TY - JOUR
T1 - Development of a tongue-tie case definition in newborns using a Delphi survey
T2 - The NYU–Tongue-Tie Case Definition
AU - Katz, Ralph V.
AU - Dearing, Bianca A.
AU - Ryan, James M.
AU - Ryan, Lisa K.
AU - Zubi, Malik K.
AU - Sokhal, Gurpreet K.
N1 - Publisher Copyright:
© 2019 Elsevier Inc.
PY - 2020/1
Y1 - 2020/1
N2 - 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.
AB - 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.
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U2 - 10.1016/j.oooo.2019.01.012
DO - 10.1016/j.oooo.2019.01.012
M3 - Article
C2 - 31227459
AN - SCOPUS:85067226613
SN - 2212-4403
VL - 129
SP - 21
EP - 26
JO - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
JF - Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
IS - 1
ER -