{"id":"https://openalex.org/W4410128050","doi":"https://doi.org/10.1111/scd.70046","title":"Cerebral Palsy and Ankyloglossia: Improved Sleep, Speech, Swallowing, and Breathing After Tongue\u2010Tie Release: A Case Series","display_name":"Cerebral Palsy and Ankyloglossia: Improved Sleep, Speech, Swallowing, and Breathing After Tongue\u2010Tie Release: A Case Series","publication_year":2025,"publication_date":"2025-05-01","ids":{"openalex":"https://openalex.org/W4410128050","doi":"https://doi.org/10.1111/scd.70046","pmid":"https://pubmed.ncbi.nlm.nih.gov/40326489","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12053819"},"language":"en","primary_location":{"id":"doi:10.1111/scd.70046","doi":"https://doi.org/10.1111/scd.70046","is_oa":true,"landing_page_url":"https://doi.org/10.1111/scd.70046","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/scd.70046","source":{"id":"https://openalex.org/S51610931","display_name":"Special Care in Dentistry","issn_l":"0275-1879","issn":["0275-1879","1754-4505"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Special Care in Dentistry","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/scd.70046","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5012873844","display_name":"Richard Baxter","orcid":"https://orcid.org/0000-0002-7468-0040","observed_orcids":["https://orcid.org/0000-0002-7468-0040"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Richard Baxter","raw_affiliation_strings":["Alabama Tongue\u2010Tie Center  Pelham Alabama USA"],"raw_orcid":"https://orcid.org/0000-0002-7468-0040","affiliations":[{"raw_affiliation_string":"Alabama Tongue\u2010Tie Center  Pelham Alabama USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5077262669","display_name":"Robyn Merkel\u2010Walsh","orcid":"https://orcid.org/0009-0009-6264-8973","observed_orcids":["https://orcid.org/0009-0009-6264-8973"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Robyn Merkel\u2010Walsh","raw_affiliation_strings":["Diamond Myo  Ridgefield New Jersey USA"],"raw_orcid":"https://orcid.org/0009-0009-6264-8973","affiliations":[{"raw_affiliation_string":"Diamond Myo  Ridgefield New Jersey USA","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5012873844"],"corresponding_institution_ids":[],"apc_list":{"value":3240,"currency":"USD","value_usd":3240},"apc_paid":{"value":3240,"currency":"USD","value_usd":3240},"fwci":1.4186,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.7622922,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":95},"biblio":{"volume":"45","issue":"3","first_page":"e70046","last_page":"e70046"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13813","display_name":"Oral and Craniofacial Lesions","score":0.9779999852180481,"subfield":{"id":"https://openalex.org/subfields/3504","display_name":"Oral Surgery"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13813","display_name":"Oral and Craniofacial Lesions","score":0.9779999852180481,"subfield":{"id":"https://openalex.org/subfields/3504","display_name":"Oral Surgery"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11097","display_name":"Cerebral Palsy and Movement Disorders","score":0.01860000006854534,"subfield":{"id":"https://openalex.org/subfields/2742","display_name":"Rehabilitation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11374","display_name":"Cleft Lip and Palate Research","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/3504","display_name":"Oral Surgery"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cerebral-palsy","display_name":"cerebral palsy","score":0.9909999966621399},{"id":"https://openalex.org/keywords/ankyloglossia","display_name":"ankyloglossia","score":0.9980000257492065},{"id":"https://openalex.org/keywords/speech-clarity","display_name":"speech clarity","score":0.7120000123977661},{"id":"https://openalex.org/keywords/swallowing","display_name":"swallowing","score":0.9110000133514404},{"id":"https://openalex.org/keywords/sleep","display_name":"sleep","score":0.5709999799728394},{"id":"https://openalex.org/keywords/breathing","display_name":"breathing","score":0.9049999713897705},{"id":"https://openalex.org/keywords/postural-stability","display_name":"postural stability","score":0.9070000052452087},{"id":"https://openalex.org/keywords/fascial-tension","display_name":"fascial tension","score":0.8880000114440918},{"id":"https://openalex.org/keywords/gastrointestinal-symptoms","display_name":"gastrointestinal symptoms","score":0.9850000143051147},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.9419999718666077},{"id":"https://openalex.org/keywords/pediatric-patients","display_name":"pediatric patients","score":0.8190000057220459}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9212535619735718},{"id":"https://openalex.org/C112497637","wikidata":"https://www.wikidata.org/wiki/Q211669","display_name":"Swallowing","level":2,"score":0.8763298392295837},{"id":"https://openalex.org/C2779421357","wikidata":"https://www.wikidata.org/wiki/Q210427","display_name":"Cerebral palsy","level":2,"score":0.691154420375824},{"id":"https://openalex.org/C2779744641","wikidata":"https://www.wikidata.org/wiki/Q9614","display_name":"Tongue","level":2,"score":0.6652143001556396},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.5716475248336792},{"id":"https://openalex.org/C66445296","wikidata":"https://www.wikidata.org/wiki/Q1142879","display_name":"Pharyngeal reflex","level":2,"score":0.5335671901702881},{"id":"https://openalex.org/C2779926553","wikidata":"https://www.wikidata.org/wiki/Q3022368","display_name":"Myofascial release","level":3,"score":0.522013247013092},{"id":"https://openalex.org/C39300077","wikidata":"https://www.wikidata.org/wiki/Q9530","display_name":"Breathing","level":2,"score":0.5206201076507568},{"id":"https://openalex.org/C2780596822","wikidata":"https://www.wikidata.org/wiki/Q623289","display_name":"Dysphagia","level":2,"score":0.41213729977607727},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.41052156686782837},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.2594115734100342},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.2059529423713684},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.16549798846244812},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.11033615469932556},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000072676","descriptor_name":"Ankyloglossia","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D000072676","descriptor_name":"Ankyloglossia","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D002547","descriptor_name":"Cerebral Palsy","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":true},{"descriptor_ui":"D002547","descriptor_name":"Cerebral Palsy","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D002547","descriptor_name":"Cerebral Palsy","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003679","descriptor_name":"Deglutition","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012119","descriptor_name":"Respiration","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012890","descriptor_name":"Sleep","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":false},{"descriptor_ui":"D013060","descriptor_name":"Speech","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.1111/scd.70046","doi":"https://doi.org/10.1111/scd.70046","is_oa":true,"landing_page_url":"https://doi.org/10.1111/scd.70046","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/scd.70046","source":{"id":"https://openalex.org/S51610931","display_name":"Special Care in Dentistry","issn_l":"0275-1879","issn":["0275-1879","1754-4505"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Special Care in Dentistry","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:10865794","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12053819","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmid:40326489","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40326489","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12053819","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12053819/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Spec Care Dentist","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1111/scd.70046","doi":"https://doi.org/10.1111/scd.70046","is_oa":true,"landing_page_url":"https://doi.org/10.1111/scd.70046","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/scd.70046","source":{"id":"https://openalex.org/S51610931","display_name":"Special Care in Dentistry","issn_l":"0275-1879","issn":["0275-1879","1754-4505"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","medline","norway-1","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Special Care in Dentistry","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4410128050.pdf","grobid_xml":"https://content.openalex.org/works/W4410128050.grobid-xml"},"referenced_works_count":33,"referenced_works":["https://openalex.org/W587067758","https://openalex.org/W2033023222","https://openalex.org/W2069517848","https://openalex.org/W2119687280","https://openalex.org/W2128349022","https://openalex.org/W2136982835","https://openalex.org/W2145712482","https://openalex.org/W2155003145","https://openalex.org/W2156544481","https://openalex.org/W2606228759","https://openalex.org/W2808723323","https://openalex.org/W2886204823","https://openalex.org/W2945851999","https://openalex.org/W2964164014","https://openalex.org/W2971176292","https://openalex.org/W3003406845","https://openalex.org/W3008474657","https://openalex.org/W3029665503","https://openalex.org/W3153325105","https://openalex.org/W3158120059","https://openalex.org/W3161611026","https://openalex.org/W3175759955","https://openalex.org/W3176941049","https://openalex.org/W3211689864","https://openalex.org/W4214947736","https://openalex.org/W4229012410","https://openalex.org/W4288826042","https://openalex.org/W4386046671","https://openalex.org/W4387564142","https://openalex.org/W4392516117","https://openalex.org/W4400514370","https://openalex.org/W4400845728","https://openalex.org/W4402004062"],"related_works":["https://openalex.org/W3029665503","https://openalex.org/W2808723323","https://openalex.org/W4394976370","https://openalex.org/W6907396839","https://openalex.org/W4407178384","https://openalex.org/W4200225592","https://openalex.org/W1978425967","https://openalex.org/W2251363495","https://openalex.org/W2463709016","https://openalex.org/W6912034350"],"abstract_inverted_index":{"AIMS:":[0],"To":[1],"assess":[2],"the":[3,23,79,120,183,196],"impact":[4],"of":[5,25,65,67,100,122,158,177,185],"tongue-tie":[6,49],"(ankyloglossia)":[7],"and":[8,21,45,58,103,125,139,152,174,195],"lip-tie":[9,53],"release":[10,50,80,121],"on":[11,62],"functional":[12,76,126],"outcomes":[13,173],"in":[14,28,128,141,161,189],"pediatric":[15],"patients":[16,35,73],"with":[17,36,51,130,143,163,191],"cerebral":[18],"palsy":[19],"(CP)":[20],"explore":[22],"role":[24],"oral":[26,123,134,159,187],"restrictions":[27,124,135,147,160,188],"hindering":[29],"therapy":[30],"progress.":[31],"METHODS:":[32],"Four":[33],"female":[34],"CP,":[37],"aged":[38],"10":[39],"months,":[40],"3":[41],"years,":[42,44,47],"6":[43],"7":[46],"underwent":[48],"concomitant":[52],"and/or":[54],"buccal-tie":[55],"release.":[56],"Pre-":[57],"postprocedure":[59],"assessments":[60],"focused":[61],"parental":[63],"reports":[64],"quality":[66,176],"life":[68],"improvements.":[69],"RESULTS:":[70],"All":[71],"four":[72],"demonstrated":[74],"significant":[75],"improvements":[77,83],"following":[78],"procedures.":[81],"Reported":[82],"included":[84],"better":[85],"speech":[86],"clarity,":[87],"more":[88],"effective":[89],"swallowing,":[90,151],"improved":[91,104],"breathing,":[92],"increased":[93],"postural":[94],"balance,":[95],"reduced":[96],"fascial":[97],"tension,":[98],"alleviation":[99],"gastrointestinal":[101],"symptoms,":[102],"sleep":[105],"patterns.":[106],"These":[107],"changes":[108],"were":[109],"observed":[110],"consistently":[111],"across":[112],"all":[113],"patients,":[114],"suggesting":[115],"a":[116],"positive":[117],"correlation":[118],"between":[119],"gains":[127],"children":[129,142,162,190],"CP.":[131,144],"CONCLUSIONS:":[132],"Undiagnosed":[133],"may":[136,148],"impair":[137],"mobility":[138],"development":[140],"Addressing":[145],"these":[146],"improve":[149],"speech,":[150],"other":[153,166],"critical":[154],"functions.":[155],"Proper":[156],"assessment":[157],"CP":[164],"or":[165],"comorbidities":[167],"is":[168],"essential":[169],"to":[170],"optimize":[171],"therapeutic":[172],"enhance":[175],"life.":[178],"This":[179],"case":[180],"series":[181],"highlights":[182],"importance":[184],"considering":[186],"special":[192],"healthcare":[193],"needs":[194],"ongoing":[197],"need":[198],"for":[199],"further":[200],"research.":[201]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2025-05-07T00:00:00"}