The effects of office-based frenotomy for anterior and posterior ankyloglossia on breastfeeding

O’Callahan, Cliff; Macary, Susan J.; Clemente, Stephanie

doi:10.1016/j.ijporl.2013.02.022

Cited by 76 publications

(88 citation statements)

References 13 publications

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“…Although mothers were aware of the procedure, thus introducing a significant bias, the results demonstrated were in agreement with literature 2 . Moreover, those findings are in agreement with the reports stating that breastfeeding difficulties diminish after lingual frenotomy [2][3][4]6,8,10,[12][13][14][15] . By administering the existing lingual frenulum assessment protocols found in literature 1,11-12 , speech-sanguage pathologists, mainly orofacial motricity/dysphagia specialists, should be able to assess and diagnose tongue-tie interfering with breastfeeding in order to avoid precipitated weaning.…”

Section: Discussionsupporting

confidence: 92%

“…Those findings may be explained by the fact that after lingual frenotomy, the movements of the tongue are released; consequently, the number of sucks increased and the pause length between sucking groups decreased. The results of this study, shown in Table 1, are in agreement with the literature 10, [13][14][15] . M o r e o v e r, t h e l i t e ra t u r e r e p o r t s t h a t independently of the frenulum, ineffective latching may be caused by characteristics of the nipple 12 .…”

Section: Discussionsupporting

confidence: 92%

“…Better latching and breastfeeding quality as well as increasing the time between feedings after frenotomy have been reported in the literature [13][14][15] . Those findings may be explained by the fact that after lingual frenotomy, the movements of the tongue are released; consequently, the number of sucks increased and the pause length between sucking groups decreased.…”

Section: Discussionmentioning

confidence: 99%

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The effects of frenotomy on breastfeeding

2015

Br Dent J

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A lthough the interference of tongue-tie with breastfeeding is a controversial subject, The use of lingual frenotomy has been widely indicated by health professionals. Objective: To observe changes in breastfeeding patterns after lingual frenotomy concerning the number of sucks, pause length between groups of sucking and mother's complaints. Material and Methods: Oral yes/no questions about breastfeeding symptoms and sucking/ swallowing/breathing coordination were answered by the mothers of 109, 30 day old infants. On the same day the infants had their lingual frenulum assessed by administering a lingual frenulum protocol. After the assessment, all tongue-tied infants were referred for frenotomy; nevertheless, only 14 underwent the surgery. Of the 109 infants, 14 infants who did not have frenulum alterations were included as controls. Birth order and gender were the criteria for recruiting the control group. The tongue-tied infants underwent lingual frenotomy at 45 days of age. At the conclusion of the frenotomy, the infants were breastfed. At 75 days old, both groups -control and post-frenotomy -were reassessed. Before the reassessment the same oral yes/no questions were answered by the mothers of the 14 infants who underwent frenotomy. The mothers of the control group answered the questionnaire only at the time of the first assessment. Data were subjected to statistical analysis. Results: After frenotomy, the number of sucks increased and the pause length between sucking decreased during breastfeeding. The controls maintained the same patterns observed in the first assessment. From the questionnaire answered by the mothers of the 14 tongue-tied infants, at 30 days and 75 days, we observed that the symptoms concerning breastfeeding and sucking/swallowing/breathing coordination were improved after lingual frenotomy Conclusions: after lingual frenotomy, changes were observed in the breastfeeding patterns of the the tongue-tied infants while the control group maintained the same patterns. Moreover, all symptoms reported by the mothers of the tongue-tied infants had improved after frenotomy.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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The effects of frenotomy on breastfeeding

2015

Br Dent J

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“…Figura 1: Frênulo da língua em bebês [19] Fonte: Autoria Própria A anquiloglossia, ou língua presa, refere-se a tecido frenular sublingual excessivo resultante da separação incompleta da língua do assoalho da boca durante a embriogênese [20]. A incidência desse diagnóstico é relatada como sendo entre 1,9% e 4,8%, com uma prevalência maior em homens do que em mulheres, com uma taxa de 2,6 para 1 [21].…”

Section: Teste Da Linguinhaunclassified

Sistema de apoio à decisão na realização e acompanhamento do teste da linguinha

Medeiros

Leite

Neto

et al. 2016

Revista Brasileira De Computação Aplicada

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Resumo: Entre os testes da triagem neonatal mais comuns tem-se: orelhinha, olhinho, pezinho, coraçãozinho e linguinha, em que são avaliadas as condições auditiva, visual, sanguínea, de saturação de oxigênio e de movimentação da língua, respectivamente. O contexto deste trabalho refere-se ao teste da linguinha, que verifica se o recém-nascido consegue movimentar corretamente a língua, pois se houver algo obstruindo essa movimentação, o bebê apresentará dificuldades nas funções que ela exerce (engolir, sugar, falar, mastigar, etc.). Sabe-se que identificar problemas na movimentação da língua não é fácil, assim, o auxílio de sistemas computacionais e de processamento inteligente das informações contribuiriam muito para acompanhar e dar suporte aos profissionais de saúde responsáveis pelo teste. Com isso, este trabalho tem como objetivo desenvolver um sistema de apoio à decisão na realização e no acompanhamento do teste da linguinha, utilizando redes neurais artificiais para emissão de alertas e recomendações em situações anormais. Destaca-se que, na concepção da rede neural artificial, foi utilizada uma base de dados criada por meio de protocolos reais fornecidos pelos especialistas que acompanharam o trabalho. Os resultados apresentados foram considerados satisfatórios e relevantes por médicos especialistas, principalmente pelas possibilidades de melhoria no atendimento dos recém-nascidos que pode ser propiciado pelo uso do sistema. (swallowing, sucking, talking, chewing, etc.) Palavras-chave: Assistência neonatal. Redes neurais artificiais. Sistema de apoio à decisão. Abstract: Among the most common newborn screening tests we have: ears, eyes, blood, heart and tongue, which evaluates hearing condition, visual condition, blood condition, oxygen saturation and tongue movement, respectively. The context of this work will be the tongue test where it is important to check that the newborn can properly move his tongue, as if he has something obstructing this movement, will present difficulties in the functions which it exercises

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“…O' Callahan et al [19] suggest that the assessment for tongue tie should be an essential competency for midwives and Hughes [20] similarly suggests that there is no implication for incorporating tongue tie investigations into the existing neonatal examination. The author agrees that the assessment for tongue tie should be included in the initial examination of the new born but in order to insure consistency of diagnosis, the use of diagnostic tool such as the Hazelbaker tool (HATLEF) for presence of tongue tie should be used.…”

Section: The Prevalence/diagnosismentioning

confidence: 99%

Neonatal Tongue Tie: The Effectiveness of Intervention

Breen¹

2016

JPNC

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The promotion of breastfeeding is a major public health concern. The World Health Organisation and UNICEF express the importance of breastfeeding up to two years and beyond. Tongue tie is identified in the literature as abnormally short frenulum which can lead to breastfeeding difficulties such as attachment, nipple pain and damage. Tongue tie is viewed by the Baby friendly hospital initiative (BFHI) as a readily treatable cause for breastfeeding difficulties. This review aimed to identify if the intervention of frenotomy is effective in resolving breastfeeding difficulties. The themes that emerged from the comprehensive review of the literature were the prevalence and diagnosis of tongue tie, the impact of tongue tie on breastfeeding and treating tongue tie and its effect. Frenotomy is widely identified in the literature as successful in benefiting mothers and their infants to continue breastfeeding. There are some key recommendations made for practice in relation to tongue tie. Neonatal Tongue Tie: The Effectiveness of Intervention 2/7

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The effects of office-based frenotomy for anterior and posterior ankyloglossia on breastfeeding

Cited by 76 publications

References 13 publications

The effects of frenotomy on breastfeeding

The effects of frenotomy on breastfeeding

Sistema de apoio à decisão na realização e acompanhamento do teste da linguinha

Neonatal Tongue Tie: The Effectiveness of Intervention

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