A quick snip – A study of the impact of outpatient tongue tie release on neonatal growth and breastfeeding

Miranda, Benjamin H.; Milroy, Catherine

doi:10.1016/j.bjps.2010.04.003

Cited by 37 publications

(60 citation statements)

References 5 publications

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“…The protocol correlates anatomic and functional aspects. That may contribute to an accurate diagnosis and treatment avoiding early weaning and/or poor weight gain [9][10][11][12][13][14][15][16][17][18] . The aim of this study is to identify the anatomical characteristics of the lingual frenulum interfering with the functions of sucking and swallowing in full-term infants in order to re-design the experimental protocol proposed by Martinelli et al 8 .…”

Section: Introductionmentioning

confidence: 99%

Protocolo de avaliação do frênulo lingual para bebês: relação entre aspectos anatômicos e funcionais

Martinelli¹,

Marchesan

Berretin-Felix

2013

Rev. CEFAC

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OBJETIVO: verificar quais características do frênulo da língua influenciam nas funções de sucção e deglutição em bebês nascidos a termo, com a finalidade de propor adequações no protocolo proposto por Martinelli et al (2012). MÉTODO: foi aplicado o protocolo de avaliação do frênulo da língua em 100 bebês saudáveis nascidos a termo. Os filmes obtidos na avaliação foram analisados por duas fonoaudiólogas especialistas em MO, com experiência em avaliação de frênulo lingual. Foram aplicados os testes Qui-quadrado seguido do teste exato de Fisher, além da análise de variância, considerando os dados qualitativos e quantitativos, respectivamente. RESULTADOS: nos 16 bebês que apresentaram alteração do frênulo lingual, verificou-se a relação entre: a tendência do posicionamento da língua durante o choro e o tempo entre as mamadas; a forma da língua quando elevada e o cansaço para mamar; bem como a fixação do frênulo na língua e o movimento da língua na sucção não nutritiva. Pela análise dos dados dos bebês com alteração de frênulo lingual, foi possível definir as características indicativas de alteração, que possibilitaram a adequação do protocolo inicial, e a atribuição de escores. CONCLUSÃO: a forma da língua, quando elevada durante o choro, influencia o movimento da língua durante a sucção não nutritiva, e o ponto de fixação do frênulo na língua influencia o ritmo da sucção durante a amamentação. O novo protocolo com escores é uma ferramenta efetiva para avaliar e diagnosticar alterações anatômicas do frênulo da língua e suas possíveis interferências na amamentação.

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Section: Introductionmentioning

confidence: 99%

Protocolo de avaliação do frênulo lingual para bebês: relação entre aspectos anatômicos e funcionais

Martinelli¹,

Marchesan

Berretin-Felix

2013

Rev. CEFAC

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“…Forty-six studies reported that they looked for harms; either reporting actual harms or reporting that they found none. These included 5 RCTs, 7-11 1 cohort study, 12 25 case series, 13,15,16,[18][19][20][21][24][25][26][27][28][29][30]32,33,[35][36][37][38][39][40][41][42][43] and 15 case reports. [44][45][46][47][48][49][50][51][52][53][54][55][56][57][58] Most studies reporting harms information explicitly noted that no significant harms were observed (n = 17) 7,[9][10][11]13,15,18,20,24,…”

mentioning

confidence: 99%

Treatment of Ankyloglossia and Breastfeeding Outcomes: A Systematic Review

Krishnaswami²,

2015

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OBJECTIVE: Ankyloglossia is a congenital condition characterized by an abnormally short, thickened, or tight lingual frenulum that restricts tongue mobility. The objective of this study was to systematically review literature on surgical and nonsurgical treatments for infants with ankyloglossia.METHODS: Medline, PsycINFO, Cumulative Index of Nursing and Allied Health Literature, and Embase were searched up to August 2014. Two reviewers independently assessed studies against predetermined inclusion/exclusion criteria. Two reviewers independently extracted data regarding participant and intervention characteristics and outcomes and assigned quality and strength-of-evidence ratings.RESULTS: Twenty-nine studies reported breastfeeding effectiveness outcomes (5 randomized controlled trials [RCTs], 1 retrospective cohort, and 23 case series). Four RCTs reported improvements in breastfeeding efficacy by using either maternally reported or observer ratings, whereas 2 RCTs found no improvement with observer ratings. Although mothers consistently reported improved effectiveness after frenotomy, outcome measures were heterogeneous and short-term. Based on current literature, the strength of the evidence (confidence in the estimate of effect) for this issue is low. We included comparative studies published in English. The evidence base is limited, consisting of small studies, short-term outcomes, and little information to characterize participants adequately. No studies addressed nonsurgical interventions, longerterm breastfeeding or growth outcomes, or surgical intervention compared with other approaches to improve breastfeeding, such as lactation consultation.CONCLUSIONS: A small body of evidence suggests that frenotomy may be associated with motherreported improvements in breastfeeding, and potentially in nipple pain, but with small, shortterm studies with inconsistent methodology, strength of the evidence is low to insufficient. Dr Francis conceptualized and designed the study, and drafted the initial manuscript; Dr McPheeters conceptualized and designed the study, carried out the initial analyses, and reviewed and revised the manuscript; Dr Krishnaswami carried out the initial analyses, and reviewed and revised the manuscript; and all authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work. Despite these studies, consensus on the role of ankyloglossia in breastfeeding difficulties is lacking. A minority of surveyed pediatricians (10%) and otolaryngologists (30%) believe ankyloglossia commonly affects feeding, whereas 69% of lactation consultants feel that it frequently causes breastfeeding problems. 3 Therefore, depending on the audience, enthusiasm for its treatment varies. Currently, the National Health Service and the Canadian Pediatric Society recommend treatment if ankyloglossia interferes with breastfeeding. 4 However, a standard definition of "interference" with breastfeeding is not provided, leaving room for interpretation and variation in treatment thr...

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“…One was an RCT 11 (fair quality), 1 was a poor-quality retrospective cohort study, 4 and the remaining study was a case series. 9 All studies were singlecenter or single-surgeon studies. Two studies were conducted in the United Kingdom 9,11 and 1 study in the United States.…”

Section: Feeding Outcomesmentioning

confidence: 99%

“…Supplementary bottle-feedings decreased over time in the case series. 9 With only 2 comparative studies, both with significant methodological limitations, including heterogeneous populations and measured outcomes, existing data are insufficient to draw conclusions about the benefits of surgical interventions on medium-and longterm or nonbreastfeeding feeding (ie, bottle) outcomes for infants and children with ankyloglossia.…”

Section: Figurementioning

confidence: 99%

Treatment of Ankyloglossia for Reasons Other Than Breastfeeding: A Systematic Review

Chinnadurai

Francis

Epstein³

et al. 2015

Pediatrics

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A quick snip – A study of the impact of outpatient tongue tie release on neonatal growth and breastfeeding

Cited by 37 publications

References 5 publications

Protocolo de avaliação do frênulo lingual para bebês: relação entre aspectos anatômicos e funcionais

Protocolo de avaliação do frênulo lingual para bebês: relação entre aspectos anatômicos e funcionais

Treatment of Ankyloglossia and Breastfeeding Outcomes: A Systematic Review

Treatment of Ankyloglossia for Reasons Other Than Breastfeeding: A Systematic Review

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