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Management of posterior ankyloglossia and upper lip ties in a tertiary otolaryngology outpatient clinic.

Abstract

OBJECTIVES

Recent studies have shown an association between ankyloglossia (tongue tie) and upper-lip ties to breastfeeding difficulties. Treatment is commonly multidisciplinary involving lactation consultants and surgical management with tongue tie and upper lip tie release. There is currently limited data looking at posterior ankyloglossia and upper lip ties.

METHODS

Consecutive patients seen at an ENT outpatient clinic for ankyloglossia and upper-lip ties from May 2014-August 2015 were assessed for an outpatient frenotomy. Breastfeeding outcomes were assessed following the procedure.

RESULTS

43 babies were seen and 34 patients had a procedure carried out. Babies ranged from 2 to 20 weeks old with the median age being 6.6 weeks. The most common presenting complaint was latching issues (85%) with mothers' painful nipples being the second (65%). 21 patients (62%) had a tongue tie release, 10 (29%) had both a tongue tie and upper lip tie divided, whereas 3 (9%) had an upper-lip tie alone divided. 29 (85%) of the patients who had a procedure carried out had an immediate improvement in breastfeeding, while 28 (82%) had a continued improvement at 2 weeks follow up.

CONCLUSIONS

Frenotomy for posterior ankyloglossia and upper lip ties is a simple procedure that can be carried out in an outpatient setting with apparent immediate benefit. Otolaryngologists are likely to have an increasing role to play in the evaluation and management of ankyloglossia and upper lip ties in babies with breastfeeding difficulties.

Authors+Show Affiliations

Department of Otoarlyngology, Wellington Public Hospital, 56 Riddiford Street, Newtown, Wellington 6021, New Zealand. Electronic address: larabenoiton@yahoo.com.Neonatal Intensive Care Unit, Wellington Public Hospital, 56 Riddiford Street, Newtown, Wellington 6021, New Zealand.Department of Otoarlyngology, Wellington Public Hospital, 56 Riddiford Street, Newtown, Wellington 6021, New Zealand.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27497378

Citation

Benoiton, Lara, et al. "Management of Posterior Ankyloglossia and Upper Lip Ties in a Tertiary Otolaryngology Outpatient Clinic." International Journal of Pediatric Otorhinolaryngology, vol. 88, 2016, pp. 13-6.
Benoiton L, Morgan M, Baguley K. Management of posterior ankyloglossia and upper lip ties in a tertiary otolaryngology outpatient clinic. Int J Pediatr Otorhinolaryngol. 2016;88:13-6.
Benoiton, L., Morgan, M., & Baguley, K. (2016). Management of posterior ankyloglossia and upper lip ties in a tertiary otolaryngology outpatient clinic. International Journal of Pediatric Otorhinolaryngology, 88, pp. 13-6. doi:10.1016/j.ijporl.2016.06.037.
Benoiton L, Morgan M, Baguley K. Management of Posterior Ankyloglossia and Upper Lip Ties in a Tertiary Otolaryngology Outpatient Clinic. Int J Pediatr Otorhinolaryngol. 2016;88:13-6. PubMed PMID: 27497378.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of posterior ankyloglossia and upper lip ties in a tertiary otolaryngology outpatient clinic. AU - Benoiton,Lara, AU - Morgan,Maggie, AU - Baguley,Katherine, Y1 - 2016/06/18/ PY - 2016/03/11/received PY - 2016/06/15/revised PY - 2016/06/16/accepted PY - 2016/8/7/entrez PY - 2016/8/9/pubmed PY - 2017/3/24/medline KW - Ankyloglossia KW - Frenotomy KW - Upper lip tie SP - 13 EP - 6 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 88 N2 - OBJECTIVES: Recent studies have shown an association between ankyloglossia (tongue tie) and upper-lip ties to breastfeeding difficulties. Treatment is commonly multidisciplinary involving lactation consultants and surgical management with tongue tie and upper lip tie release. There is currently limited data looking at posterior ankyloglossia and upper lip ties. METHODS: Consecutive patients seen at an ENT outpatient clinic for ankyloglossia and upper-lip ties from May 2014-August 2015 were assessed for an outpatient frenotomy. Breastfeeding outcomes were assessed following the procedure. RESULTS: 43 babies were seen and 34 patients had a procedure carried out. Babies ranged from 2 to 20 weeks old with the median age being 6.6 weeks. The most common presenting complaint was latching issues (85%) with mothers' painful nipples being the second (65%). 21 patients (62%) had a tongue tie release, 10 (29%) had both a tongue tie and upper lip tie divided, whereas 3 (9%) had an upper-lip tie alone divided. 29 (85%) of the patients who had a procedure carried out had an immediate improvement in breastfeeding, while 28 (82%) had a continued improvement at 2 weeks follow up. CONCLUSIONS: Frenotomy for posterior ankyloglossia and upper lip ties is a simple procedure that can be carried out in an outpatient setting with apparent immediate benefit. Otolaryngologists are likely to have an increasing role to play in the evaluation and management of ankyloglossia and upper lip ties in babies with breastfeeding difficulties. SN - 1872-8464 UR - https://www.unboundmedicine.com/medline/citation/27497378/Management_of_posterior_ankyloglossia_and_upper_lip_ties_in_a_tertiary_otolaryngology_outpatient_clinic_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(16)30178-1 DB - PRIME DP - Unbound Medicine ER -