Modest benefit of frenotomy for infants with ankyloglossia and breastfeeding difficulties

Bundogji, Nour; Zamora, Steven; Brigger, Matthew T.; Jiang, Wen

doi:10.1016/j.ijporl.2020.109985

Cited by 16 publications

(25 citation statements)

References 20 publications

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“…Our analysis found that infants with an anterior tongue-tie were signi cantly more likely to undergo frenotomy versus those with a mid or posterior tongue-tie (p < 0.005). This is concordant with current international recommendations 5 Evidence does support that anterior tongue-tie can impact on feeding and that frenotomy may be of bene t in these infants 5,14 . At present there is no evidence within the literature to suggest that posterior tongue-ties negatively impact on an infant's feeding 5 .…”

Section: Discussionsupporting

confidence: 85%

“…Within our study we found a higher proportion of infants presenting with ankyloglossia associated with failure to thrive underwent frenotomy. Previous studies have demonstrated that frenotomy is of more bene t in those infants that are breastfed 5,14 . In our analysis, a higher proportion of breastfed infants referred to our clinic with ankyloglossia underwent frenotomy.…”

Section: Discussionmentioning

confidence: 99%

“…As such the majority of infants with ankyloglossia do not require further assessment or treatment. The rate of frenotomy performed on infants referred with suspected ankyloglossia to a given clinic or institution varies within the literature 14,18 . This appears to be largely due to two factors.…”

Section: Discussionmentioning

confidence: 99%

“…Infants referred to our clinic with suspected ankyloglossia are seen and treated on an urgent basis in line with international best practice 14 . If ankyloglossia is impacting on an infant's ability to feed and develop it is vital that this be corrected as soon as possible.…”

Section: Discussionmentioning

confidence: 99%

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Friend or Frenotomy: A Single Institution’s Experience With Ankyloglossia

Corbett

Cleere

Patil

et al. 2021

Preprint

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Introduction/AimAnkyloglossia, or ‘tongue-tie’, is a common congenital anomaly in which a short lingual frenulum or genioglossus muscle restricts tongue movement. Ankyloglossia can be graded from 1 (most severe) to 4 (least severe). The effects of ankyloglossia can include breastfeeding and articulation issues; however, many infants will have no symptoms or developmental problems. The surgical intervention for ankyloglossia is frenotomy. This can be performed in the outpatient setting in small infants. Ankyloglossia referrals in neonates and small infants necessitate an urgent referral to the ear nose and throat (ENT) clinic in order to facilitate breast feeding and weight gain. We sought to analyse the ankyloglossia service in a district general hospital setting from referral to outpatient clinic. MethodsWe retrospectively analysed a consecutive cohort of babies referred to the Ear Nose and Throat service for consideration of frenotomy over an 18 month period, We analysed data from referral including demographics and clinical information, we recorded information from the clinical consultation and procedure details if frenotomy was performed.ResultsBetween 1 January 2019 and 31 January 2021 referrals were made for consideration of frenotomy, all appointments were seen within 2 weeks. 55.3% of referrals were sent from public health nurses, 25.5% from primary care, 10.6% from lactation consultants and 8.5% from paediatric consultants. Of 47 referrals, a frenotomy was performed in 30 babies. All frenotomies were performed without complications.ConclusionInformation on ankyloglossia is varied and available information is conflicting, without any clear standardised guideline or treatment algorithm. Referral indications can be unclear and result in unnecessary clinic appointments in an already heavily burdened service. Frenotomy can be performed safely by a trained clinician in an outpatient setting with minimal equipment.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Friend or Frenotomy: A Single Institution’s Experience With Ankyloglossia

Corbett

Cleere

Patil

et al. 2021

Preprint

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“…Em contrapartida aos resultados satisfatórios (11)(12)(13)18) , na melhoria dos sintomas relacionados à anquiloglossia presentes durante o AM após a frenotomia lingual, alguns pais não experienciam tais benefícios. De acordo com Bundogji et al (2020) (18) , em sua amostra, 20% das mães não relataram algum tipo de progresso relativo ao AM posterior à frenotomia lingual. E conforme o estudo de Webb, Hao e Hong (2013) (25) é observado que a liberação da língua presa leva a uma facilitação do AM, aumento na transferência de leite para o lactente, contribuindo assim, para uma proteção do mamilo da mãe e saúde da mama.…”

Section: Discussionunclassified

A importância da frenotomia lingual na amamentação de bebês diagnosticados com anquiloglossia / The importance of lingual frenotomy in breastfeeding babies diagnosed with ankyloglossia

Melo¹,

Rodrigues²,

Carvalho³

et al. 2021

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Avaliar a importância da realização da frenotomia lingual, quando necessária, em bebês diagnosticados com anquiloglossia, para uma melhora na prática da amamentação. Material e método: Foi realizada uma revisão integrativa da literatura utilizando trabalhos das bases de dados MEDLINE/PubMed e SciELO Brasil, sendo considerados os descritores indexados no DeCS (Descritores de Ciências da Saúde) e MeSH (Medical Subject Headings

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