Prevalence of Breastfeeding Difficulties in Newborns with a Lingual Frenulum: A Prospective Cohort Series

Haham, Alon; Marom, Ronella; Mangel, Laurence; Botzer, Eyal; Dollberg, Shaul

doi:10.1089/bfm.2014.0040

Cited by 47 publications

(47 citation statements)

References 9 publications

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“…A lingual frenulum is a normal anatomical finding whose insertion point and Coryllos classification are not correlated with breastfeeding difficulties [27]. We use the Coryllos classification in combination with breastfeeding challenges.…”

Section: Discussionmentioning

confidence: 99%

Management of Ankyloglossia and Breastfeeding Difficulties in the Newborn: Breastfeeding Sessions, Myofunctional Therapy, and Frenotomy

Ferrés-Amat

Pastor-Vera

Rodríguez-Alessi

et al. 2016

Case Reports in Pediatrics

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The problems of suction in newborns give rise to multiple consequences for both the mother and the newborn. The objective of this paper is to present a case of ankyloglossia (“tongue-tie”) and the suction problems that were treated by a multidisciplinary team. The subject is a 17-day-old male patient, with ankyloglossia and suction problems during breastfeeding (pain in the breastfeeding mother, poor weight gain, and long breastfeeds). The patient followed the circuit established in our centre between the services of Oral and Maxillofacial Surgery and Breastfeeding and Speech Therapy and Orofacial Rehabilitation (CELERE). The evolution following the breastfeeding sessions, the myofunctional stimulation, and the lingual frenotomy was very favourable, thereby solving the suction problems that the newborn presented. All our patients receive breastfeeding sessions and myofunctional therapy as treatment. We know that a frenotomy is not always necessary and we believe that the stimulation of sucking before and after the surgical intervention is important in order to improve the final result.

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Section: Discussionmentioning

confidence: 99%

Management of Ankyloglossia and Breastfeeding Difficulties in the Newborn: Breastfeeding Sessions, Myofunctional Therapy, and Frenotomy

Ferrés-Amat

Pastor-Vera

Rodríguez-Alessi

et al. 2016

Case Reports in Pediatrics

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“…As these grading systems encompass all possible morphological variants of the lingual frenulum, they create the possibility of any frenulum being allocated a grade of ankyloglossia and therefore be considered “abnormal.” The use of these grading systems, together with a paucity of knowledge of frenulum anatomical structure seem to have contributed to confusion regarding what is “normal” frenulum anatomy. As lingual frenulum is present in almost all infants (Haham et al, ), the presence of a frenulum should not in itself be considered abnormal or diagnostic of ankyloglossia. Furthermore, no direct correlation has been shown between these gradings and the presence of breastfeeding difficulties or outcomes following frenotomy.…”

Section: Introductionmentioning

confidence: 99%

Defining the anatomy of the neonatal lingual frenulum

et al. 2019

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The lingual frenulum is recognized as having the potential to limit tongue mobility, which may lead to difficulties with breastfeeding in some infants. There is extensive variation between individuals in the appearance of the lingual frenulum but an ambiguous relationship between frenulum appearance and functional limitation. An increasing number of infants are being diagnosed with ankyloglossia, with growing uncertainty regarding what can be considered "normal" lingual frenulum anatomy. In this study, microdissection of four fresh tissue premature infant cadavers shows that the lingual frenulum is a dynamic, layered structure formed by oral mucosa and the underlying floor of mouth fascia, which is mobilized into a midline fold with tongue elevation and/or retraction. Genioglossus is suspended from the floor of mouth fascia, and in some individuals can be drawn up into the fold of the frenulum. Branches of the lingual nerve are located superficially on the ventral surface of the tongue, immediately beneath the fascia, making them vulnerable to injury during frenotomy procedures. This research challenges the longstanding belief that the lingual frenulum is a midline structure formed by a submucosal "band" or "string" and confirms that the neonatal lingual frenulum structure replicates that recently described in the adult. This article provides an anatomical construct for understanding and describing variability in lingual frenulum morphology and lays the foundation for future research to assess the impact of specific anatomic variants of lingual frenulum morphology on tongue mobility. Clin. Anat. 32:824-835, 2019.

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“…Dos protocolos disponíveis, parece ser o mais adequado para realização da triagem neonatal 11 . Grande parte dos estudos transversais e ensaios clínicos randomizados relatam que a frenotomia melhora a qualidade da amamentação dos bebês 5,[24][25][26]29 , e que lactentes com anquiloglossia têm menor chance de serem amamentados nas primeiras semanas de vida, além de apresentarem maior risco de serem alimentados exclusivamente na mamadeira na primeira semana de vida comparados a lactentes sem anquiloglossia 11 . Porém, as revisões sistemáticas acerca do tema 2,28,33 não são precisas em sua conclusão, e ressaltam que a força de evidência é baixa, devido a pobre metodologia empregada nos estudos e as dificuldades inerentes à classificação do freio lingual, no entanto apontam para um efeito positivo da frenotomia sobre a melhora na amamentação.…”

Section: Discussionunclassified

“…Um estudo de coorte desenvolvido por Haham et al 26 (2014) não foi suficientemente consistente para afirmar qual tipo de freio lingual, classificado de acordo com Coryllos e Salloum 27 (2016), apresenta relação com problemas de amamentação. No entanto, os resultados foram coletados com pouco tempo de acompanhamento (2 semanas) e o tipo de classificação usada, também pode ser questionada.…”

Section: Tratamento Cirúrgico Da Anquiloglossiaunclassified

Frenotomia lingual em lactentes

Procopio¹,

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Lia

2017

Rev. da Fac. de Odontologia, UPF

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IntroduçãoAnquiloglossia é uma anomalia de desenvolvimento da língua, que pode ocorrer de forma parcial ou total, na qual o freio lingual se encontra mais curto, resultando na limitação dos seus movimentos [1][2][3] . Em lactentes, a anquiloglossia pode gerar dificuldades na amamentação, uma vez que a deglutição e sucção estão relacionadas a este processo. Essa situação pode chegar a causar dificuldade de ganho de peso da criança e dor no mamilo da mãe durante o ato de amamentar, e assim, levar a um desmame precoce e prejuízo do desenvolvimento normal da criança 2,4,5 . Além disso, podem também ocorrer limitações do movimento da língua durante o choro e a lalação e posteriormente, dificuldades de dicção 3 . Em casos mais graves, pode levar também a deficiência de crescimento da mandíbula 6 . O diagnóstico deve ser realizado precocemente, com o objetivo da intervenção cirúrgica para remoção do freio, a fim de otimizar a amamentação, garantindo assim conforto à criança e à mãe 4 . A resolução da anquiloglossia é cirúrgica, por meio

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Prevalence of Breastfeeding Difficulties in Newborns with a Lingual Frenulum: A Prospective Cohort Series

Cited by 47 publications

References 9 publications

Management of Ankyloglossia and Breastfeeding Difficulties in the Newborn: Breastfeeding Sessions, Myofunctional Therapy, and Frenotomy

Management of Ankyloglossia and Breastfeeding Difficulties in the Newborn: Breastfeeding Sessions, Myofunctional Therapy, and Frenotomy

Defining the anatomy of the neonatal lingual frenulum

Frenotomia lingual em lactentes

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