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Elvira Ferrés-Amat, Tomasa Pastor-Vera, Paula Rodríguez-Alessi, Eduard Ferrés-Amat, Javier Mareque-Bueno, Eduard Ferrés-Padró
The problems of suction in newborns give rise to multiple consequences for both the mother and the newborn. The objective of this paper is to present a case of ankyloglossia ("tongue-tie") and the suction problems that were treated by a multidisciplinary team. The subject is a 17-day-old male patient, with ankyloglossia and suction problems during breastfeeding (pain in the breastfeeding mother, poor weight gain, and long breastfeeds). The patient followed the circuit established in our centre between the services of Oral and Maxillofacial Surgery and Breastfeeding and Speech Therapy and Orofacial Rehabilitation (CELERE)...
2016: Case Reports in Pediatrics
Bobak A Ghaheri, Melissa Cole, Sarah C Fausel, Maria Chuop, Jess C Mace
OBJECTIVES/HYPOTHESIS: Numerous symptoms may arise that prevent mother-infant dyads from maintaining desired breastfeeding intervals. Investigations into treatments that positively influence breastfeeding outcomes allow for improved patient counseling for treatment decisions to optimize breastfeeding quality. This investigation aimed to determine the impact of surgical tongue-tie/lip-tie release on breastfeeding impairment. STUDY DESIGN: Prospective, cohort study from June 2014 to April 2015 in a private practice setting...
September 19, 2016: Laryngoscope
Lara Benoiton, Maggie Morgan, Katherine Baguley
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...
September 2016: International Journal of Pediatric Otorhinolaryngology
A Claire Kenny-Scherber, Jack Newman
No abstract text is available yet for this article.
July 2016: Canadian Family Physician Médecin de Famille Canadien
K S Joseph, Brooke Kinniburgh, Amy Metcalfe, Neda Razaz, Yasser Sabr, Sarka Lisonkova
BACKGROUND: Routine surveillance of congenital anomalies has shown recent increases in ankyloglossia (tongue-tie) in British Columbia, Canada. We examined the temporal trends in ankyloglossia and its surgical treatment (frenotomy). METHODS: We conducted a population-based cohort study involving all live births in British Columbia from Apr. 1, 2004, to Mar. 31, 2014, with data obtained from the province's Perinatal Data Registry. Spatiotemporal trends in ankyloglossia and frenotomy, and associations with maternal and infant characteristics, were quantified using logistic regression analysis...
January 2016: CMAJ Open
Itai Shavit, Yael Peri-Front, Anda Rosen-Walther, Ruth E Grunau, Gal Neuman, Omri Nachmani, Gideon Koren, Dror Aizenbud
OBJECTIVE: To examine the comparative effectiveness of two topical anesthetics in controlling the pain associated with tongue-tie release (frenotomy) in young infants. DESIGN: Randomized trial. SETTING: A Pediatric Craniofacial Clinic. SUBJECTS: Forty-two infants who were referred for frenotomy were randomly allocated to receive the topical anesthetic gel 2% tetracaine or 20% benzocaine applied prior to frenotomy. Frenotomies were videotaped...
June 6, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
Joeseph Adragna, Morteza Khodaee
No abstract text is available yet for this article.
January 2016: Journal of Family & Community Medicine
(no author information available yet)
Mothers considered frenotomy improved breast feeding, although were their views biased?
November 27, 2015: British Dental Journal
Jacqueline C Kent, Elizabeth Ashton, Catherine M Hardwick, Marnie K Rowan, Elisa S Chia, Kyle A Fairclough, Lalitha L Menon, Courtney Scott, Georgia Mather-McCaw, Katherine Navarro, Donna T Geddes
BACKGROUND: Persistent nipple pain is one of the most common reasons given by mothers for ceasing exclusive breastfeeding. We aimed to determine the frequency of nipple pain as a reason for consultation, the most common attributed aetiologies, and the effectiveness of the advice and treatment given. METHODS: All consultations at the Breast Feeding Centre of Western Australia (WA) were audited over two six-month periods in 2011 (n = 469) and 2014 (n = 708). Attributed cause(s) of nipple pain, microbiology results, treatment(s) advised, and resolution of pain were recorded...
September 29, 2015: International Journal of Environmental Research and Public Health
S D Sharma, S Jayaraj
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...
October 2015: Journal of Laryngology and Otology
A Veyssiere, J D Kun-Darbois, C Paulus, A Chatellier, A Caillot, H Bénateau
Ankyloglossia is a common condition. Its prevalence is between 3.2% and 4.8% depending on the series and is largely underestimated given the fact of non-diagnosis when the symptoms are limited. It is defined as a short lingual frenulum resulting in a limitation of the lingual mobility. It is due to a defect in cellular apoptosis embryogenesis between the floor of the mouth and tongue. The result is a fibrous and short lingual frenulum. Several classifications were used to make the diagnosis. However, these are the clinical implications, particularly on food and primarily breastfeeding in the baby and phonation in older children that will motivate the management...
September 2015: Revue de Stomatologie, de Chirurgie Maxillo-faciale et de Chirurgie Orale
Seung Hoon Woo, Jung Je Park, Jong Chul Hong, Soo-Geun Wang, Gi Cheol Park, Young Gyu Eun, Jin Pyeong Kim, Han-Sin Jeong
OBJECTIVES/HYPOTHESIS: Endoscope-assisted transoral removal of a thyroglossal duct cyst (TGDC) has been introduced to clinical practice. However, the technical feasibility, efficacy, and safety of this procedure have not been studied. Herein, we conducted a prospective clinical trial to evaluate endoscope-assisted transoral removal of a TGDC. STUDY DESIGN: Prospective cohort study. METHODS: Thirty patients were included. We performed endoscope-assisted transoral removal of TGDCs and evaluated the clinical results and complications over more than 2 years...
December 2015: Laryngoscope
Seth M Pransky, Denise Lago, Paul Hong
OBJECTIVE: Oral cavity anomalies may contribute to breastfeeding problems. The objective of this study was to describe our experience in a high-volume breastfeeding difficulty clinic with a focus on posterior ankyloglossia and upper-lip ties. METHODS: A retrospective review of patients from a dedicated breastfeeding difficulty clinic from January 2014 to December 2014 was performed. Those identified to have ankyloglossia and/or upper-lip ties underwent release procedures...
October 2015: International Journal of Pediatric Otorhinolaryngology
Anne Rowan-Legg
Ankyloglossia ('tongue-tie') is a relatively common congenital anomaly characterized by an abnormally short lingual frenulum, which may restrict tongue tip mobility. There is considerable controversy regarding its diagnosis, clinical significance and management, and there is wide variation in practice in this regard. Most infants with ankyloglossia are asymptomatic and do not exhibit feeding problems. Based on available evidence, frenotomy cannot be recommended for all infants with ankyloglossia. There may be an association between ankyloglossia and significant breastfeeding difficulties in some infants...
May 2015: Paediatrics & Child Health
Roberta Lopes de Castro Martinelli, Irene Queiroz Marchesan, Reinaldo Jordão Gusmão, Heitor Marques Honório, Giédre Berretin-Felix
UNLABELLED: Although 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...
March 2015: Journal of Applied Oral Science: Revista FOB
Sivakumar Chinnadurai, David O Francis, Richard A Epstein, Anna Morad, Sahar Kohanim, Melissa McPheeters
BACKGROUND AND OBJECTIVE: Children with ankyloglossia, an abnormally short, thickened, or tight lingual frenulum, may have restricted tongue mobility and sequelae, such as speech and feeding difficulties and social concerns. We systematically reviewed literature on feeding, speech, and social outcomes of treatments for infants and children with ankyloglossia. METHODS: Medline, PsycINFO, Cumulative Index of Nursing and Allied Health Literature, and Embase were searched...
June 2015: Pediatrics
David O Francis, Shanthi Krishnaswami, Melissa McPheeters
OBJECTIVE: Ankyloglossia is a congenital condition characterized by an abnormally short, thickened, or tight lingual frenulum that restricts tongue mobility. The objective of this study was to systematically review literature on surgical and nonsurgical treatments for infants with ankyloglossia. METHODS: Medline, PsycINFO, Cumulative Index of Nursing and Allied Health Literature, and Embase were searched up to August 2014. Two reviewers independently assessed studies against predetermined inclusion/exclusion criteria...
June 2015: Pediatrics
Alan Emond
No abstract text is available yet for this article.
May 2015: Journal of Pediatrics
Jenny Ingram, Debbie Johnson, Marion Copeland, Cathy Churchill, Hazel Taylor, Alan Emond
AIM: To produce a simple tool with good transferability to provide a consistent assessment of tongue appearance and function in infants with tongue-tie. METHODS: The Bristol Tongue Assessment Tool (BTAT) was developed based on clinical practice and with reference to the Hazelbaker Assessment Tool for Lingual Frenulum Function (ATLFF). This paper documents 224 tongue assessments using the BTAT. There were 126 tongue assessments recorded using the BTAT and ATLFF tools to facilitate comparisons between them...
July 2015: Archives of Disease in Childhood. Fetal and Neonatal Edition
Jeanne Cawse-Lucas, Shannon Waterman, Leilani St Anna
No evidence exists for improved latching after frenotomy, and evidence concerning improvements in maternal comfort is conflicting. At best, frenotomy improves maternal nipple pain by 10% and maternal subjective sense of improvement over the short term (0 to 2 weeks).
February 2015: Journal of Family Practice
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