Ankyloglossia in breastfeeding infants. An update

Marta Costa-Romero, Blanca Espínola-Docio, José M Paricio-Talayero, N Marta Díaz-Gómez, Marta Costa-Romero, Blanca Espínola-Docio, José M Paricio-Talayero, N Marta Díaz-Gómez

Abstract

Short frenulum, or ankyloglossia, may lead to breastfeeding problems, with an impact on infant development, nipple damage, and early abandonment of breastfeeding. There are currently no homogeneous diagnostic criteria, thus leading to both overdiagnosis and underdiagnosis and associated clinical consequences. The challenge to approach this condition lies in establishing whether it is a normal anatomical variation or a lingual frenulum without a functional impact and when breastfeeding difficulties which are typically attributed to it are actually caused by the frenulum. Approximately 50% of ankyloglossia cases do not result in breastfeeding problems or these can be resolved with support and advice. Surgery may be proposed for the rest of the cases. This article offers an update on the classification and treatment of ankyloglossia, which will help health care providers to provide an adequate management to these patients.

Keywords: ankyloglossia; lingual frenulum, breastfeeding; surgery.

Conflict of interest statement

None

Sociedad Argentina de Pediatría.

References

    1. Walsh J, Tunkel D. Diagnosis and treatment of ankyloglossia in newborns and infants. A review. JAMA Otolaryngol Head Neck Surg. 2017; 143(10):1032-9.
    1. González Jiménez D, Costa Romero M, Riaño Galán I, González Martínez MT, et al. Prevalencia de anquiloglosia en recién nacidos en el Principado de Asturias. An Pediatr (Barc). 2014; 81(2):115-9.
    1. Geddes DT, Kent JC, McClellan HL, Garbin CP, et al. Sucking characteristics of successfully breastfeeding infants with ankyloglossia: a case series. Acta Pædiatrica. 2010; 99(2):301-3.
    1. Auerbach KG. Our first thematic issue: Ankyloglossia in Infancy. J Hum Lact. 1990; 6(3):101-2.
    1. Hong P. Five things to know about...ankyloglossia (tonguetie). CMAJ. 2013; 185(2):E128.
    1. Ballard JL, Auer CE, Khoury JC. Ankyloglossia: assessment, incidence, and effect of frenuloplasty on the breastfeeding dyad. Pediatrics. 2002; 110(5):e63.
    1. Hazelbaker AK, Baeza C, Watson Genna C, Murphy J, et al. Incidence and Prevalence of Tongue-Tie. Clin Lact. 2017; 8(3):89-92.
    1. O’Shea JE, Foster JP, O’Donnell CP, Breathnach D, et al. Frenotomy for tongue-tie in newborn infants. Cochrane Database Syst Rev. 2017; 3(3):CD011065.
    1. Griffiths DM. Do tongue ties affect breastfeeding? J Hum Lact. 2004; 20(4):409-14.
    1. Wong K, Patel P, Cohen MB, Levi J. Breastfeeding Infants with ankyloglossia: Insight into mothers’ experiences. Breastfeed Med. 2017; 12:86-90.
    1. Hazelbaker A. The Assessment tool for lingual frenulum function (ATLFF): use in a lactation consultant private practice. [Dissertation]. Pasadena, CA: Pacific Oaks College; 1993.
    1. Lopes de Castro Martinelli R, Queiroz Marchesan I, Berretin- Felix G. Lingual frenulum protocol for infants. Int J Orofacial Myology. 2012; 38:104-12.
    1. Coryllos E, Watson Genna C, Salloum AC. Congenital tongue-tie and its impact on breastfeeding. Breastfeeding: Best for baby and mother. 2004; Summer:1-11.
    1. Cuestas G, Demarchi V, Martínez Corvalán MP, Razetti J, Boccio C. Tratamiento quirúrgico del frenillo lingual corto en niños. Arch Argent Pediatr. 2014; 112(6):567-70.
    1. Amir LH, James JP, Donath SM. Reliability of the Hazelbaker assessment tool for lingual frenulum function. Int Breastfeed J. 2006; 1(1):3.
    1. Hall DM, Rendrew MJ. Tongue tie. Arch Dis Child. 2005; 90(12):1211-5.
    1. Riskin A, Mansovsky M, Coler-Botzer T, Kugelman A, et al. Tongue-tie and breastfeeding in newborns-mothers’ perspective. Breastfeed Med. 2014; 9(9):430-7.
    1. Douglas P. Making sense of studies that claim benefits of frenotomy in the absence of classic tongue tie. J Hum Lact. 2017; 33(3):519-23.
    1. Power RF, Murphy JF. Tongue-tie and frenotomy in infants with breastfeeding difficulties: achieving a balance. Arch Dis Child. 2015; 100(5):489-94.
    1. Kenny-Scherber AC, Newman J. Office-based frenotomy for ankyloglossia and problematic breastfeeding. Can Fam Physician. 2016; 62(7):570-1. Principio del formulario. Final del formulario.
    1. Zaghi S, Valcu-Pinkerton S, Jabara M, Norouz-Knutsen L, et al. Lingual frenuloplasty with myofunctional therapy: Exploring safety and efficacy in 348 cases. Laryngoscope Investig Otolaryngol. 2019; 4(5):489-96.
    1. Douglas P, Geddes D. Practice-based interpretation of ultrasound studies leads the way to more effective clinical support and less pharmaceutical and surgical intervention for breastfeeding infants. Midwifery. 2018; 58:145-55.
    1. Junqueira MA, Cunha NN, Silva LLC, Araújo LB, et al. Surgical techniques for the treatment of ankyloglossia in children: a case series. J Appl Oral Sci. 2014; 22(3):241-8.
    1. Messner AH, Walsh J, Rosenfeld RM, Schwartz SR, et al. Clinical Consensus Statement: Ankyloglossia in Children. Otolaryngol Head Neck Surg. 2020; 162(5):597-11.
    1. LeFort Y, Evans A, Livingstone V, Douglas P, et al. Academy of Breastfeeding Medicine Position Statement on Ankyloglossia in Breastfeeding Dyads. Breastfeed Med. 2021; 16(4):278-81.
    1. Toner D, Giordano T, Handler SD. Office frenotomy for neonates: resolving dysphagia, parental satisfaction and cost-effectiveness. ORL Head Neck Nurs. 2014; 32(2):6-7.
    1. Shekher R, Lin L, Zhang R, Hoppe IC, et al. How to Treat a Tongue-tie: An Evidence-based Algorithm of Care. Plast Reconstr Surg Glob Open. 2021; 9(1):e3336.
    1. Emond A, Ingram J, Johnson D, Blair P, et al. Randomised controlled trial of early frenotomy in breastfed infants with mild-moderate tongue-tie. Arch Dis Child Fetal Neonatal Ed. 2014; 99(3):F189-95.
    1. Donati-Bourne J, Batool Z, Hendrickse C, Bowley D. Tonguetie Assessment and division: A time-critical intervention to optimise breastfeeding. J Neonatal Surg. 2015; 4(1):3.
    1. Hansen R, MacKinlay GA, Manson W. Ankyloglossia intervention in outpatients is safe: our experience. Arch Dis Child. 2006; 91(6):541-2.
    1. Illing S, Minnee M, Wheeler J, Illing L. The value of frenotomy for ankyloglossia from a parental perspective. N Z Med J. 2019; 132(1500):70-81.
    1. Martinelli RL, Marchesan IQ, Gusmão RJ, Honório HM et al. The effects of frenotomy on breastfeeding. J Appl Oral Sci. 2015; 23(2):153-7.
    1. Srinivasan A, Dobrich C, Mitnick H, Feldman P. Ankyloglossia in breastfeeding infants: the effect of frenotomy on maternal nipple pain and latch. Breastfeed Med. 2006; 1(4):216-24.
    1. Berry J, Griffiths M, Westcott C. A double-blind, randomized, controlled trial of tongue-tie division and its immediate effect on breastfeeding. Breastfeed Med. 2012; 7(3):189-93.
    1. Dollberg S, Marom R, Botzer E. Lingual frenotomy for breastfeeding difficulties: a prospective follow-up study. Breastfeed Med. 2014; 9(6):286-9.
    1. Geddes DT, Langton DB, Gollow I, Jacobs L, et al. Frenulotomy for breastfeeding infants with ankyloglossia: Effect on Milk Removal and Sucking Mechanism as Imaged by Ultrasound. Pediatrics. 2008; 122(1):e188-94.
    1. Ghaheri B, Cole M, Fausel S, Chuop M, Mace JC. Breastfeeding Improvement Following Tongue-Tie and Lip-Tie Release: A prospective cohort study. Laryngoscope. 2017; 127(5):1217-23.
    1. Riaño I. Manejo de la lactancia materna en el lactante enfermo. In: Asociación Española de Pediatría. Manual de breastfeeding: de la teoría a la práctica. Madrid: Panamericana 2008.Pages.371-85.

Source: PubMed

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