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Tongue tie: the evidence for frenotomy.
Early Hum Dev 2014; 90(11):765-8EH

Abstract

Tongue tie or ankyloglossia is a congenital variation characterised by a short lingual frenulum which may result in restriction of tongue movement and thus impact on function. Tongue tie division (frenotomy) in affected infants with breastfeeding problems yields objective improvements in milk production and breastfeeding characteristics, including objective scoring measures, weight gain and reductions in maternal pain. For the majority of mothers, frenotomy appears to enhance maintenance of breastfeeding. Tongue tie division is a safe procedure with minimal complications. The commonest complication is minor bleeding. Recurrence leading to redivision occurs with rates of 0.003-13% reported; this appears to be more common with posterior than anterior ties. There are limited reports indicating that prophylactic frenotomy may promote subsequent speech development; however, evidence is currently insufficient to condone this practice and further good quality research into this area is warranted.

Authors+Show Affiliations

Heart of England NHS Foundation Trust, Bordesley Green East, Birmingham B9 5SS, United Kingdom. Electronic address: alastair.brookes@doctors.net.uk.Heart of England NHS Foundation Trust, Bordesley Green East, Birmingham B9 5SS, United Kingdom. Electronic address: doug.bowley@heartofengland.nhs.uk.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

25258296

Citation

Brookes, Alastair, and Douglas M. Bowley. "Tongue Tie: the Evidence for Frenotomy." Early Human Development, vol. 90, no. 11, 2014, pp. 765-8.
Brookes A, Bowley DM. Tongue tie: the evidence for frenotomy. Early Hum Dev. 2014;90(11):765-8.
Brookes, A., & Bowley, D. M. (2014). Tongue tie: the evidence for frenotomy. Early Human Development, 90(11), pp. 765-8. doi:10.1016/j.earlhumdev.2014.08.021.
Brookes A, Bowley DM. Tongue Tie: the Evidence for Frenotomy. Early Hum Dev. 2014;90(11):765-8. PubMed PMID: 25258296.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tongue tie: the evidence for frenotomy. AU - Brookes,Alastair, AU - Bowley,Douglas M, Y1 - 2014/09/23/ PY - 2014/9/27/entrez PY - 2014/9/27/pubmed PY - 2015/8/6/medline KW - Ankyloglossia KW - Breastfeeding KW - Division KW - Frenotomy KW - Frenulotomy KW - Tongue tie SP - 765 EP - 8 JF - Early human development JO - Early Hum. Dev. VL - 90 IS - 11 N2 - Tongue tie or ankyloglossia is a congenital variation characterised by a short lingual frenulum which may result in restriction of tongue movement and thus impact on function. Tongue tie division (frenotomy) in affected infants with breastfeeding problems yields objective improvements in milk production and breastfeeding characteristics, including objective scoring measures, weight gain and reductions in maternal pain. For the majority of mothers, frenotomy appears to enhance maintenance of breastfeeding. Tongue tie division is a safe procedure with minimal complications. The commonest complication is minor bleeding. Recurrence leading to redivision occurs with rates of 0.003-13% reported; this appears to be more common with posterior than anterior ties. There are limited reports indicating that prophylactic frenotomy may promote subsequent speech development; however, evidence is currently insufficient to condone this practice and further good quality research into this area is warranted. SN - 1872-6232 UR - https://www.unboundmedicine.com/medline/citation/25258296/Tongue_tie:_the_evidence_for_frenotomy_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0378-3782(14)00207-2 DB - PRIME DP - Unbound Medicine ER -