Ankyloglossia and Lingual Frenotomy: National Trends in Inpatient Diagnosis and Management in the United States, 1997-2012

Research output: Contribution to journalArticle

Abstract

Objectives: (1) Describe trends in the diagnosis of ankyloglossia and the use of lingual frenotomy and (2) analyze patient- and hospital-level factors as compared with the total pediatric discharge population. Study Design: National database analysis. Methods: We reviewed available data from 1997 to 2012 using the Kids’ Inpatient Database, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality. All weighted pediatric discharges with ankyloglossia, newborn feeding difficulty, or lingual frenotomy were analyzed for variables of sex, payer, zip code median income, hospital ownership, location/teaching status, bed size, region, and children’s hospital status. Chi-square analysis with 95% CIs and odds ratio were used to identify differences between the study group and the total database discharge population. Results: Diagnosis of ankyloglossia increased each year of publication (every third year)—with 3934, 5430, 7785, 11,397, 19,459, and 32,837 children, respectively, from 1997 to 2012—with the largest increase in the last 6 years. Similarly, frenotomy increased with 1279, 1633, 2538, 3988, 6900, and 12,406 procedures. Compared with the total discharge population, children with ankyloglossia or frenotomy were more often male (63.6% ankyloglossia, 65.3% frenotomy vs 51.2%), privately insured (60.1%, 62.1% vs 43.6%), from a higher median-income zip code (78.1%, 78.2% vs 68.6%), and in Midwest region (29.3%, 32.3% vs 21.7%). Conclusion: These pilot data show increases in diagnoses of ankyloglossia and use of frenotomy. There is a preponderance of children who are male, privately insured, or Midwest residents being diagnosed and treated for ankyloglossia. This broad variation may reflect local practice patterns or imply cultural and socioeconomic bias.

Original languageEnglish (US)
Pages (from-to)735-740
Number of pages6
JournalOtolaryngology - Head and Neck Surgery (United States)
Volume156
Issue number4
DOIs
StatePublished - Apr 1 2017

Fingerprint

Tongue
Inpatients
Databases
Hospital Bed Capacity
Pediatrics
Population
Ownership
Health Services Research
Ankyloglossia
Health Care Costs
Publications
Teaching
Odds Ratio
Newborn Infant

Keywords

  • ankyloglossia
  • feeding difficulty
  • frenotomy
  • frenulectomy
  • infant
  • lingual
  • pediatric
  • tongue tie

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

@article{46bc3ea73a2748f68d5e6e32c346ff90,
title = "Ankyloglossia and Lingual Frenotomy: National Trends in Inpatient Diagnosis and Management in the United States, 1997-2012",
abstract = "Objectives: (1) Describe trends in the diagnosis of ankyloglossia and the use of lingual frenotomy and (2) analyze patient- and hospital-level factors as compared with the total pediatric discharge population. Study Design: National database analysis. Methods: We reviewed available data from 1997 to 2012 using the Kids’ Inpatient Database, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality. All weighted pediatric discharges with ankyloglossia, newborn feeding difficulty, or lingual frenotomy were analyzed for variables of sex, payer, zip code median income, hospital ownership, location/teaching status, bed size, region, and children’s hospital status. Chi-square analysis with 95{\%} CIs and odds ratio were used to identify differences between the study group and the total database discharge population. Results: Diagnosis of ankyloglossia increased each year of publication (every third year)—with 3934, 5430, 7785, 11,397, 19,459, and 32,837 children, respectively, from 1997 to 2012—with the largest increase in the last 6 years. Similarly, frenotomy increased with 1279, 1633, 2538, 3988, 6900, and 12,406 procedures. Compared with the total discharge population, children with ankyloglossia or frenotomy were more often male (63.6{\%} ankyloglossia, 65.3{\%} frenotomy vs 51.2{\%}), privately insured (60.1{\%}, 62.1{\%} vs 43.6{\%}), from a higher median-income zip code (78.1{\%}, 78.2{\%} vs 68.6{\%}), and in Midwest region (29.3{\%}, 32.3{\%} vs 21.7{\%}). Conclusion: These pilot data show increases in diagnoses of ankyloglossia and use of frenotomy. There is a preponderance of children who are male, privately insured, or Midwest residents being diagnosed and treated for ankyloglossia. This broad variation may reflect local practice patterns or imply cultural and socioeconomic bias.",
keywords = "ankyloglossia, feeding difficulty, frenotomy, frenulectomy, infant, lingual, pediatric, tongue tie",
author = "Jonathan Walsh and Anne Links and Emily Boss and Tunkel, {David E}",
year = "2017",
month = "4",
day = "1",
doi = "10.1177/0194599817690135",
language = "English (US)",
volume = "156",
pages = "735--740",
journal = "Otolaryngology - Head and Neck Surgery",
issn = "0194-5998",
publisher = "Mosby Inc.",
number = "4",

}

TY - JOUR

T1 - Ankyloglossia and Lingual Frenotomy

T2 - National Trends in Inpatient Diagnosis and Management in the United States, 1997-2012

AU - Walsh, Jonathan

AU - Links, Anne

AU - Boss, Emily

AU - Tunkel, David E

PY - 2017/4/1

Y1 - 2017/4/1

N2 - Objectives: (1) Describe trends in the diagnosis of ankyloglossia and the use of lingual frenotomy and (2) analyze patient- and hospital-level factors as compared with the total pediatric discharge population. Study Design: National database analysis. Methods: We reviewed available data from 1997 to 2012 using the Kids’ Inpatient Database, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality. All weighted pediatric discharges with ankyloglossia, newborn feeding difficulty, or lingual frenotomy were analyzed for variables of sex, payer, zip code median income, hospital ownership, location/teaching status, bed size, region, and children’s hospital status. Chi-square analysis with 95% CIs and odds ratio were used to identify differences between the study group and the total database discharge population. Results: Diagnosis of ankyloglossia increased each year of publication (every third year)—with 3934, 5430, 7785, 11,397, 19,459, and 32,837 children, respectively, from 1997 to 2012—with the largest increase in the last 6 years. Similarly, frenotomy increased with 1279, 1633, 2538, 3988, 6900, and 12,406 procedures. Compared with the total discharge population, children with ankyloglossia or frenotomy were more often male (63.6% ankyloglossia, 65.3% frenotomy vs 51.2%), privately insured (60.1%, 62.1% vs 43.6%), from a higher median-income zip code (78.1%, 78.2% vs 68.6%), and in Midwest region (29.3%, 32.3% vs 21.7%). Conclusion: These pilot data show increases in diagnoses of ankyloglossia and use of frenotomy. There is a preponderance of children who are male, privately insured, or Midwest residents being diagnosed and treated for ankyloglossia. This broad variation may reflect local practice patterns or imply cultural and socioeconomic bias.

AB - Objectives: (1) Describe trends in the diagnosis of ankyloglossia and the use of lingual frenotomy and (2) analyze patient- and hospital-level factors as compared with the total pediatric discharge population. Study Design: National database analysis. Methods: We reviewed available data from 1997 to 2012 using the Kids’ Inpatient Database, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality. All weighted pediatric discharges with ankyloglossia, newborn feeding difficulty, or lingual frenotomy were analyzed for variables of sex, payer, zip code median income, hospital ownership, location/teaching status, bed size, region, and children’s hospital status. Chi-square analysis with 95% CIs and odds ratio were used to identify differences between the study group and the total database discharge population. Results: Diagnosis of ankyloglossia increased each year of publication (every third year)—with 3934, 5430, 7785, 11,397, 19,459, and 32,837 children, respectively, from 1997 to 2012—with the largest increase in the last 6 years. Similarly, frenotomy increased with 1279, 1633, 2538, 3988, 6900, and 12,406 procedures. Compared with the total discharge population, children with ankyloglossia or frenotomy were more often male (63.6% ankyloglossia, 65.3% frenotomy vs 51.2%), privately insured (60.1%, 62.1% vs 43.6%), from a higher median-income zip code (78.1%, 78.2% vs 68.6%), and in Midwest region (29.3%, 32.3% vs 21.7%). Conclusion: These pilot data show increases in diagnoses of ankyloglossia and use of frenotomy. There is a preponderance of children who are male, privately insured, or Midwest residents being diagnosed and treated for ankyloglossia. This broad variation may reflect local practice patterns or imply cultural and socioeconomic bias.

KW - ankyloglossia

KW - feeding difficulty

KW - frenotomy

KW - frenulectomy

KW - infant

KW - lingual

KW - pediatric

KW - tongue tie

UR - http://www.scopus.com/inward/record.url?scp=85019010240&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85019010240&partnerID=8YFLogxK

U2 - 10.1177/0194599817690135

DO - 10.1177/0194599817690135

M3 - Article

C2 - 28168891

AN - SCOPUS:85019010240

VL - 156

SP - 735

EP - 740

JO - Otolaryngology - Head and Neck Surgery

JF - Otolaryngology - Head and Neck Surgery

SN - 0194-5998

IS - 4

ER -