Aims: The aim of the study was to examine the experiences and outcomes of frenotomy treatment in neonates and children with ankyloglossia and to explore any subsequent complications. Patients and Methods: This is a retrospective, cross-sectional study of all pediatric cases of ankyloglossia that initially underwent frenotomy over a period of 5 years, in 2015–2020, across a number of departments in three tertiary centers in Jeddah, Saudi Arabia. Results: The most common indications were feeding difficulty in infants under 4 months and speech difficulty in children over 4 months. Following frenotomy, improvements were observed in symptomatic (96%) and asymptomatic (≈70%) children. Overall complications in the frenotomy procedure, including any minor bleeding, were found to be minimal. Conclusion: Ankyloglossia is a common disorder, but its effects on feeding and speaking are difficult to determine objectively, owing to the complexity of individual cases. Most of the babies in the present study improved following frenotomy, which is a simple, time-efficient, low-cost, and safe procedure.

Objectives: To evaluate the variability in perspectives between pediatric surgeons and pediatric urologists in managing cryptorchidism. Methods: We conducted this survey among pediatric surgeons and pediatric urologists managing cryptorchidism in Saudi Arabia in October 2020. We distributed a questionnaire to 187 consultants using the Google forms platform. We collected data related to the consultant’s experience, preoperative management, management of nonpalpable testes, management of palpable undescended testes, management of the cryptorchidism in special situations. Results: The response rate was 77% for pediatric surgeons (n=77) and 46% for pediatric urologists (n=40). The number of cases managed by each specialty per year differed significantly ( p =0.02); however, there was no significant difference in their experience ( p =0.37). The preferred age for orchidopexy was 6-12 months for both specialties. Pediatric surgeons tend to prescribe preoperative ultrasound more frequently for nonpalpable testes ( p =0.05). Laparoscopy was the preferred surgical approach by both specialties. Management of intra-abdominal testes not reaching the contralateral internal ring differed between groups ( p <0.001), and it was related to the number of procedures performed annually ( p =0.03). Both groups responded differently to the management of unsatisfactory testicular position after orchidopexy ( p <0.001). Pediatric surgeons managed it with either observation or re-operative inguinal orchidopexy; however, most pediatric urologists preferred re-operative inguinal orchidopexy. This response was affected by the number of procedures performed annually ( p =0.04). Conclusion: In Saudi Arabia, practicing pediatric surgeons and pediatric urologists have different perspectives in the management of cryptorchidism. The results of this survey demonstrated the need to establish national guidelines to manage patients with cryptorchidism.

Congenital midline cervical cleft is an extremely rare anterior neck defect. We describe a case of a male newborn with midline cervical cleft outlining aspects of diagnosis and stressing the importance of early diagnosis and surgical treatment.