Evaluation of the lingual frenulum in newborns using two protocols and its association with breastfeeding

Araujo, Maria da C.M.; Freitas, Rebeca Luiz de; Lima, Maria Goretti de Souza; Kozmhinsky, Veronica Maria da Rocha; Guerra, Cândida Augusta Rebêlo de Moraes; Lima, Geisy Maria Souza; Silva, Amitis Vieira Costa e; Júnior, Paulo Correia de Melo; Arnaud, Manuela; Albuquerque, Emídio Cavalcanti de; Rosenblatt, Aronita

doi:10.1016/j.jped.2018.12.013

Cited by 24 publications

(30 citation statements)

References 19 publications

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“…A study conducted in Canada revealed that the ankyloglossia incidence rates increased from 6.86 per 1,000 live births in 2002 to 22.6 per 1,000 live births in 2014 -when the maternities began examining the frenulum (26) . A study carried out in Spain revealed that the estimated ankyloglossia prevalence in the region was two to three times lower than what was found after diagnosing it with a standardized instrument (Hazelbaker) (15) . A similar result was found in a study conducted in Thailand after using a standardized diagnostic protocol (Kotlow's assessment) (8) .…”

Section: Discussionmentioning

confidence: 84%

“…Breastfeeding is one of the main health promotion practices, especially in less developed countries, which have low socioeconomic and human development indices. As a consequence, inadequate feeding and inefficient basic hygiene are still great causes of child mortality, particularly in the first year of life (15) .…”

Section: Discussionmentioning

confidence: 99%

“…The Brazilian Ministry of Health suggests that the change be diagnosed with the Bristol Tongue Assessment Tool (BTAT) (11,14) . However, such a preference is not backed by scientific evidence, and few studies compare this instrument with other validated ones (15,16) .…”

Section: Introductionmentioning

confidence: 99%

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Diagnóstico de anquiloglossia em recém-nascidos: existe diferença em função do instrumento de avaliação?

Fraga

Barreto

Lira

et al. 2021

CoDAS

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RESUMO Objetivo Diagnosticar a anquiloglossia em recém-nascidos, comparando dois instrumentos de avaliação do frênulo lingual. Método Tratou-se de um estudo transversal, realizado em Recife, PE, Brasil no ano de 2018, com 147 mães/recém-nascidos com idade de até 30 dias de vida. Foram utilizados o Instrumento Bristol Tongue Assessment Tool (BTAT) e o Protocolo de Avaliação do Frênulo da Língua para Bebês (“Teste da Linguinha”). Dados sociodemográficos também foram anotados. Para a comparação entre os dois métodos de diagnóstico da anquiloglossia, foi utilizado o teste de McNemar e foram obtidos o valor da concordância de Kappa e o respectivo intervalo de confiança. Resultados A presença de anquiloglossia foi de 4,8%, quando diagnosticada por meio do BTAT, e de 17,0%, quando utilizado o “Teste da Linguinha”. Com relação ao sexo, 53,1% dos recém-nascidos eram do sexo masculino e 46,9% do sexo feminino; contudo, não houve associação entre a anquiloglossia e o sexo do recém-nascido nos dois métodos de avaliação. Conclusão O diagnóstico da anquiloglossia em recém-nascidos variou em função do instrumento de avaliação utilizado.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

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Diagnóstico de anquiloglossia em recém-nascidos: existe diferença em função do instrumento de avaliação?

Fraga

Barreto

Lira

et al. 2021

CoDAS

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“…Although only a few studies have used standardized criteria to diagnose ankyloglossia 10,14,19,20,36 , it was noted that authors, in general, found some relationship between the alteration and breastfeeding difficulties 14,19,20,21,23,[34][35][36] . In two studies conducted in Brazil, there was a relationship between breastfeeding difficulty complaints and the alteration in the frenulum.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Restricted tongue movement can have implications for oral hygiene, predisposing to dental caries, as well as speech disorders, and bullying in childhood and adolescence, with consequential social and developmental problems. Regarding the newborn, ankyloglossia is a controversial issue within and among medical specialties and multidisciplinary teams, when the nature of its interference in breastfeeding is discussed, as well as the most indicated treatment 2,[19][20][21][22][23] .…”

Section: Introductionmentioning

confidence: 99%

Ankyloglossia and breastfeeding: what is the evidence of association between them?

et al. 2020

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Purpose: to investigate the scientific evidence, in the literature, of the relationship between ankyloglossia and breastfeeding difficulties. Methods: an integrative review of the literature. The MEDLINE and PubMed databases were searched, using the following descriptors in combination: "ankyloglossia", "newborn" and "breastfeeding". The searches included articles published between 2014 and 2019, in Portuguese, English and Spanish. Original articles demonstrating an association between ankyloglossia and breastfeeding issues were selected. Results: a total of 31 articles was fully read in the analysis, 22 of which were excluded and 9 included in the review. There was a diversity of instruments used for the diagnosis of ankyloglossia. In four studies, no standardized evaluation instrument was used for the diagnosis of ankyloglossia, which may limit the analysis of the results. However, most studies have evidenced a possible influence of ankyloglossia on breastfeeding. According to the studies, babies with altered lingual frenulum were more likely to experience difficulties in sucking, showing early weaning, which shows the importance of neonatal screening as a routine protocol in maternity hospitals for the cases of ankyloglossia. Conclusions: ankyloglossia may be related to impaired breastfeeding. The standardization of instruments for the diagnosis of ankyloglossia is necessary to improve the evidence in future research.

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Tongue function characteristics in infants experiencing breastfeeding difficulties and changes in breastfeeding after frenotomy procedures

2021

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Evaluation of the lingual frenulum in newborns using two protocols and its association with breastfeeding

Cited by 24 publications

References 19 publications

Diagnóstico de anquiloglossia em recém-nascidos: existe diferença em função do instrumento de avaliação?

Diagnóstico de anquiloglossia em recém-nascidos: existe diferença em função do instrumento de avaliação?

Ankyloglossia and breastfeeding: what is the evidence of association between them?

Tongue function characteristics in infants experiencing breastfeeding difficulties and changes in breastfeeding after frenotomy procedures

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