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Tongue-tie division to treat breastfeeding difficulties: our experience.
J Laryngol Otol 2015; 129(10):986-9JL

Abstract

OBJECTIVES

To assess the benefits of frenotomy on breastfeeding in infants, and determine the influence of age.

METHODS

A telephone questionnaire of all patients diagnosed with tongue-tie over 12 months was conducted pre-intervention and 1-month post-intervention. The Infant Breastfeeding Assessment Tool was used to assess breastfeeding.

RESULTS

Of 54 infants diagnosed with tongue-tie, 78 per cent of mothers participated in the survey. Eighty-six per cent of patients underwent frenotomy, with no surgical complications. In the frenotomy group, 81 per cent of mothers reported improvement in breastfeeding, versus 17 per cent in the non-surgical group (p = 0.0074). In the frenotomy group, the mean (±standard deviation) Infant Breastfeeding Assessment Tool score was 3.33 ± 1.51 pre-intervention, versus 9.19 ± 2.44 post-intervention (p = 0.0001). In the non-surgical intervention group, the mean score (±standard deviation) was 4.17 ± 0.75 pre-intervention, versus 6.00 ± 1.73 post-intervention (p = 0.16). For infants who underwent frenotomy, there was a reported improvement in 94 per cent of those aged less than 30 days, versus 68 per cent in infants aged over 30 days (p = 0.092).

CONCLUSION

Frenotomy is a safe, short procedure that improves breastfeeding outcomes, and is best performed at an early age.

Authors+Show Affiliations

Department of Otorhinolaryngology,Whipps Cross Hospital,London,UK.Department of Otorhinolaryngology,Whipps Cross Hospital,London,UK.

Pub Type(s)

Clinical Study
Journal Article

Language

eng

PubMed ID

26314750

Citation

Sharma, S D., and S Jayaraj. "Tongue-tie Division to Treat Breastfeeding Difficulties: Our Experience." The Journal of Laryngology and Otology, vol. 129, no. 10, 2015, pp. 986-9.
Sharma SD, Jayaraj S. Tongue-tie division to treat breastfeeding difficulties: our experience. J Laryngol Otol. 2015;129(10):986-9.
Sharma, S. D., & Jayaraj, S. (2015). Tongue-tie division to treat breastfeeding difficulties: our experience. The Journal of Laryngology and Otology, 129(10), pp. 986-9. doi:10.1017/S002221511500225X.
Sharma SD, Jayaraj S. Tongue-tie Division to Treat Breastfeeding Difficulties: Our Experience. J Laryngol Otol. 2015;129(10):986-9. PubMed PMID: 26314750.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tongue-tie division to treat breastfeeding difficulties: our experience. AU - Sharma,S D, AU - Jayaraj,S, Y1 - 2015/08/28/ PY - 2015/8/29/entrez PY - 2015/9/1/pubmed PY - 2016/5/3/medline KW - Ankyloglossia KW - Breast Feeding KW - Tongue Tie SP - 986 EP - 9 JF - The Journal of laryngology and otology JO - J Laryngol Otol VL - 129 IS - 10 N2 - OBJECTIVES: To assess the benefits of frenotomy on breastfeeding in infants, and determine the influence of age. METHODS: A telephone questionnaire of all patients diagnosed with tongue-tie over 12 months was conducted pre-intervention and 1-month post-intervention. The Infant Breastfeeding Assessment Tool was used to assess breastfeeding. RESULTS: Of 54 infants diagnosed with tongue-tie, 78 per cent of mothers participated in the survey. Eighty-six per cent of patients underwent frenotomy, with no surgical complications. In the frenotomy group, 81 per cent of mothers reported improvement in breastfeeding, versus 17 per cent in the non-surgical group (p = 0.0074). In the frenotomy group, the mean (±standard deviation) Infant Breastfeeding Assessment Tool score was 3.33 ± 1.51 pre-intervention, versus 9.19 ± 2.44 post-intervention (p = 0.0001). In the non-surgical intervention group, the mean score (±standard deviation) was 4.17 ± 0.75 pre-intervention, versus 6.00 ± 1.73 post-intervention (p = 0.16). For infants who underwent frenotomy, there was a reported improvement in 94 per cent of those aged less than 30 days, versus 68 per cent in infants aged over 30 days (p = 0.092). CONCLUSION: Frenotomy is a safe, short procedure that improves breastfeeding outcomes, and is best performed at an early age. SN - 1748-5460 UR - https://www.unboundmedicine.com/medline/citation/26314750/Tongue_tie_division_to_treat_breastfeeding_difficulties:_our_experience_ L2 - https://www.cambridge.org/core/product/identifier/S002221511500225X/type/journal_article DB - PRIME DP - Unbound Medicine ER -