Ankyloglossia and Tethered Oral Tissue

Talmor, Guy; Caloway, Christen

doi:10.1016/j.pcl.2021.12.007

Cited by 5 publications

(8 citation statements)

References 42 publications

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“…That most participants reported providing human milk at the time of participation, and expressed having latch difficulties, feeding concerns, and fussiness as the most frequent reasons for seeking healthcare provider assistance was in keeping with prior work exploring early feeding concerns among breastfeeding mothers in general (Feenstra et al, 2018; Gianni et al, 2019), and those with infants experiencing tongue-tie (Talmor & Caloway, 2022). To our knowledge, this survey was among the first to intentionally explore these concerns among breastfeeding participants who ultimately elected for surgical intervention of one or more tissues.…”

Section: Discussionsupporting

confidence: 66%

“…To our knowledge, there remains little consensus as to the appropriateness of which, and what combination of, tethered oral tissue(s) may ultimately be of benefit to the breastfeeding experience (Messner et al, 2020; Shah et al, 2021; Talmor & Caloway, 2022). In addition to the need for high-quality evidence regarding the relationship between release of individual and combinations of oral ties on breastfeeding outcomes, longitudinal studies are needed to evaluate longer-term outcomes of tissue-release, including the transition to solid feeds and oral and speech development.…”

Section: Discussionmentioning

confidence: 99%

“…It is important to note that assessment, diagnosis, and treatment remain subjects of debate, both in terms of validated tools and of disciplinary scope of practice (Costa-Romero et al, 2021; Messner et al, 2020). These issues both cause, and are caused by, a lack of definitive evidence that surgical release of tissue(s) result in sustained improvements in breastfeeding (e.g., improve inadequate milk-transfer, reduce maternal pain; Talmor & Caloway, 2022). Until there are answers to these significant outstanding questions, involvement of multiple disciplines in the referral pathway may provide optimal support of a struggling breastfeeding dyad (Dixon et al, 2018; Messner et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Although tongue-tie technically refers to a “short” or “thick” lingual frenula (e.g., tissue tethering tongue to floor of mouth), it is often used as a catch-all term describing any combination of issues with three tissues: the lingual, labial, or buccal (or lateral) frenum (Messner et al, 2020), each of which has been implicated in latch difficulties (Merritt, 2019). Despite conflicting viewpoints about an association between tongue-tie and poor latch (Larrain & Stevenson, 2022; Talmor & Caloway, 2022), there is a persistent and increasing belief among parents that the association exists as a recent evaluation of online search-term use, Aaronson et al (2018) reported. This may partially explain increases in diagnosis and surgical intervention of this condition (Wei et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

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Tethered Oral Tissue Release Among Breastfed Infants: Maternal Sources of Information and Treatment

et al. 2023

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Background: Despite limited clinical consensus regarding surgery for tethered oral tissues (“tongue-tie”) for resolving breastfeeding-related issues, the procedure has been increasing in the United States. Greater understanding of maternal experiences with obtaining surgical release may help to improve breastfeeding outcomes. Research Aim: To explore experiences of breastfeeding mothers with infants having undergone “tongue-tie” surgery. Method: This online, cross-sectional, observational survey occurred between August and September 2020. Eligibility included being ≥ 18 years of age and previously or currently breastfeeding an infant with ≥ 1 tissue surgically released. Of 463 screens, 318 mothers were eligible and 115 consented. The final sample was 90. Results: The sample was predominantly white ( n = 86; 95%), non-Hispanic ( n = 84; 93%), married/cohabitating ( n = 85; 94%), and currently providing their own milk ( n = 81; 89%). Difficult latch was the primary reason for seeking help. Participants reported lingual ( n = 84; 93%), labial ( n = 79; 88%), and buccal ( n = 16; 17%) tissue-release, with 80% ( n = 73) reporting > 1 released. For each tissue released, > 80% ( n = 72) of participants felt “very confident” in their ability to correctly identify it and 97% ( n = 87) felt “very involved” and “strongly agreed” with surgical release. International Board Certified Lactation Consultants® were the most frequently identified source of information ( n = 45; 50%) and referrals ( n = 38; 42%), while pediatric dentists most frequently performed interventions ( n = 60; 67%). Conclusions: Participants reported being confident, involved, and in agreement with surgical release and lactation support professionals were frequent information and referral sources.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Tethered Oral Tissue Release Among Breastfed Infants: Maternal Sources of Information and Treatment

et al. 2023

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“…In contrast, a minority of physicians (10% of pediatricians and 30% of otolaryngologists) agreed that ankyloglossia commonly affects feeding . Some clinicians believe that posterior tongue tie can also cause neonatal feeding disorders (Ghaheri et al, 2022;O'Callahan et al, 2013;Pransky et al, 2015), while others do not agree that this anomaly exists (Messner et al, 2020;Talmor & Caloway, 2022).…”

Section: Functional Effects Of Ankyloglossiamentioning

confidence: 99%

Ankyloglossia: Typical Characteristics, Effects on Function, and Clinical Implications

Kummer

2023

Semin Speech Lang

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The purpose of this article is to (1) define the diagnostic characteristics of ankyloglossia, (2) identify potential problems associated with ankyloglossia, and (3) discuss treatment options, when treatment is appropriate. This article is based on a review of the literature, including recent systematic reviews, and the author's experience as a cleft and orofacial specialist. Ankyloglossia is a common congenital condition characterized by an anterior attachment of the lingual frenulum on the tongue. This causes difficulty elevating and/or protruding the tongue tip. As such, ankyloglossia has been thought to affect neonatal feeding, speech, and other functions. Although systematic reviews have concluded that most infants with ankyloglossia can be fed normally, a small percentage of affected infants will show improved efficiency of feeding post-frenotomy. They also concluded that frenotomy may relieve nipple pain in the breastfeeding mothers of affected infants. Regarding speech, the systematic reviews concluded that there is no evidence that ankyloglossia causes speech disorders. This may be because simple compensations will result in normal acoustics of the sounds. Therefore, frenotomy should be recommended sparingly for newborn infants, and it should rarely, if ever, be recommended for speech disorders.

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