Szoptatás Portál ... naprakész információk a szoptatásról

Buryk M, Bloom D, Shope T.
Pediatrics. 2011 Aug;128(2):280-288.

Abstract

BACKGROUND: Ankyloglossia has been associated with a variety of infant-feeding problems. Frenotomy commonly is performed for relief of ankyloglossia, but there has been a lack of convincing data to support this practice.

OBJECTIVES: Our primary objective was to determine whether frenotomy for infants with ankyloglossia improved maternal nipple pain and ability to breastfeed. A secondary objective was to determine whether frenotomy improved the length of breastfeeding.

Isabella Knox
NeoReviews (2010) 11, 513-519

Abstract

Tongue tie or ankyloglossia has been the subject of much controversy. As defined in this review, tongue tie occurs when a common minor embryologic tissue remnant—persistence of midline sublingual tissue that usually undergoes apoptosis during embryonic development—causes restriction of normal tongue movement. Effective breastfeeding requires newborns to fine-tune their tongue movements to adapt to their mothers' particular nipple and breast anatomy and physiology.

Hong P, Lago D, Seargeant J, Pellman L, Magit AE, Pransky SM.
Int J Pediatr Otorhinolaryngol. 2010 Jun 15. [Epub ahead of print]

Abstract

Introduction Ankyloglossia is a congenital condition in which tongue mobility is limited due to an abnormality of the lingual frenulum. The impact of ankyloglossia on breastfeeding is poorly understood but there is a recent trend toward more recognition of this condition and early intervention when needed. Currently, there lacks clear definition of ankyloglossia and different subtypes have been proposed with no clinical correlation.

Lawrence Kotlow DDS prezentációja az ankyloglossiáról, sok-sok képpel.

Innen letölthető

Michael W. Chua and David C. Bloom

Int J Pediatr Otorhinolaryngol. 2009 Jun;73(6):881-3.

Abstract

Ankyloglossia, or tongue-tie, refers to an abnormally short lingual frenulum. Ankyloglossia is a recognized but poorly defined condition and has been reported to cause feeding difficulties, dysarthria, dyspnea, and social or mechanical problems. In infants, the most concerning symptoms are feeding difficulties and inability to breastfeed.

Donna T. Geddes, Diana B. Langton, Ian Gollow, Lorili A. Jacobs, Peter E. Hartmann and Karen Simmer

PEDIATRICS Vol. 122 No. 1 July 2008, pp. e188-e194

Abstract

OBJECTIVE. There is evidence that infants with ankyloglossia can experience breastfeeding difficulties including poor attachment to the breast, suboptimal weight gain, and maternal nipple pain, which may lead to early weaning of the infant. No studies have investigated the cause of these breastfeeding difficulties. The objective of this study was to determine the effectiveness of frenulotomy in infants experiencing persistent breastfeeding difficulties despite professional assistance by measuring changes in milk transfer and tongue movement during breastfeeding before and after frenulotomy.

Anjana Srinivasan, Carole Dobrich, Howard Mitnick, Perle Feldman
Breastfeeding Medicine. 2006, 1(4): 216-224.

Abstract

Objective: The aim of this study was to measure the effectiveness of frenotomy in ankyloglossic infants, by quantifying the changes in latch and maternal nipple pain using standardized tools.

Lisa H Amir, Jennifer P James and Susan M Donath

International Breastfeeding Journal 2006, 1:3

Abstract

Background

About 3% of infants are born with a tongue-tie which may lead to breastfeeding problems such as ineffective latch, painful attachment or poor weight gain. The Hazelbaker Assessment Tool for Lingual Frenulum Function (HATLFF) has been developed to give a quantitative assessment of the tongue-tie and recommendation about frenotomy (release of the frenulum). The aim of this study was to assess the inter-rater reliability of the HATLFF.

Lisa Helen Amir, Jennifer Patricia James and Joanne Beatty

Journal of Paediatrics and Child Health 41 (5-6), 243–245. - May 2005.

Abstract

Objective: To review the first 12 months of assessment and release of lingual frenulum (frenotomy) at a breast-feeding clinic in a tertiary maternity hospital (August 2002 to end of July 2003) and to report on the breast-feeding outcomes and parental satisfaction.

Monica Hogan, Carolyn Westcott and Mervyn Griffiths

Journal of Paediatrics and Child Health 41 (5-6), 246–250. - May 2005

Abstract

Objective: To determine whether, in infants with a tongue-tie and a feeding problem, the current medical treatment (referral to a lactation consultant) or immediate division works best and enables the infants to feed normally.

Jeanne Ballard, MD
The Academy of Breastfeeding Medicine Protocol Committee, August 3, 2004

Background

The infant’s tongue at birth is normally able to extend over and past the mandibular gum pad. Significant ankyloglossia prevents an infant from anteriorly extending and elevating the tongue and many breastfeeding experts believe that these limitations alter the normal peristaltic motion of the tongue during feeding resulting in the potential for nipple trauma and problems with effective milk transfer and infant weight gain.

Elizabeth Coryllos, MD, MSs, FAAP, FACS, FRCSc, IBCLC
Catherine Watson Genna, BS, IBCLC
Alexander C. Salloum, MD, MA

Newsletter of the American Academy of Pediatrics - Summer 2004

Introduction

Many of today’s practicing physicians were taught that treatment of tongue-tie, (ankyloglossia) is an outdated concept – a relic of times past. Among breastfeeding specialists tongue-tie has emerged as a recognized cause of breastfeeding difficulties - and a very easily corrected one.
During the last several decades of predominant bottle-feeding, tongue-tie was relegated to the status of a “non-problem” because of the lack of significant impact upon bottle feeding behaviors.
The goal of this article is to alert pediatricians to the potential link between tongue-tie and breastfeeding problems in order to expedite intervention in symptomatic cases.

Dr. Brian Palmer prezentációja kommentárokkal.

Introduction

I have been evaluating frenulums and the importance of breastfeeding for many years. I am hoping this presentation will help those who believe tight frenulums can have a negative impact on breastfeeding but have not had the documentation needed to convince a doctor or parent to do anything about it. I am hoping this presentation will give you that needed documentation.

Sody Abby Naimer, Amnon Biton, Daniel Vardy, Alex Zvulunov

Med Sci Monit, 2003; 9(10): CR432-435

Summary

Background: Congenital oral adhesions may pose both aesthetic and functional disturbing ailments to wary parents. Most of these as we have experienced, are benign, easily cured and may be treated as soon as possible in the office. A local survey elucidated that these youngsters are usually advised to wait until one year of age and then taken into the operating room and incision of the adhesion is performed under general anesthesia. We assessed the benign nature of this ailment and relative avascularity of the tissue involved and concluded that with minimal risk an office procedure under local anesthesia can replace current practice. We also found that most referrals with this condition present with the lowest grade of severity of ankyloglossia, amenable to a very brief intervention.

Jeanne L. Ballard, MD, Christine E. Auer, RN, IBCLC and Jane C. Khoury, MS

PEDIATRICS Vol. 110 No. 5 November 2002, pp. e63

Abstract

Objective. Ankyloglossia in breastfeeding infants can cause ineffective latch, inadequate milk transfer, and maternal nipple pain, resulting in untimely weaning. The question of whether the performance of a frenuloplasty benefits the breastfeeding dyad in such a situation remains controversial. We wished to 1) define significant ankyloglossia, 2) determine the incidence in breastfeeding infants, and 3) measure the effectiveness of the frenuloplasty procedure with respect to solving specific breastfeeding problems in mother-infant dyads who served as their own controls.