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https://www.readbyqxmd.com/read/29479253/changes-in-the-incidence-and-surgical-treatment-of-ankyloglossia-in-canada
#1
Michelle Lisonek, Shiliang Liu, Susie Dzakpasu, Aideen M Moore, K S Joseph
Background: Recent reports show increases in rates of ankyloglossia and frenotomy in British Columbia. We carried out a study to determine temporal trends and regional variations in ankyloglossia and frenotomy in Canada. Methods: The study included all hospital-based live births in Canada (excluding Quebec) between April 2002 and March 2015, with information obtained from the Canadian Institute for Health Information. Information on ankyloglossia and frenotomy was obtained from records of hospital admission for childbirth...
October 2017: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29422195/practice-based-interpretation-of-ultrasound-studies-leads-the-way-to-more-effective-clinical-support-and-less-pharmaceutical-and-surgical-intervention-for-breastfeeding-infants
#2
REVIEW
Pamela Douglas, Donna Geddes
BACKGROUND: breastfeeding optimises health outcomes for both mothers and infants. Although most women want to breastfeed, they report commencing infant formula because of nipple pain, unsettled infant behaviour, and infant growth concerns. To date, existing approaches to fit and hold ('latch and positioning') have been demonstrated not to help breastfeeding outcomes, and women report widespread dissatisfaction with the quality of support and conflicting advice they receive. Breast and nipple pain, difficulty with latching and sucking, fussing at the breast, back-arching, marathon feeds, excessively frequent feeds, poor weight gain, breast refusal, and crying due to poor satiety often signal suboptimal positional instability and impaired milk transfer, but may be misdiagnosed as medical conditions...
March 2018: Midwifery
https://www.readbyqxmd.com/read/29385976/frenotomy-for-tongue-tie-in-australian-children-2006-2016-an-increasing-problem
#3
Vishal Kapoor, Pamela S Douglas, Peter S Hill, Laurence J Walsh, Marc Tennant
No abstract text is available yet for this article.
February 5, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29385975/tongue-tie-and-frenotomy-what-evidence-do-we-have-and-what-do-we-need
#4
Jonathan Walsh, David E Tunkel
No abstract text is available yet for this article.
February 5, 2018: Medical Journal of Australia
https://www.readbyqxmd.com/read/29385272/what-does-the-world-think-of-ankyloglossia
#5
Ruilin R Jin, Alastair Sutcliffe, Maximo Vento, Claudelle Miles, Javeed Travadi, Kumar Kishore, Keiji Suzuki, David Todd, Susanne Wooderson, Azanna Ahmad Kamar, Li Ma, John Smyth, Ju Lee Oei
AIM: The diagnosis of tongue-tie (or ankyloglossia) has increased more than 10-fold in some countries. Whether this is a global phenomenon or related to cultural and professional differences is uncertain. METHODS: An online survey in English, Japanese, Chinese and Spanish was disseminated between May and November 2016 via 27 international professional bodies to >30 clinical professions chosen a priori to represent occupations involved in the management of neonatal ankyloglossia...
January 31, 2018: Acta Paediatrica
https://www.readbyqxmd.com/read/29380619/the-prevalence-of-ankyloglossia-in-302-newborns-with-breastfeeding-problems-and-sucking-difficulties-in-barcelona-a-descriptive-study
#6
E Ferrés-Amat, T Pastor-Vera, P Rodriguez-Alessi, E Ferrés-Amat, J Mareque-Bueno, E Ferrés-Padró
AIM: Oral and maxillofacial development is influenced by the lingual frenulum and also affects breathing, occlusion, sucking, swallowing, speech, among others. Ankyloglossia in the newborn may result in breastfeeding difficulties: maternal nipple pain and/or erosion or mastitis, poor weight gain and excessively long breastfeeds. The main objective of this work is to study the prevalence of ankyloglossia in newborns with breastfeeding difficulties. MATERIALS AND METHODS: This is a transversal descriptive study of 302 patients, between 0 and 6 months, who attended the hospital as a result of breastfeeding difficulties...
December 2017: European Journal of Paediatric Dentistry: Official Journal of European Academy of Paediatric Dentistry
https://www.readbyqxmd.com/read/29303760/a-modified-frenectomy-technique-a-new-surgical-approach
#7
Mahdi Kadkhodazadeh, Reza Amid, Mehdi Ekhlasmand Kermani, Sepanta Hosseinpour
The frenum is a mucosal fold that attaches the lips or cheeks to the alveolar mucosa, gingiva, and underlying periosteum. Consequences of an abnormal frenal attachment include gingival recession, decreased vestibular depth, decreased range of lip movement, and involvement of interdental papilla, causing a diastema. Several methods to eliminate ectopic frenal attachments have been suggested, including frenectomy (elimination) and frenotomy (repositioning). This case report describes the use of a modified frenectomy technique in a 15-year-old girl with excess gingiva between the maxillary central incisors, which exhibited a 3-mm diastema...
January 2018: General Dentistry
https://www.readbyqxmd.com/read/29132414/effect-of-frenotomy-on-breastfeeding-variables-in-infants-with-ankyloglossia-tongue-tie-a-prospective-before-and-after-cohort-study
#8
Kathryn Muldoon, Louise Gallagher, Denise McGuinness, Valerie Smith
BACKGROUND: Controversy exists regarding ankyloglossia (tongue-tie) and its clinical impact on breastfeeding, including the benefits, or otherwise, of tongue-tie release (frenotomy). As exclusive breastfeeding rates in Ireland are already considerably low (46% on discharge home from the maternity unit following birth in 2014), it is imperative to protect and support breastfeeding, including identifying the associated effects that frenotomy might have on breastfeeding variables. OBJECTIVE: To determine the associated effects of frenotomy on breastfeeding variables in infants with ankyloglossia...
November 13, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28719783/making-sense-of-studies-that-claim-benefits-of-frenotomy-in-the-absence-of-classic-tongue-tie
#9
Pamela Douglas
By performing an in-depth analysis of one high profile example, this article aims to help breastfeeding support professionals understand the methodological flaws that characterize recent studies claiming to show the efficacy of frenotomy for the diagnoses of posterior tongue-tie and upper lip-tie. The example study does not address definitional confusion or control for the effects of the passage of time. It does not consider the effects of caring attention, validation, and lactation consultant support. It also does not consider the extensive research over the past three decades that has established that reflux in the first 6 months of life is benign, even though increased reflux frequency may correlate with unsettled infant behavior...
August 2017: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/28715533/diagnosis-and-treatment-of-ankyloglossia-in-newborns-and-infants-a-review
#10
REVIEW
Jonathan Walsh, David Tunkel
Importance: The influence of tongue tie, or ankyloglossia, on breastfeeding is the subject of growing debate. Restriction of tongue mobility from the frenulum varies greatly among newborns and infants (hereinafter referred to as infants). Controversies about whether an infant has ankyloglossia and which infants need treatment are evident with wide variations in medical practice and a lack of high-quality clinical studies that provide guidance. Observations: Diagnosis and management of ankyloglossia in infants can be a source of confusion and frustration for clinicians and families...
October 1, 2017: JAMA Otolaryngology—Head & Neck Surgery
https://www.readbyqxmd.com/read/28651726/tetracaine-is-not-more-effective-than%C3%A2-benzocaine-for-preventing-discomfort-in-young-infants-undergoing-frenotomy
#11
Romina Brignardello-Petersen
No abstract text is available yet for this article.
July 2017: Journal of the American Dental Association
https://www.readbyqxmd.com/read/28285282/ankyloglossia-in-infancy-an-indian-experience
#12
R Kishore Kumar, P C Nayana Prabha, Prashant Kumar, Ruth Patterson, Nandini Nagar
OBJECTIVE: To study the prevalence, clinical presentation and management of infants with ankyloglossia. METHODS: A retrospective file review of infants less than 6 months of age with a diagnosis of ankyloglossia. Results: Of the 25786 babies born during the assessment period (2007-2015), 134 (0.52%) had ankyloglossia. Sixty-four (47.7%) infants who presented with breastfeeding difficulties were diagnosed significantly earlier than the asymptomatic group (P<0...
February 15, 2017: Indian Pediatrics
https://www.readbyqxmd.com/read/28284020/frenotomy-for-tongue-tie-in-newborn-infants
#13
REVIEW
Joyce E O'Shea, Jann P Foster, Colm Pf O'Donnell, Deirdre Breathnach, Susan E Jacobs, David A Todd, Peter G Davis
BACKGROUND: Tongue-tie, or ankyloglossia, is a condition whereby the lingual frenulum attaches near the tip of the tongue and may be short, tight and thick. Tongue-tie is present in 4% to 11% of newborns. Tongue-tie has been cited as a cause of poor breastfeeding and maternal nipple pain. Frenotomy, which is commonly performed, may correct the restriction to tongue movement and allow more effective breastfeeding with less maternal nipple pain. OBJECTIVES: To determine whether frenotomy is safe and effective in improving ability to feed orally among infants younger than three months of age with tongue-tie (and problems feeding)...
March 11, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28204733/a-randomized-trial-to-evaluate-the-effect-of-two-topical-anesthetics-on-pain-response-during-frenotomy-in-young-infants
#14
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...
February 1, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28168891/ankyloglossia-and-lingual-frenotomy-national-trends-in-inpatient-diagnosis-and-management-in-the-united-states-1997-2012
#15
Jonathan Walsh, Anne Links, Emily Boss, David Tunkel
Objectives (1) Describe trends in the diagnosis of ankyloglossia and the use of lingual frenotomy and (2) analyze patient- and hospital-level factors as compared with the total pediatric discharge population. Study Design National database analysis. Methods We reviewed available data from 1997 to 2012 using the Kids' Inpatient Database, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality. All weighted pediatric discharges with ankyloglossia, newborn feeding difficulty, or lingual frenotomy were analyzed for variables of sex, payer, zip code median income, hospital ownership, location/teaching status, bed size, region, and children's hospital status...
April 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28061033/breastfeeding-infants-with-ankyloglossia-insight-into-mothers-experiences
#16
Kevin Wong, Punam Patel, Michael B Cohen, Jessica R Levi
INTRODUCTION: Breastfeeding difficulty from ankyloglossia can affect both the mother and baby in a breastfeeding dyad. With renewed emphasis in today's culture on breast milk, mothers may feel increasing pressure to breastfeed, and the inability for some to do so may cause significant distress. Recently, online parenting forums have seen exponential growth; these forums allow mothers to connect with peers undergoing similar life transitions. The purpose of this study was to review online discussions regarding ankyloglossia to understand mothers' experiences with breastfeeding...
March 2017: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/27821011/tongue-tie-practitioner-group-chair-speaks-out-after-criticism
#17
Chris Longhurst
A nurse representing practitioners who perform frenotomy or 'dividing' has insisted it is safe and carried out only after assessment.
November 8, 2016: Nursing Children and Young People
https://www.readbyqxmd.com/read/27688921/management-of-ankyloglossia-and-breastfeeding-difficulties-in-the-newborn-breastfeeding-sessions-myofunctional-therapy-and-frenotomy
#18
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
https://www.readbyqxmd.com/read/27641715/breastfeeding-improvement-following-tongue-tie-and-lip-tie-release-a-prospective-cohort-study
#19
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...
May 2017: Laryngoscope
https://www.readbyqxmd.com/read/27497378/management-of-posterior-ankyloglossia-and-upper-lip-ties-in-a-tertiary-otolaryngology-outpatient-clinic
#20
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
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