagnostician 2 separate pathways to identifying a newborn as being tongue tied. One pathway requires but a single pathognomonic anatomic feature, and the other pathway requires a single functional deficit accompanied by at least 2 of 12 other diagnostic items (functional, anatomic, or behavioral). Conclusions This Delphi survey, as administered to a panel of ankyloglossia treatment experts, produced the first consensus case definition of tongue-tie for newborns (i.e., age birth–6 months) for use in epidemiologic research studies ranging from descriptive prevalence studies to clinical trials. Next-step studies should establish the validity, reliability, and utility of this novel NYU-TTCD case definition for epidemiologic and clinical purposes. |
| Databáze: | OpenAIRE |
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