Aerophagia Induced Reflux in Breastfeeding Infants With Ankyloglossia and Shortened Maxillary Labial Frenula (Tongue and Lip Tie)

Siegel, Scott A.

doi:10.14740/ijcp246w

Cited by 24 publications

(23 citation statements)

References 8 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some breastfeeding specialists have documented an improvement in maternal self‐efficacy; this improvement in self‐efficacy is an established predictor for continued breastfeeding . In children with reflux symptomatology, clinical improvement has been suggested following frenotomy . Due to the complex and multifactorial nature of infant reflux, and because of the lack of published studies trying to determine correlation between tongue‐tie and reflux symptoms, further investigation is warranted.…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding improvement following tongue‐tie and lip‐tie release: A prospective cohort study

Cole²,

et al. 2016

View full text Add to dashboard Cite

Objectives/HypothesisNumerous symptoms may arise that prevent mother‐infant dyads from maintaining desired breastfeeding intervals. Investigations into treatments that positively influence breastfeeding outcomes allow for improved patient counseling for treatment decisions to optimize breastfeeding quality. This investigation aimed to determine the impact of surgical tongue‐tie/lip‐tie release on breastfeeding impairment.Study DesignProspective, cohort study from June 2014 to April 2015 in a private practice setting.MethodsStudy participants consisted of breastfeeding mother–infant (0–12 weeks of age) dyads with untreated ankyloglossia and/or tethered maxillary labial frenula who completed preoperative, 1 week, and 1 month postoperative surveys consisting of the Breastfeeding Self‐Efficacy Scale‐Short Form (BSES‐SF), visual analog scale (VAS) for nipple pain severity, and the revised Infant Gastroesophageal Reflux Questionnaire (I‐GERQ‐R). Breastmilk intake was measured preoperatively and 1 week postoperatively.ResultsA total of 237 dyads were enrolled after self‐electing laser lingual frenotomy and/or maxillary labial frenectomy. Isolated posterior tongue‐tie was identified in 78% of infants. Significant postoperative improvements were reported between mean preoperative scores compared to 1 week and 1 month scores of the BSES‐SF (F (2) = 212.3; P < .001), the I‐GERQ‐R (F (2) = 85.3; P < .001), and VAS pain scale (F (2) = 259.8; P < .001). Average breastmilk intake improved 155% from 3.0 (2.9) to 4.9 (4.5) mL/min (P < .001).ConclusionsSurgical release of tongue‐tie/lip‐tie results in significant improvement in breastfeeding outcomes. Improvements occur early (1 week postoperatively) and continue to improve through 1 month postoperatively. Improvements were demonstrated in both infants with classic anterior tongue‐tie and less obvious posterior tongue‐tie. This study identifies a previously under‐recognized patient population that may benefit from surgical intervention if abnormal breastfeeding symptoms exist.Level of Evidence2c Laryngoscope, 127:1217–1223, 2017

show abstract

Section: Introductionmentioning

confidence: 99%

Breastfeeding improvement following tongue‐tie and lip‐tie release: A prospective cohort study

Cole²,

et al. 2016

View full text Add to dashboard Cite

show abstract

“…While it may be true that symptoms of (GER) will eventually resolve as the infant gets older, advising parents to just wait it out and have their infants continue to have pain, cry, act fussy, and remain uncomfortable from three to twelve months is not comforting for parents [7,8].…”

Section: Air Induced Refluxmentioning

confidence: 99%

The Breastfeeding Dilemma: Misdiagnosed TOTS or Just Ignoring their Existence?

Kotlow¹

2018

Med Case Rep J

View full text Add to dashboard Cite

show abstract

“…Oral dysfunction can begin with our very first breath and with our very first feeding . OMD can become apparent as children learn to speak and transition to table food .…”

Section: Introductionmentioning

confidence: 99%

“…Oral dysfunction can begin with our very first breath and with our very first feeding. 1 OMD can become apparent as children learn to speak 2 and transition to table food. 3 Most children with OMD are diagnosed after experiencing articulation disorder, sleep-disordered breathing (SDB) 4 or malocclusion.…”

mentioning

confidence: 99%

Oral dysfunction as a cause of malocclusion

D'Onofrio

2019

Orthod Craniofacial Res

View full text Add to dashboard Cite

Structured AbstractThis narrative review surveys current research demonstrating how oral dysfunction can escalate into malocclusion, acquired craniofacial disorder and contribute to generational dysfunction, disorder and disease.IntroductionBaseline orthodontic consultations are generally recommended beginning age seven. However, the dysmorphic changes that result in malocclusion are often evident years earlier. Similarly, following orthodontic treatment, patients require permanent retention when the bite is not stable, and without such retention, the malocclusion can return.Setting and PopulationNarrative review article including research on infants, children and adults.Materials and MethodsThis review is a brief survey of the symptomology of orofacial myofunctional disorder and outlines 10 areas of oral function that impact occlusal and facial development: breastfeeding, airway obstruction, soft tissue restriction, mouth breathing, oral resting posture, oral habits, swallowing, chewing, the impact of orofacial myofunctional disorder (OMD) over time and maternal oral dysfunction on the developing foetus.ConclusionMalocclusions and their acquired craniofacial dysmorphology are the result of chronic oral dysfunction and OMD. In order to achieve long‐term stability of the face, it is critical to understand the underlying pathologies contributing to malocclusion, open bite and hard palate collapse.

show abstract

Aerophagia Induced Reflux in Breastfeeding Infants With Ankyloglossia and Shortened Maxillary Labial Frenula (Tongue and Lip Tie)

Abstract: Background: Infants with tongue and possible lip tie often have a poor latch in which there is often an inadequate seal around the breast and disorganized swallowing. As a result, many of these infants swallow air during breastfeeding. Many of these infants suffer from symptoms of reflux.

Cited by 24 publications

References 8 publications

Breastfeeding improvement following tongue‐tie and lip‐tie release: A prospective cohort study

Breastfeeding improvement following tongue‐tie and lip‐tie release: A prospective cohort study

The Breastfeeding Dilemma: Misdiagnosed TOTS or Just Ignoring their Existence?

Oral dysfunction as a cause of malocclusion

Contact Info

Product

Resources

About