The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 22 , ISSUE 4 ( April, 2021 ) > List of Articles

REVIEW ARTICLE

Relationship between Breastfeeding Difficulties, Ankyloglossia, and Frenotomy: A Literature Review

Gleice C Colombari, Matheus R Mariusso, Ludmila TC Ercolin, Sergio Mazzoleni, Edoardo Stellini, Francesco S Ludovichetti

Keywords : Ankyloglossia, Breastfeeding, Frenotomy

Citation Information :

DOI: 10.5005/jp-journals-10024-3073

License: CC BY-NC 4.0

Published Online: 00-04-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Objective: Breastfeeding plays a key role in the development of the baby, in addition to the benefits to the mother and this dyad. Among the possible difficulties in this process, we have ankyloglossia. Some professionals opt for the frenotomy, although the literature is controversial. This paper aims to present how the literature provides subsidies for health professionals’ decision and action in the intersection of the themes: breastfeeding, ankyloglossia, and frenotomy. Materials and methods: The research on the platforms SciELO and PubMed used the terms: “ankyloglossia,” “frenotomy,” and “lingual frenulum” and the same ones associated with “breastfeeding.” A specific inclusion and exclusion criteria were applied and validated by the American Speech-Language-Hearing Association to reduce any bias in the analysis. In the end, 16 papers were included and, by thematic equivalence, divided into two domains: association between lingual frenulum alteration and breastfeeding and between frenotomy and breastfeeding. Results: The literature does not assure that the frenotomy is the “standard conduct” to be adopted in cases of difficulty in breastfeeding and ankyloglossia. Conclusion: Further studies are needed on the different types of ankyloglossia and their direct influence on the sucking function and lactation difficulties.


PDF Share
  1. WHO. Global strategy for infant and young child feeding. Geneva: WHO; 2003. p. 7.
  2. Brazil, Ministério da Saúde. Child health. Infant nutrition: breastfeeding and complementary feeding, 1st ed. Brasília: Ministério da Saúde do Brasil; 2009. pp. 11–18.
  3. Castro KF, Garcia TR, Souto CMRM, et al. Breast intercurrences related to lactation: a study involving recent mothers in a public maternity de João Pessoa, PB. O Mundo da Saúde 2009;33(4):433–439. DOI: 10.15343/0104-7809.2009433439.
  4. Pransky SM, Lago D, Hong P. Breastfeeding difficulties and oral cavity anomalies: the influence of posterior ankyloglossia and upper-lip ties. Int J Pediatr Otorhinolaryngol 2015;79(10):1714–1717. DOI: 10.1016/j. ijporl.2015.07.033.
  5. Marcione ESS, Coelho FG, Souza CB, et al. Classificação anatômica do frênulo lingual de bebês. Rev CEFAC 2016;18(5):1042–1049. DOI: 10.1590/1982-0216201618522915 .
  6. Neifert M, DeMarzo S, Seacat J, et al. The influence of breast surgery, breast appearance, and pregnancy-induced breast changes on lactation sufficiency as measured by infant weight gain. Birth 1990;17(1):31–38. DOI: 10.1111/j.1523-536x.1990.tb00007.x.
  7. Haham A, Marom R, Mangel L, et al. Prevalence of breastfeeding difficulties in newborns with a lingual frenulum: a prospective cohort series. Breastfeed Med 2014;9(9):438–441. DOI: 10.1089/bfm.2014.0040.
  8. Messner AH, Lalakea ML, Aby J, et al. Ankyloglossia: incidence and associated feeding difficulties. Arch Otolaryngol Head Neck Surg 2000;126(1):36–39. DOI: 10.1001/archotol.126.1.36.
  9. Dollberg S, Botzer E, Grunis E, et al. Immediate nipple pain relief after frenotomy in breast-fed infants with ankyloglossia: a randomized, prospective study. J Pediatr Surg 2006;41(9):1598–1600. DOI: 10.1016/j. jpedsurg.2006.05.024.
  10. Martinelli RL, Marchesan IQ, Rodrigues AC, et al. Protocolo de avaliação do frênulo da língua em bebês. Rev CEFAC 2012;14(1):138–145. DOI: 10.1590/S1516-18462012000100016.
  11. Dollberg S, Marom R, Botzer E. Lingual frenotomy for breastfeeding difficulties: a prospective follow-up study. Breastfeed Med 2014;9(6):286–289. DOI: 10.1089/bfm.2014.0010.
  12. Ghaheri BA, Cole M, Fausel SC, et al. Breastfeeding improvement following tongue-tie and lip-tie release: a prospective cohort study. Laryngoscope 2017;127(5):1217–1223. DOI: 10.1002/lary.26306.
  13. Campanha SMA, Martinelli RL, Palhares DB. Association between ankyloglossia and breastfeeding. CoDAS 2019;31(1):e20170264. DOI: 10.1590/2317-1782/20182018264.
  14. Wallace AF. Tongue tie. Lancet 1963;2(7304):377–378. DOI: 10.1016/s0140-6736(63)93057-5.
  15. Rowan-Legg A. Ankyloglossia and breastfeeding. Paediatr Child Health 2015;20(4):209–218. DOI: 10.1093/pch/20.4.209.
  16. Suter VG, Bornstein MM. Ankyloglossia: facts and myths in diagnosis and treatment. J Periodontol 2009;80(8):1204–1219. DOI: 10.1902/jop.2009.090086.
  17. Ngerncham S, Laohapensang M, Wongvisutdhi T, et al. Lingual frenulum and effect on breastfeeding in Thai newborn infants. Paediatr Int Child Health 2013;33(2):86–90. DOI: 10.1179/2046905512Y.0000000023.
  18. Ingram J, Johnson D, Copeland M, et al. The development of a tongue assessment tool to assist with tongue-tie identification. Arch Dis Child Fetal Neonatal Ed 2015;100(4):344–348. DOI: 10.1136/archdischild-2014-307503.
  19. Billington J, Yardley I, Upadhyaya M. Long-term efficacy of a tongue tie service in improving breast feeding rates: a prospective study. J Pediatr Surg 2018;53(2):286–288. DOI: 10.1016/j.jpedsurg.2017.11.014.
  20. Sanches MTC. Clinical management of oral disorders in breastfeeding. J Pediatr 2004;80(5):155–162. DOI: 10.2223/1249.
  21. Khoo AK, Dabbas N, Sudhakaran N, et al. Nipple pain at presentation predicts success of tongue-tie division for breastfeeding problems. Eur J Pediatr Surg 2009;19(6):370–373. DOI: 10.1055/s-0029-1234041.
  22. Amir LH. Managing common breastfeeding problems in the community. BMJ 2014;348:g2954. DOI: 10.1136/bmj.g2954.
  23. Fujinaga CI, Chaves JC, Karkow IK, et al. Frênulo lingual e aleitamento materno: estudo descritivo. Audiol Commun Res 2017;22:e1762. DOI: 10.1590/2317-6431-2016-1762.
  24. Walker RD, Messing S, Rosen-Carole C, et al. Defining tip-frenulum length for ankyloglossia and its impact on breastfeeding: a prospective cohort study. Breastfeed Med 2018;13(3):204–210. DOI: 10.1089/bfm.2017.0116.
  25. Hong P, Lago D, Seargeant J, et al. Defining ankyloglossia: a case series of anterior and posterior tongue ties. Int J Pediatr Otorhinolaryngol 2010;74(9):1003–1006. DOI: 10.1016/j.ijporl.2010.05.025.
  26. Webb AN, Hao W, Hong P. The effect of tongue-tie division on breastfeeding and speech articulation: a systematic review. Int J Pediatr Otorhinolaryngol 2013;77(5):635–646. DOI: 10.1016/j.ijporl.2013.03.008.
  27. Araujo MCM, Freitas RL, Lima MG, et al. Avaliação do frênulo lingual em recém-nascidos com dois protocolos e sua relação com o aleitamento materno. J Pediatr 2020;96(3):379–385. DOI: 10.1016/j. jped.2018.12.013.
  28. LeTran V, Osterbauer B, Buen F, et al. Ankyloglossia: last threeyears of outpatient care at a tertiary referral center. Int J Pediatr Otorhinolaryngol 2019;126:109599. DOI: 10.1016/j.ijporl.2019.109599.
  29. Griffiths DM. Do tongue ties affect breastfeeding? J Hum Lact 2004;20(4):409–414. DOI: 10.1177/0890334404266976.
  30. Amir LH, James JP, Beatty J. Review of tongue-tie release at a tertiary maternity hospital. J Paediatr Child Health 2005;41(5–6):243–245. DOI: 10.1111/j.1440-1754.2005.00603.x.
  31. Wallace H, Clarke S. Tongue tie division in infants with breast feeding difficulties. Int J Pediatr Otorhinolaryngol 2006;70(7):1257–1261. DOI: 10.1016/j.ijporl.2006.01.004.
  32. Geddes DT, Langton DB, Gollow I, et al. Frenulotomy for breastfeeding infants with ankyloglossia: effect on milk removal and sucking mechanism as imaged by ultrasound. Pediatrics 2008;122(1):e188– e194. DOI: 10.1542/peds.2007-2553.
  33. Buryk M, Bloom D, Shope T. Efficacy of neonatal release of ankyloglossia: a randomized trial. Pediatrics 2011;128(2):280–2888. DOI: 10.1542/peds.2011-0077.
  34. Marchesan IQ. Tongue frenulum evaluation protocol. Rev CEFAC 2010;12(6):977–989. DOI: 10.1590/S1516-18462010000600009.
  35. Cho A, Kelsberg G, Safranek S. Clinical inquiries. When should you treat tongue-tie in a newborn? J Fam Pract 2010;59(12):712a–712b. PMID: 21135930.
  36. Edmunds J, Miles SC, Fulbrook P. Tongue-tie and breastfeeding: a review of the literature. Breastfeed Rev 2011;19(1):19–26. PMID: 21608523.
  37. Wong K, Patel P, Cohen MB, et al. Breastfeeding infants with ankyloglossia: insight into mothers’ experiences. Breastfeed Med 2017;12(2):86–90. DOI: 10.1089/bfm.2016.0177.
  38. Muldoon K, Gallagher L, McGuinness D, et al. Effect of frenotomy on breastfeeding variables in infants with ankyloglossia (tongue-tie): a prospective before and after cohort study. BMC Pregnancy Childbirth 2017;17(1):373. DOI: 10.1186/s12884-017-1561-8.
  39. Brazil, Ministério da Saúde. Child Health: Infant Nutrition: Breastfeeding and Complementary Feeding, 2nd ed. Brasília: Ministério da Saúde do Brasil; 2015. pp. 59–62.
  40. Mullen R. The state of the evidence: ASHA develops levels of evidence for communication sciences and disorders. ASHA Leader 2007;12(3):8–25. DOI: 10.1044/leader.FTR4.12032007.8.
  41. Duarte GA, Ramos RB, Cardoso MC. Feeding methods for children with cleft lip and/or palate: a systematic review. Braz J Otorhinolaryngol 2016;82(5):602–609. DOI: 10.1016/j.bjorl.2015.10.020.
  42. Jensen D, Wallace S, Kelsay P. LATCH: a breastfeeding charting system and documentation tool. J Obstet Gynecol Neonatal Nurs 1994;23(1):27–32. DOI: 10.1111/j.1552-6909.1994.tb01847.x.
  43. Riskin A, Mansovsky M, Coler-Botzer T, et al. Tongue-tie and breastfeeding in newborns-mothers’ perspective. Breastfeed Med 2014;9(9):430–437. DOI: 10.1089/bfm.2014.0072.
  44. Emond A, Ingram J, Johnson D, 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):189–195. DOI: 10.1136/archdischild-2013-305031.
  45. Martinelli RL, Marchesan IQ, Gusmão RJ, et al. The effects of frenotomy on breastfeeding. J Appl Oral Sci 2015;23(2):153–157. DOI: 10.1590/1678-775720140339.
  46. Benoiton L, Morgan M, Baguley K. Management of posterior ankyloglossia and upper lip ties in a tertiary otolaryngology outpatient clinic. Int J Pediatr Otorhinolaryngol 2016;88:13–16. DOI: 10.1016/j.ijporl.2016.06.037.
  47. Wakhanrittee J, Khorana J, Kiatipunsodsai S. The outcomes of a frenulotomy on breastfeeding infants followed up for 3 months at Thammasat University Hospital. Pediatr Surg Int 2016;32(10):945–952. DOI: 10.1007/s00383-016-3952-8.
  48. Ghaheri BA, Cole M, Mace JC. Revision lingual frenotomy improves patient-reported breastfeeding outcomes: a prospective cohort study. J Hum Lact 2018;34(3):566–574. DOI: 10.1177/0890334418775624.
  49. Ricke LA, Baker NJ, Madlon-Kay DJ, et al. Newborn tongue-tie: prevalence and effect on breast-feeding. J Am Board Fam Pract 2005;18(1):1–7. DOI: 10.3122/jabfm.18.1.1.
  50. Amir LH, James JP, Donath SM. Reliability of the Hazelbaker assessment tool for lingual frenulum function. Int Breastfeed J 2006;1(1):3. DOI: 10.1186/1746-4358-1-3.
  51. Dennis CL. The breastfeeding self-efficacy scale: psychometric assessment of the short form. J Obstet Gynecol Neonatal Nurs 2003;32(6):734–744. DOI: 10.1177/0884217503258459.
  52. Pugh LC, Buchko BL, Bishop BA, et al. A comparison of topical agents to relieve nipple pain and enhance breastfeeding. Birth 1996;23(2):88–93. DOI: 10.1111/j.1523-536x.1996.tb00835.x.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.