Breastfeeding problems should be the only relevant criteria for deciding whether to carry out a frenotomy in infancy

Hentschel, Roland

doi:10.1111/apa.14439

Cited by 8 publications

(10 citation statements)

References 26 publications

(18 reference statements)

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“…After further review, 14 studies met the criteria for data extraction and analysis (Table 3 ) 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 and 11 were excluded for the following reasons: 8 were reviews, 2 used classification systems not related to the current review and 1 had overlapping treatment groups (Table 2 ). 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 …”

Section: Resultsmentioning

confidence: 99%

“…The lack of agreement has made the management of tongue‐tie challenging, since not all patients with tongue‐tie will have difficulties in breastfeeding or speech. Despite the recent call for the creation of standardized tools for tongue‐tie identification, 4 there is little or no agreement regarding a standardized clinical assessment method, resulting in minimal use of existing classification protocols to evaluate and manage tongue‐tie 30,36 . Because of the high level of heterogeneity between existing classification systems reported in the literature, comparative analysis is challenging.…”

Section: Discussionmentioning

confidence: 99%

“…16 Similarly, Ballard et al (2002) reported low HATLFF functional and appearance mean scores (7.9 AE 1.86 and 4.9 AE 1.81, respectively) and demonstrated a significant reduction in pain scores (P < 0.001) from 6.9 AE 2.31 to 1.2 AE 1.52 after tongue-tie release. 12 (2020) 29 Observational Overlapping treatment groups Kotlow LA (2013) 31 Review Study conducted was a review Hentschel R (2018) 30 Review Study conducted was a review Kotlow L (2011) 39 Review Study conducted was a review Shekher R, et al…”

Section: Studies With Breastfeeding Outcomesmentioning

confidence: 99%

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Effectiveness of tongue‐tie assessment tools in diagnosing and fulfilling lingual frenectomy criteria: a systematic review

Hatami

Dreyer

Meade

et al. 2022

Australian Dental Journal

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It is unclear how effective tongue-tie classification assessment tools are in diagnosing symptomatic tongue-tie and fulfilling lingual frenectomy criteria. The purpose of this systematic review is to determine and evaluate any association between tongue-tie severity, as measured by pre-treatment assessment tools, and post-operative outcome following tongue-tie division. PubMed, EMBASE, and the Cochrane search engines were used to retrieve articles published between 1947 and 2021. Included studies consisted of patients with symptomatic tongue-tie, assessment by either the Coryllos, Kotlow, or Hazelbaker Assessment Tool for Lingual Frenulum Function (HATLFF) classification tool, and tongue-tie division. A total of 205 abstracts were identified; 31 studies met the criteria for a full-text review, of which, only 14 studies met the criteria for data extraction and analysis. Six studies used the HATLFF, 2 studies used the Kotlow, 5 studies used the Coryllos, and 1 study used a combination of both Kotlow and Coryllos methods. Significant heterogeneity was evident across all studies. No statistical correlation between the two variables could be determined. Although tongue-tie division procedures appear to provide benefits in breastfeeding and speech, there are no data to suggest a statistically significant association between the severity of tongue-tie, and the correct identification of patients who would benefit from tongue-tie division.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Studies With Breastfeeding Outcomesmentioning

confidence: 99%

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Effectiveness of tongue‐tie assessment tools in diagnosing and fulfilling lingual frenectomy criteria: a systematic review

Hatami

Dreyer

Meade

et al. 2022

Australian Dental Journal

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“… found that there were considerable professional and geographical differences in the diagnosis and treatment of infants with tongue‐tie. A review by Hentschel concluded that breastfeeding problems should be the only relevant criterion for carrying out a frenotomy in infancy.…”

Section: Debate Continues On Whether To Cut or Not To Cut Tongue‐tiesmentioning

confidence: 99%

Highlights in this issue

Käll¹,

Lagercrantz²

2018

Acta Paediatrica

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“…Tongue‐tie, also called ankyloglossia, is defined as a congenital disorder of the tongue, where a short or tight frenulum fixates the tongue to the floor of the mouth. The tongue‐tie is frequently attached to the tip of the tongue and inhibits its mobility . The prevalence of tongue‐tie varies in the literature between 1% and 10% due to a lack of diagnostic standards and a universal definition .…”

Section: Introductionmentioning

confidence: 99%

The role of tongue‐tie in breastfeeding problems—A prospective observational study

et al. 2019

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This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. Abstract Aim:We evaluated what determined breastfeeding problems in a non-selected mother-infant cohort, with special reference to tongue-tie and improvements in breastfeeding following frenulotomy. Methods:This 2014-2015 prospective, observational study was carried out in a tertiary level maternity unit affiliated to the University of Freiburg, Germany, using a breastfeeding questionnaire, standardised breastfeeding scores and the Assessment Tool For Lingual Frenulum Function (ATLFF). The standard intervention was breastfeeding support, a frenulotomy for tongue-tie was performed if necessary. All cases of breastfeeding problems and, or tongue-tie, were followed up by telephone 2.5 weeks after birth. Results:We enrolled 776 newborn-mother dyads: 345 had breastfeeding problems, 116 had a tongue-tie and 30 underwent a frenulotomy. In the multivariate analysis, severe breastfeeding problems were more frequent in newborn infants with tonguetie, with an odds ratio (OR) of 2.6 (P= 0.014). Other risk factors were: no breastfeeding experience (OR 4.4, P = 0.001), low birth weight (OR 2.9, P = 0.001), prematurity (OR 3.6, P = 0.000) and Caesarean section (OR 1.6, P = 0.023). There was a significant reduction in breastfeeding problems after frenulotomy (P = 0.01). Conclusion:Tongue-tie had a significant impact on breastfeeding and so did low birth weights and prematurity. Frenulotomy proved helpful when breastfeeding problems were reported. K E Y W O R D Sankyloglossia, breastfeeding problems, frenulotomy, Hazelbaker score, tongue-tie

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Breastfeeding problems should be the only relevant criteria for deciding whether to carry out a frenotomy in infancy

Abstract: The cornerstones for best practice are the meticulous examination, correct diagnosis and classification of tongue-tied infants.

Cited by 8 publications

References 26 publications

Effectiveness of tongue‐tie assessment tools in diagnosing and fulfilling lingual frenectomy criteria: a systematic review

Effectiveness of tongue‐tie assessment tools in diagnosing and fulfilling lingual frenectomy criteria: a systematic review

Highlights in this issue

The role of tongue‐tie in breastfeeding problems—A prospective observational study

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