Tongue‐tie and frenotomy: what evidence do we have and what do we need?

Walsh, Jonathan; Tunkel, David E.

doi:10.5694/mja17.00806

Cited by 6 publications

(1 citation statement)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This may partially explain increases in diagnosis and surgical intervention of this condition (Wei et al, 2020). Interestingly, the increase in interventions have occurred in the absence of high-level evidence supporting the practice, and with only limited consensus among some healthcare providers (Messner et al, 2020; Walsh & Tunkel, 2018). The absence of conclusive professional guidance may explain this finding (Jin et al, 2018; Messner et al, 2020) and the increasing visibility of tongue-tie on social media platforms (Grond et al, 2021; Messner et al, 2020; Ray et al, 2020; Wei et al, 2020) could be important drivers of this phenomenon.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2023

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

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

et al. 2023

View full text Add to dashboard Cite

show abstract

A multifaceted programme to reduce the rate of tongue-tie release surgery in newborn infants: Observational study

Dixon

Gray

Elliot

et al. 2018

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

Establishing consistent multidisciplinary assessment of tongue-tie in infants with feeding difficulties led to a marked reduction in frenotomy intervention rate. 23% of the frenotomy group in the 2016 audit showed a significant improvement in the ability to breastfeed, but overall there was no difference in the feeding pattern of infants who either received or were declined a frenotomy. The development of a supportive education programme and availability of online information about tongue-tie for health professionals and consumers contributed to successful uptake of the new clinical pathway.

show abstract

Major complications after tongue-tie release: A case report and systematic review

Solís-Pazmiño

Kim

Lincango-Naranjo

et al. 2020

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

Tongue‐tie and frenotomy: what evidence do we have and what do we need?

Cited by 6 publications

References 14 publications

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

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

A multifaceted programme to reduce the rate of tongue-tie release surgery in newborn infants: Observational study

Major complications after tongue-tie release: A case report and systematic review

Contact Info

Product

Resources

About