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Immediate nipple pain relief after frenotomy in breast-fed infants with ankyloglossia: a randomized, prospective study.
J Pediatr Surg 2006; 41(9):1598-600JP

Abstract

PURPOSE

Ankyloglossia ("tongue-tie") occurs in nearly 5% of neonates, but its clinical significance relating to breast-feeding difficulties is controversial. We tested the hypothesis that in infants with ankyloglossia referred because of breast-feeding difficulties, frenotomy alleviates the symptoms.

METHODS

Twenty-five mothers of healthy infants with ankyloglossia were recruited because of sore nipples. Infants were randomized to either of 2 sequences: (1) frenotomy, breast-feeding, sham, breast-feeding (n = 14) or (2) sham, breast-feeding, frenotomy, breast-feeding (n = 11). The mothers as well as all personnel taking care of the child after each sham or frenotomy procedure were masked as to the study sequence. In every sequence, and after each sham or frenotomy procedure, a standardized latch score and pain score were obtained from the mother.

RESULTS

There was a significant decrease in pain score after frenotomy than after sham (P = .001). There was also a nearly significant improvement in latch after the frenotomy in these mothers (P = .06).

CONCLUSION

Frenotomy appears to alleviate nipple pain immediately after frenotomy. We speculate that ankyloglossia plays a significant role in early breast-feeding difficulties, and that frenotomy is an effective therapy for these difficulties.

Authors+Show Affiliations

Department of Neonatology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel. dolberg@post.tau.ac.ilNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

16952598

Citation

Dollberg, Shaul, et al. "Immediate Nipple Pain Relief After Frenotomy in Breast-fed Infants With Ankyloglossia: a Randomized, Prospective Study." Journal of Pediatric Surgery, vol. 41, no. 9, 2006, pp. 1598-600.
Dollberg S, Botzer E, Grunis E, et al. Immediate nipple pain relief after frenotomy in breast-fed infants with ankyloglossia: a randomized, prospective study. J Pediatr Surg. 2006;41(9):1598-600.
Dollberg, S., Botzer, E., Grunis, E., & Mimouni, F. B. (2006). Immediate nipple pain relief after frenotomy in breast-fed infants with ankyloglossia: a randomized, prospective study. Journal of Pediatric Surgery, 41(9), pp. 1598-600.
Dollberg S, et al. Immediate Nipple Pain Relief After Frenotomy in Breast-fed Infants With Ankyloglossia: a Randomized, Prospective Study. J Pediatr Surg. 2006;41(9):1598-600. PubMed PMID: 16952598.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Immediate nipple pain relief after frenotomy in breast-fed infants with ankyloglossia: a randomized, prospective study. AU - Dollberg,Shaul, AU - Botzer,Eyal, AU - Grunis,Esther, AU - Mimouni,Francis B, PY - 2006/9/6/pubmed PY - 2006/9/30/medline PY - 2006/9/6/entrez SP - 1598 EP - 600 JF - Journal of pediatric surgery JO - J. Pediatr. Surg. VL - 41 IS - 9 N2 - PURPOSE: Ankyloglossia ("tongue-tie") occurs in nearly 5% of neonates, but its clinical significance relating to breast-feeding difficulties is controversial. We tested the hypothesis that in infants with ankyloglossia referred because of breast-feeding difficulties, frenotomy alleviates the symptoms. METHODS: Twenty-five mothers of healthy infants with ankyloglossia were recruited because of sore nipples. Infants were randomized to either of 2 sequences: (1) frenotomy, breast-feeding, sham, breast-feeding (n = 14) or (2) sham, breast-feeding, frenotomy, breast-feeding (n = 11). The mothers as well as all personnel taking care of the child after each sham or frenotomy procedure were masked as to the study sequence. In every sequence, and after each sham or frenotomy procedure, a standardized latch score and pain score were obtained from the mother. RESULTS: There was a significant decrease in pain score after frenotomy than after sham (P = .001). There was also a nearly significant improvement in latch after the frenotomy in these mothers (P = .06). CONCLUSION: Frenotomy appears to alleviate nipple pain immediately after frenotomy. We speculate that ankyloglossia plays a significant role in early breast-feeding difficulties, and that frenotomy is an effective therapy for these difficulties. SN - 1531-5037 UR - https://www.unboundmedicine.com/medline/citation/16952598/Immediate_nipple_pain_relief_after_frenotomy_in_breast_fed_infants_with_ankyloglossia:_a_randomized_prospective_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3468(06)00381-2 DB - PRIME DP - Unbound Medicine ER -