scholarly journals PENGARUH TERAPI KOMPRES HANGAT DENGAN WWZ (WARM WATER ZACK) TERHADAP NYERI PADA PASIEN DYSPEPSIA

2020 ◽  
Vol 11 (1) ◽  
pp. 1462-1468
Author(s):  
R. Nur Abdurakhman ◽  
Suzana Indragiri ◽  
Leny Nur Setiyowati
Keyword(s):  
Rating Scale ◽  
Medical Condition ◽  
Numeric Rating Scale ◽  
Statistical Test ◽  
Warm Water ◽  
Test Results ◽  
Solar Plexus ◽  
The One ◽  
Upper Abdomen ◽  
Numeric Rating

ABSTRAKDyspepsia merupakan suatu kondisi medis yang ditandai dengan nyeri atau rasa tidak nyaman pada perut bagian atas atau ulu hati. Hal ini yang dapat menyebabkan gangguan rasa nyaman dan aman yaitu nyeri. Tujuan penelitian ini adalah untuk mengetahui pengaruh terapi kompres hangat dengan WWZ (Warm Water Zack) terhadap nyeri pada pasien dyspepsia di RSIA Pala Raya Kabupaten Tegal Tahun 2020.Penelitian ini menggunakan rancangan penelitian Pre-eksperimental dengan tipe the one group pretest-posttest design. Populasi dalam penelitian ini adalah seluruh pasien yang didiagnosa dyspepsia sebanyak 15 pasien pada tanggal 12 - 14 Maret 2020, pengambilan sampel dengan teknik total sampling. Instrumen penelitian berupa lembar ceklist dan NRS (Numeric Rating Scale) menggunakan metode Paired T-Test.Hasil penelitian didapatkan bahwa intensitas nyeri sebelum dilakukan intervensi sebagian besar responden mengalami nyeri berat 7 - 10 (66,66%) dan intensitas nyeri setelah dilakukan intervensi adalah sebagian besar responden mengalami nyeri ringan 1 - 3 (60%). Hasil uji statistik diperoleh nilai p = 0,000 dan jika α = 0,05 maka p <α (0.000 < 0,05), yang artinya terdapat pengaruh yang signifikan antara terapi kompres hangat dengan WWZ (Warm Water Zack) terhadap nyeri pada pasien dyspepsia Kata Kunci    : Terapi Kompres Hangat, WWZ (Warm Water Zack), Nyeri, Dyspepsia. ABSTRACTDyspepsia is a medical condition characterized by pain or discomfort in the upper abdomen or solar plexus. This can cause discomfort and safety, namely pain. The purpose of this study was to determine the effect of warm compress therapy with WWZ (Warm Water Zack) on pain in dyspepsia patients at RSIA Pala Raya Kabupaten Tegal 2020.This study uses a Pre-experimental research design with the type of the one group pretest-posttest design. The population in this study were all patients diagnosed with dyspepsia as many as 15 patients on March 12-14, 2020, sampling with an total sampling techniqueat. The research instruments were checklist sheets and NRS (Numeric Rating Scale) using the Paired T-Test method.The results is the intensity of pain before the intervention was done most of the respondents experienced severe pain 7 – 10 (66,66%0 and the intensity of pain after the intervention was that the majority of respondents experienced mild pain 1 – 3 (60%). Statistical test results obtained the value of p = 0,000 and if α = 0.05 then p <α (0,000 <0.05), which means there is a significant effect between warm compress therapy with WWZ (Warm Water Zack) on pain in dyspepsia patients.Keywords : Warm Compress Therapy, WWZ (Warm Water Zack), Pain, Dyspepsia.

scholarly journals AKUPRESUR EFEKTIF MENGATASI DISMENOREA

2018 ◽  
Vol 2 (1) ◽  
pp. 9
Author(s):  
Abel Zulia ◽  
Heni Setyowati Esti Rahayu ◽  
Rohmayanti
Keyword(s):  
Rating Scale ◽  
Numerical Rating Scale ◽  
Therapy Group ◽  
Numeric Rating Scale ◽  
Health Sciences ◽  
Statistical Test ◽  
Test Results ◽  
Relieve Pain ◽  
Numerical Rating ◽  
Numeric Rating

ABSTRAKTujuan penelitian: untuk membandingkan efektivitas antara aromaterapi lavender dan akupresur dalam mengatasi dismenorea. Metode: Rancangan penelitian yang digunakan adalah quasy experiment dengan two group pretest dan posttest design. Penelitian dilakukan di Fakultas Ilmu Kesehatan Universitas Muhammadiyah Magelang tanggal 14 Maret sampai 9 Mei 2015. Sampel sebanyak 44 responden dibagi menjadi dua kelompok, yaitu 22 orang sebagai kelompok aromaterapi lavender dan 22 orang sebagai kelompok terapi akupresur. Aromaterapi diberikan secara inhalasi selama 10 menit, dilakukan dua kali sehari selama 3 hari. Akupresur dilakukan pada LI 4 dan ST 36 selama 20 menit sebanyak dua kali sehari selama 3 hari. Instrumen untuk mengukur nyeri menggunakan numeric rating scale. Uji statistik yang digunakan adalah uji Mann Whitney. Hasil: Terdapat perbedaan antara aromaterapi lavender dan terapi akupresur dalam mengatasi dismenore dengan perbedaan penurunan intensitas nyeri terapi akupresur 1,95 lebih besar daripada aromaterapi lavender 1,46 dengan nilai p= 0,002. Diskusi: Terapi akupresur dengan pemijatan atau penekanan pada titik LI 4 dan ST 36 akan meningkatkan kadar endorfin sehingga lebih cepat menurunkan rasa nyeri, sedangkan aroma yang dihirup melalui proses pernapasan baru merangsang kinerja otak dan dipengaruhi oleh dalamnya pernapasan. Kesimpulan: Terapi akupresur lebih efektif dalam mengatasi dismenorea daripada aromaterapi lavender.Kata Kunci: dismenorea, aromaterapi lavender, akupresurEFFECTIVENESS OF ACUPRESSURE IN TREATING DYSMENORRHOEA ABSTRACTObjective: To compare the effectiveness of lavender aromatherapy and acupressure in treating dysmenorrhea. Methods: This study is a quasi-experiment with two group pretest and posttest design. The study was conducted at the Faculty of Health Sciences, Muhammadiyah University of Magelang on 14 March 2015 to 9 May 2015. Samples consisting of 44 respondents were divided into two groups, namely 22 in lavender aromatherapy group and 22 in acupressure therapy group. Aromatherapy was given through inhalation for 10 minutes, done twice a day for 3 days. Acupressure was performed on LI 4 and ST 36 for 20 minutes, twice a day for 3 days. Numerical rating scale was usedfor measuring pain. The statistical test usedMann-Whitney test. Results: There was a difference between lavender aromatherapy and acupressure therapy in treating dysmenorrhea with a decrease in the intensity ofpain of acupressure therapy by 1.95, which was greater than lavender aroma by 1.46 with p = 0.002. Discussion: Acupressure therapy with massage or pressure on the points of LI 4 and ST 36 would increase endorphin levels so that it would quickly relieve pain, while the inhaled scent through the breathing process only stimulated brain’sperformance and was affected by the depth of breathing. Conclusion: Acupressure therapy is more effective in treating dysmenorrhea than lavender aromatherapy.Keywords: dysmenorrhea, lavender aromatherapy, acupressure

scholarly journals Does Metabolic Syndrome Determine Severity and Disability of Chronic Low Backache?

2018 ◽  
Vol 09 (02) ◽  
pp. 208-213 ◽  
Author(s):  
Jayantee Kalita ◽  
Kamlesh Kumar Sonkar ◽  
Usha Kant Misra ◽  
Sanjeev K. Bhoi
Keyword(s):  
Metabolic Syndrome ◽  
National Cholesterol Education Program ◽  
Rating Scale ◽  
Rank Correlation ◽  
Numeric Rating Scale ◽  
Test Results ◽  
Adult Treatment Panel ◽  
Chi Square ◽  
Spearman’S Rank Correlation ◽  
Numeric Rating

ABSTRACT Introduction: Obesity may be associated with more severe and disabling low backache (LBA) due to alteration in biomechanics, but there are no such studies from developing countries. Aims: We report the frequency of metabolic syndrome (MS) in chronic LBA (CLBA) and its association with severity and disability of CLBA. Subjects and Methods: Consecutive patients with CLBA attending to the neurology service from October 2015 to February 2016 were included in the study. Clinical and demographic parameters were recorded. Routine biochemical test was done. The severity of pain was assessed by a 0–10 Numeric Rating Scale (NRS) and disability by Oswestry Disability Index (ODI) version 2. Comparison of variables was done by Chi-square or independent t-test and correlation by Karl Pearson or Spearman's rank correlation test. Results: Seventy-none (39.3%) patients had MS as per the International Diabetic Federation (IDF) criteria and 68 (33.8%) as per the National Cholesterol Education Program Adult Treatment Panel III criteria. Abdominal obesity was the most common (171 [85.1%]) feature of MS. The patients with MS had longer duration of sitting work and did less frequently exercise. The NRS score (6.95 ± 1.06 vs. 6.65 ± 0.95; P = 0.04) and ODI score (54.91 ± 8.42 vs. 51.89 ± 8.54; P = 0.01) were higher in CLBA patients with MS compared to those without MS. Conclusion: About 40% patients with CLBA have metabolic syndrome, and they have more severe pain and disability.

scholarly journals Hubungan antara Skor GCS dengan Skor NRS PTH Akut pada Pasien COT di RSUD Ulin Banjarmasin

2020 ◽  
Vol 9 (2) ◽  
pp. 148-155
Author(s):  
Ilma Fi Ahsani Nur Alaina ◽  
◽  
Kenanga Marwan Sikumbang ◽  
Asnawati Asnawati ◽  
◽  
...  
Keyword(s):  
General Hospital ◽  
Rating Scale ◽  
Operative Management ◽  
Numeric Rating Scale ◽  
P Value ◽  
Cross Sectional ◽  
Post Traumatic ◽  
The One ◽  
Gcs Score ◽  
Numeric Rating

Background and Objective: Traumatic brain injury (TBI) is an alteration in brain function caused by external physical forces that its severity can be assessed using the Glasgow Coma Scale (GCS) score. The secondary injury can develop in a few days and may trigger the appearance of acute Post Traumatic Headache (PTH). The severity of PTH can be assessed using the Numeric Rating Scale (NRS) score. The purpose of this study was to determine whether there is an association between GCS score and NRS score of acute PTH in TBI patients at Ulin General Hospital Banjarmasin. Subject and Methods: This study used an analytic observational method with cross sectional approach. A total of 40 samples were obtained with a distribution of 36 patients (90%) complained acute PTH. Results: Data analysis in this study using the one-way anova test showed p value = 0,558 on patients with operative management and p value = 0,732 on conservative management. Conclusion: It can be concluded that there is no association between GCS score with NRS score of acute PTH in TBI patients at Ulin General Hospital Banjarmasin.

scholarly journals Pengaruh Mckenzie Cervical Exercise terhadap Nyeri Leher Pekerja Home Industry Tahu

2021 ◽  
Vol 4 (1) ◽  
pp. 34-43
Author(s):  
Octavia Nurhidayanti ◽  
Elis Hartati ◽  
Prita Adisty Handayani
Keyword(s):  
Neck Pain ◽  
Rating Scale ◽  
Sampling Technique ◽  
Numeric Rating Scale ◽  
Statistical Test ◽  
P Value ◽  
Musculoskeletal Complaints ◽  
Work Related ◽  
Workplace Conditions ◽  
Numeric Rating

Introduction: Occupational health problems in the home industry are found in many work-related diseases and unsafe workplace conditions, one of the diseases arising from work is musculoskeletal complaints. Mckenzie cervical exercise can reduce neck pain however it has not been proven for home industry workers. This study aims to determine the effect of Mckenzie cervical exercise on the scale of neck pain on workers in tofu home industry. Methods: This research design used pre-experimental design with one-group pre-posttest design. The number of samples were 30 respondents with a total sampling technique. The instrument was the Numeric Rating Scale and data were collected using interview techniques. Results: Workers with neck pain in the “tahu” home industry were provided Mckenzie cervical exercise. The statistical test used was the dependent t-test. The results showed that Mckenzie cervical exercise is effective in reducing the scale of neck pain with a p-value of 0.000. Conclusion: The recommendations of this study are for routine workers to perform Mckenzie cervical exercise therapy in each implementation in order to help reduce the scale of neck pain in tofu home industry workers

Foot Massage Menurunkan Nyeri Post Operasi Sectio Caesarea Pada Post Partum

2020 ◽  
Vol 6 (2) ◽  
pp. 164-170
Author(s):  
Dewi Nurlaela Sari ◽  
Aay Rumhaeni
Keyword(s):  
Daily Living ◽  
Rating Scale ◽  
Post Partum ◽  
Numeric Rating Scale ◽  
Sectio Caesarea ◽  
P Value ◽  
Test Design ◽  
Purposive Sampling ◽  
Post Test ◽  
Numeric Rating

ABSTRAK Sectio caesarea merupakan tindakan alternatif dalam proses persalinan untuk menyelamatkan ibu dan janin. Ibu Bersalin dengan operasi sectio caesarea dilakukan pembedahan pada dinding abdomen dan dinding rahim. Dampak yang paling sering muncul dirasakan oleh postpartum dengan post operasi sectio caesarea adalah  nyeri. Nyeri akan berdampak pada bounding attachment terganggu, mobilisasi terbatas, Activity Daily Living (ADL) terganggu serta berpengaruh  terhadap Inisiasi Menyusui Dini (IMD). Asuhan yang diberikan terbatas pada terapi farmakologi dibandingkan  non farmakologi. Foot massage adalah salah satu terapi non farmakologi yang dapat membantu menutup gerbang di posterior horns dari sumsum tulang belakang dan memblokir bagian dari nyeri ke sistem saraf pusat. Tujuan penelitian ini untuk mengetahui pengaruh foot massage terhadap skala nyeri pada klien post operasi sectio caesarea di RS AMC. Penelitian ini merupakan penelitian pre eksperimen dengan pendekatan one group pre test post test design. Jumlah sampel yang digunakan berjumlah 27 orang dengan menggunakan teknik purposive sampling. Instrumen yang digunakan adalah Numeric Rating Scale (NRS) dan prosedur kerja foot massage. Responden dilakukan foot massage selama 20 menit selama 2 hari. Data di analisis dengan menggunakan uji wilcoxon. Hasil penelitian menunjukkan lebih dari setengah klien post operasi sectio caesarea berada di skala nyeri 6 sebelum dilakukan foot massage dan hampir setengah memiliki skala nyeri 3 sesudah dilakukan foot massage dan didapatkan nilai p value = 0.000, sehingga disimpulkan ada pengaruh foot massage terhadap skala nyeri pada klien post operasi sectio caesarea. Diharapkan rumah sakit dapat menjadikan foot massage sebagai salah satu alternatif manajemen non farmakologi dalam penanganan nyeri.   Kata kunci: Foot Massage; Post Partum; Nyeri; Sectio Caesarea      

Efektivitas pencucian luka menggunakan daun jambu biji terhadap tingkat malodor klien luka kaki diabetik

2019 ◽  
Vol 8 (2) ◽  
pp. 152
Author(s):  
Adi Antoni ◽  
Yanna Wari Harahap
Keyword(s):  
Diabetic Foot ◽  
Rating Scale ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Numeric Rating Scale ◽  
P Value ◽  
Consecutive Sampling ◽  
Guava Leaves ◽  
Guava Leaf ◽  
Numeric Rating

Abstrak   Latar belakang: Diabetes mellitus (DM) merupakan penyakit kronik dan menjadi masalah global. Salah satu komplikasi yang ditimbulkan dari DM adalah luka kaki diabetic. Langkah awal dalam perawatan luka kaki diabetic adalah mencuci luka. Tujuan penelitian ini adalah mengetahui keefektifan dari rebusan daun jambu biji sebagai cairan pencuci luka terhadap tingkat malodor pada luka kaki diabetic. Metode: Desain penelitian yang digunakan adalah quasy experiment dengan rancangan one group pretests-posttest only. Teknik sampling yang digunakan adalah consecutive sampling dengan jumlah sampel 16 orang. Kriteria sampel yang digunakan adalah klien luka kaki diabetic, tingkat malodor 1-10 dengan NRS. Alat ukur yang digunakan adalah Numeric Rating Scale (NRS). Analisa data yang digunakan dalam penelitian ini menggunakan uji paired t test. Hasil: tingkat malodor sebelum intervensi pencucuan luka menggunakan rebusan daun jambu biji rata-rata sebesar 4.40 dan sesudah intervensi sebesart 2.44 dengan p value < 0.001. Selisih tingkat malodor antara sebelum dan sesudah intervensi sebesar 1.96. Hasil penelitian ini menunjukkan bahwa daun jambu dapat digunakan sebagai cairan pencuci luka dalam mengatasi tingkat malodor pada luka kaki diabetik. Kesimpulan : daun jambu biji dapat digunakan sebagai cairan pencuci luka pada luka kaki diabetic. Perawat diharapkan dapat memanfaatkan daun jambu biji sebagai salah satu alternatif dalam pencucian luka kronik khususnya luka kaki diabetik.   Kata kunci: Daun Jambu Biji, Tingkat Malodor, Luka Kaki Diabetik   Abstract   Background: Diabetes mellitus (DM) is a chronic disease and a global problem. One of the complications that arise from DM is diabetic foot ulcer. The first step in treating diabetic foot ulcer is washing the wound. The purpose of this study was to determine the effectiveness of guava leaf decoction as a washing fluid for malodor levels in diabetic foot ulcer. Method: The research design used was quasy experiment with one group pretests-posttest only design. The sampling technique used was consecutive sampling with a sample of 16 people. Sample criteria used were diabetic foot ulcer clients, malodor level 1-10 with NRS. The measuring instrument used is the Numeric Rating Scale (NRS). Analysis of the data used in this study used paired t test. Results: the level of malodor before intervening in wound washing using guava leaf decoctions on average was 4.40 and after the intervention was 2.44 with p value <0.001. The difference in the level of malodor between before and after the intervention was 1.96. The results of this study indicate that guava leaves can be used as a washing fluid in dealing with malodor levels in diabetic foot ulcer. Conclusion: Guava leaves can be used as a washing fluid for diabetic foot wounds. Nurses are expected to be able to use guava leaves as an alternative in washing chronic wounds, especially diabetic foot injuries.   Key words: Guava Leaf, Malodor Level, Diabetic foot ulcer.

scholarly journals RCT on the effectiveness of the intraligamentary anesthesia and inferior alveolar nerve block on pain during dental treatment

2021 ◽  
Author(s):  
Bahaa R. Youssef ◽  
Andreas Söhnel ◽  
Alexander Welk ◽  
Mohamed H. Abudrya ◽  
Mohamed Baider ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Nerve Block ◽  
Rating Scale ◽  
Dental Treatment ◽  
Inferior Alveolar Nerve ◽  
Numeric Rating Scale ◽  
Inferior Alveolar Nerve Block ◽  
Posterior Teeth ◽  
Mandibular Posterior Teeth ◽  
Numeric Rating

Abstract Objective To compare the effectiveness and complications of intraligamentary anesthesia (ILA) with conventional inferior alveolar nerve block (IANB) during injection and dental treatment of mandibular posterior teeth. Materials and methods In this randomized, prospective clinical trial, 72 patients (39 males, 33 females), scheduled for dental treatment of mandibular posterior teeth, were randomly allocated to ILA group (n = 35) received ILA injection or IANB group (n = 37) received the conventional IANB. Our primary outcome was to assess pain and stress (discomfort) during the injection and dental treatment, using the numeric rating scale (NRS) from 0 to 10 (0 = no pain, 10= the worst pain imaginable), whereas recording 24-h postoperative complications was our secondary outcomes. Results Patients in ILA group reported significantly less pain during injection when compared with IANB group (p = 0.03), while pain during dental treatment was similar in both groups (p = 0.2). Patients in both groups also reported similar law values of discomfort during treatment (p = 0.7). Although no signs of nerve contact or any other postoperative complications were observed, five patients in IANB group (none in ILA group) reported temporary irritations. Conclusion This study showed equivalent effectiveness of both intraligamentary anesthesia and conventional inferior alveolar nerve block, for pain control during routine dental treatment of mandibular posterior teeth. Nevertheless, ILA showed significantly less pain during injection. No major postoperative complications in both groups were observed. Clinical relevance ILA could be considered as an effective alternative for routine dental treatment. Trial registration NCT04563351

scholarly journals Prevalence of Psychological Distress and Its Risk Factors in Patients with Primary Bone and Soft Tissue Tumors

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 566
Author(s):  
Masato Ise ◽  
Eiji Nakata ◽  
Yoshimi Katayama ◽  
Masanori Hamada ◽  
Toshiyuki Kunisada ◽  
...  
Keyword(s):  
Risk Factors ◽  
Psychological Distress ◽  
Soft Tissue ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Soft Tissue Tumors ◽  
Number Of Patients ◽  
Primary Bone ◽  
Associated Risk Factors ◽  
Numeric Rating

Psychological distress is common in patients with soft tissue and bone tumors. We first investigated its frequency and the associated risk factors in patients with pre-operative bone and soft tissue tumors. Participants included 298 patients with bone and soft tissue tumors who underwent surgery in our institution between 2015 and 2020. Psychological distress was evaluated by the Distress and Impact Thermometer (DIT) that consists of two types of questions (questions about the severity of the patient’s distress (DIT-D) and its impact (DIT-I)). We used a cut-off point of 4 on the DIT-D and 3 on the DIT-I for screening patients with psychological distress. We therefore investigated: (1) the prevalence of psychological distress as assessed with DIT or distress thermometer (DT), which can be decided by DIT-D ≥ 4, (2) what are the risk factors for the prevalence of psychological distress, and (3) what is the number of patients who consulted a psychiatrist for psychological distress in patients with pre-operative bone and soft tissue tumors. With DIT and DT, we identified 64 patients (21%) and 95 patients (32%), respectively, with psychological distress. Multivariate logistic regression revealed that older age, sex (female), malignancy (malignant or intermediate tumor), a lower Barthel Index, and higher numeric rating scale were risk factors for psychological distress. Two patients (3%) consulted a psychiatrist after surgery. In conclusion, careful attention to psychological distress is needed, especially for female patients, older patients, and those with malignant soft or bone tissue tumors who have more than moderate pain.

Frequency, severity, and impact on daily life of delayed and intercycle chemotherapy-induced nausea, vomiting, and retching

2021 ◽  
pp. 030089162199043
Author(s):  
Silvia Gonella ◽  
Dino S. Di Massimo ◽  
Marinella Mistrangelo ◽  
Gianmauro Numico ◽  
Paola Berchialla ◽  
...  
Keyword(s):  
Rating Scale ◽  
Daily Life ◽  
Numeric Rating Scale ◽  
Cross Sectional Study ◽  
Common Side Effect ◽  
Cross Sectional ◽  
Chemotherapy Administration ◽  
Effect Of Treatment ◽  
Numeric Rating ◽  
Observation Period

Introduction: Chemotherapy-induced nausea, vomiting, and retching (CINVR) remains a common side effect of treatment. Most previous studies have focused on vomiting control; nausea and retching have been less explored. This study aimed at describing the incidence, severity, and impact on daily life (IDL) of CINVR in the acute (0–24 hours), delayed (>24–120 hours), and overall (0–120 hours) postchemotherapy periods and beyond 120 hours (until next chemotherapy administration); and the pharmacologic and nonpharmacologic strategies adopted by patients to relieve symptoms. Methods: This was a single-center, cross-sectional study of 60 patients undergoing chemotherapy. Participants reported the frequency, severity, and IDL of CINVR from the day of chemotherapy administration up to 120 hours thereafter and nausea and vomiting that occurred beyond 120 hours, as well as pharmacologic and nonpharmacologic remedies used. Results: Forty-seven (78.3%, 95% confidence interval [CI] 66.4–86.9), 37 (61.7%, 95% CI 49.0–72.9), and 35 (58.3%, 95% CI 45.7–69.9) patients reported no nausea (Numeric Rating Scale ⩽1), vomiting, or retching in the acute, delayed, and overall periods, respectively. Nausea was more frequent, more severe, and had a greater IDL than did vomiting and retching across the overall observation period; beyond 120 hours, 11 (18.3%, 95% CI 10.6–29.9) patients reported nausea and none reported vomiting, with a median IDL of 1/10 (interquartile range: 0.75–5.00; 95% CI 0–7.6). Metoclopramide (n = 57 administrations), dexamethasone (n = 28), eating small servings of food (n = 13), and aloe (n = 11) were the most commonly used rescue therapies. Conclusions: Future studies should set hard outcomes, such as the absence of any symptoms, as a primary end point, and these should be assessed across and beyond the 120-hour period.

Comparison of Frenotomy Techniques for the Treatment of Ankyloglossia in Children: A Systematic Review

2020 ◽  
Vol 163 (3) ◽  
pp. 428-443
Author(s):  
Usman Khan ◽  
Jake MacPherson ◽  
Michael Bezuhly ◽  
Paul Hong
Keyword(s):  
Rating Scale ◽  
Pediatric Population ◽  
Meta Analysis ◽  
Numeric Rating Scale ◽  
Assessment Tools ◽  
Future Research ◽  
Randomized Controlled ◽  
Comprehensive Search ◽  
High Level ◽  
Numeric Rating

Objective To compare the effectiveness of conventional (CF), laser (LF), and Z-plasty (ZF) frenotomies for the treatment of ankyloglossia in the pediatric population. Data Sources A comprehensive search of PUBMED, EMBASE, and COCHRANE databases was performed. Review Methods Relevant articles were independently assessed by 2 reviewers according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Results Thirty-five articles assessing CF (27 articles), LF (4 articles), ZF (3 articles), and/or rhomboid plasty frenotomy (1 article) were included. A high level of outcome heterogeneity prevented pooling of data. All 7 randomized controlled trials (RCTs) were of low quality. Both CF (5 articles with 589 patients) and LF (2 articles with 78 patients) were independently shown to reduce maternal nipple pain on a visual analog or numeric rating scale. There were reports of improvement with breastfeeding outcomes as assessed on validated assessment tools for 88% (7/8) of CF articles (588 patients) and 2 LF articles (78 patients). ZF improved breastfeeding outcomes on subjective maternal reports (1 article with 18 infants) only. One RCT with a high risk of bias concluded greater speech articulation improvements with ZF compared to CF. Only minor adverse events were reported for all frenotomy techniques. Conclusions Current literature does not demonstrate a clear advantage for one frenotomy technique when managing children with ankyloglossia. Recommendations for future research are provided to overcome the methodological shortcomings in the literature. We conclude that all frenotomy techniques are safe and effective for treating symptomatic ankyloglossia.

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