Audit of tongue‐tie division in neonates with breastfeeding difficulties: how we do it

Neonatal Tongue Tie: The Effectiveness of Intervention

“…The study concluded that if feeding is problematic tongue tie should be divided as soon as possible to reduce early breastfeeding cessation. Berry et al [23] furthermore discuss the age of division, in Berry et al [23] RCT the age range was 5-115 days, with the median age of 23 days, similar in other studies, Hogan et al 2005 20 days median age, Argiria et al [16] median age 4 weeks old. In studies, Ridgers et al [12] discuss an early division undertaken at 10 days median age, Amir et al [21] 12.5 days median age, the results concluded the same.…”

“…On review it must be taken into consideration that tongue ties are more common in male babies, Ridgers et al [12] found a 64% male precedence, Argiris et al [16] found 71% male and Hogan et al (2005) found 61% male. However in a study by Mettias et al [17] the male female ratio was identical at 49.2% and 50.8%.…”

Aetiology, diagnosis and treatment of Ankyloglossia

“…The incision is horizontal-rhomboidal 22 and it's located next to the tongue, in distance of the floor of the mouth, so as to avoid the incision of any vascular tissue 2 . Argiris et al mentioned 24 patients with excessive blood loss 14 .…”

“…Steehler et al mention 8 patients who underwent additional procedure due to the scar or incomplete clipping 15 . Argiris et al mentioned 3 of 46 patients who required repetitive surgery and 24 of 46 patients with noticeable blood loss 14 .…”

“…There is also discordance in how frenotomy affects the quality of breastfeeding. In several studies, it has been observed a remarkable enhancement in breastfeeding effectiveness after the surgical procedure 10,[12][13][14] . Research showed that infants who had undergone frenotomy, improved their weight gain, maternal nipple pain was reduced and the breastfeeding was prolonged 10,[12][13][14][15] .…”