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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.