Tongue-tie in babies. Diagnosis and laser frenectomy. Case report.
Abstract
Introduction: The World Health Organization (WHO) establishes that breast-feeding must be promoted, supported, and protected due to its benefits in maternal and child health and for the economic, environmental, family and community benefits it produces.
Case Report: Ankyloglossia in the newborn can cause early cessation of breastfeeding. A clinical case of a 2-month-old baby, referred to the surgical team of the Dental Service of the Pereira Rossell Hospital Center, with difficulties in breastfeeding due to ankyloglossia is presented. Diagnosis and laser surgical treatment was performed. In the immediate postoperative period, there was an improvement, achieving breastfeeding without the aid of devices, and a progressive improvement during the month following the intervention occurred.
Conclusion: Early diagnosis and timely intervention collaborate in the maintenance of lactation and in the progressive improvement of the process.
References
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[31]. Ricke LA, Baker NJ, Madlon-Kay DJ, DeFor TA. Newborn tongue-tie: Prevalence and effect on breast-feeding. J Am Board Fam Pract. 2005.
[32]. Ballard JL. Auer CE. Khoury JC. Ankyloglossia: assess-ment, incidence, and effect of frenuloplasty on the breastfeeding dyad. Pediatrics. 2002;110(63).
[33]. Francis DO. Krishnaswami S. McPheeters M. Treatment of ankyloglossia and breastfeeding outcomes: a systematic review. Pediatrics. 2015;135(6):1.458-66.
[34]. Berry J, Griffiths M, Westcott C. A double-blind, ran-domized, controlled trial of tongue-tie division and its immediate effect on breastfeeding. Breastfeed Med. 2012.
[35]. Segal LM. Stephenson R. Dawes M. Feldman P. Prevalence, diagnosis, and treatment of ankyloglo-ssia: methodologic review. Can Fam Physician. 2007;53:1027–33.
[36]. Corrêa MSNP, Abanto Alvarez J, Corrêa FNP, Bonini GAVC, Alves FBT. Anquiloglosia y amamantamiento: Revisión y reporte de caso. Rev Estomatológica Hered. 2014.
[37]. Advíncula E, Elizabeth C, Paz P. Frenillo Lingual: ¿Cuándo es un problema? Odontol Pediatr. 2010.
[38]. Kummer AW. Ankyloglossia: To Clip or Not to Clip? That’s the Question. ASHA Leader. 2005;27.
[39]. Martinelli RLC. Marchesan IQ. Berretin-Felix G. Estudo longitudinal de características anatômicas do frênulo lingual comparado com afirmações da literatura. Rev CEFAC. 2014;16(4):1202-7.
[40]. Queiroz Marchesan I, Castro Martinelli RL de, Jordão Gusmão R, Castro Rodrigues A de, Berretin-Felix G. Histological Characteristics of Altered Human Lingual Frenulum. Int J Pediatr Child Heal. 2014.
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[43]. Pastor-Vera T, Rodriguez-Alessi P, Ferrés-Amat E, Ferrés-Padró E. Anquiloglosia y problemas de succión, tratamiento multidisciplinar: terapia miofuncional orofacial, sesiones de lactancia materna y frenotomía. Revista de Logopedia, Foniatría y Audiología.2016; 37(1):1-10.
[44]. Hogan M, Westcott C, Griffiths M. Randomized, controlled trial of division of tongue-tie in infants with feeding problems. J Paediatr Child Health. 2005; 41(5-6):246-50. doi: 10.1111/j.1440-1754.2005.00604.x. PMID: 15953322.
[45]. Dollberg S, Botzer E, Grunis E, Mimouni FB. Immediate nipple pain relief after frenotomy in breast-fed infants with ankyloglossia: a randomized, prospective study. J Pediatr Surg. 2006;41(9):1598-600. doi: 10.1016/j.jpedsurg.2006.05.024. PMID: 16952598.
[46]. Buryk M, Bloom D, Shope T. Efficacy of neonatal rele-ase of ankyloglossia: a randomized trial. Pediatrics. 2011;128(2):280-8. doi: 10.1542/peds.2011-0077. PMID: 21768318.
[47]. Ito Y. Does frenotomy improve breast-feeding difficulties in infants with ankyloglossia? Pediatr Int. 2014;56(4):497-505. doi: 10.1111/ped.12429. PMID: 24978831.
[48]. 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):635-46. doi: 10.1016/j.ijporl.2013.03.008. PMID: 23537928.
[49]. 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 Oct;32(10):945-52. doi: 10.1007/s00383-016-3952-8. PMID: 27484410.
[50]. Imparato JCP. Anuário Odontopediatria clínica: inte-grada e atual. Nova Odessa, SP: Napoleão. 2015;2(1).
[51]. Todd DA, Hogan MJ. Tongue-tie in the newborn: early diagnosis and division prevents poor breastfeeding outcomes. Breastfeed Rev. 2015;23(1):11-6. PMID: 259 06492.
[52]. Srinivasan A, Al Khoury A, Puzhko S, Dobrich C, Stern M, Mitnick H, Goldfarb L. Frenotomy in Infants with Tongue-Tie and Breastfeeding Problems. J Hum Lact. 2019;35(4):706-712. doi: 10.1177/0890334418816973. PMID: 30543756.
[2]. Rollins NC, Bhandari N, Hajeebhoy N, Horton S, Lutter CK, Martines JC, Piwoz EG, Richter LM, Victora CG; Lancet Breastfeeding Series Group. Why invest, and what it will take to improve breastfeeding practices? Lancet. 2016;387(10017):491-504. doi: 10.1016/S0140-6736(15)01044-2. PMID: 26869576.
[3]. Aller J. Pagés G. Obstetricia moderna. 3 Ed. McGraw-Hill Interamericana de Venezuela, 1999.
[4]. OMS. ICD-11 for Mortality and Morbidity Statistics. 2019.
[5]. Manipon C. Ankyloglossia and the Breastfeeding Infant: Assessment and Intervention. Adv Neonatal Care. 2016 Apr;16(2):108-13. doi: 10.1097/ANC.0000000000000252. PMID: 27003478.
[6]. Adeva Quirós C. Anquiloglosia en recién nacidos y lactancia materna. El papel de la enfermera en su identificación y tratamiento. RqR Enfermería Comunitaria (Revista de SEAPA). 2014;2(2):21-37.
[7]. Redondo D. Fraile P. Segura R. Villena G. Rodríguez Z. García-Atance LB. Abordaje de las dificultades más frecuentes en lactancia materna Evidencia científica. FAME. Esmon Publicidad S.A. Barcelona. 2016.
[8]. Cuestas G, Demarchi V, Corvalán MPM, Razetti J, Boccio C. Tratamiento quirúrgico del frenillo lingual corto en niños. Arch Argent Pediatr 2014;112(6):567-570.
[9]. Power RF, Murphy JF. Tongue-tie and frenotomy in infants with breastfeeding difficulties: achieving a balance. Arch Dis Child. 2015;100(5):489-94. doi: 10.1136/archdischild-2014-306211. PMID: 25381293.
[10]. Frenectomy for the Correction of Ankyloglossia: A Review of Clinical Effectiveness and Guidelines. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2016. PMID: 27403491.
[11]. O'Shea JE, Foster JP, O'Donnell CP, Breathnach D, Jacobs SE, Todd DA, Davis PG. Frenotomy for tongue-tie in newborn infants. Cochrane Database Syst Rev. 2017;3(3):CD011065. doi: 10.1002/14651858.CD011065.pub2. PMID: 28284020; PMCID: PMC6464654.
[12]. Henry L, Hayman R. Ankyloglossia its impact breast-feeding. Nurs Womens Health. 2014;18(2):122-9. doi: 10.1111/1751-486X.12108. PMID: 24750651.
[13]. Martinelli RL de C, Marchesan IQ, Lauris JR, Honório HM, Gusmão RJ, Berretin-Felix G. Validity and reliability of the neonatal tongue screening test. Rev CEFAC. 2016; 18(6):1323-31
[14]. Hazelbaker AK. TONGUE TIE Morphogenesis, Impact, Assessment and Treatment. Aidan and Eva Press. 2010.
[15]. Martinelli RL, Marchesan IQ, Berretin-Felix G. Lingual frenulum protocol with scores for infants. Int J Orofacial Myology. 2012;38:104-12. PMID: 23362754.
[16]. Coryllos E. Genna CW. Salloum A. Congential tongue-tie and its impact on breastfeeding. Am Acad Pediatr Newsl Summer. 2004;1–6.
[17]. Ingram J. Johnson D. Copeland M. Churchill C. Taylor H. The development of a new breastfeeding assessment tool and the relationship with breastfeeding self-efficacy. Midwifery. 2014;31:132–7.
[18]. Ingram J. Johnson D. Copeland M. Churchill C. Taylor H. Emond A. The development of a tongue assessment tool to assist with tongue-tie identification. Arch Dis Child Fetal Neonatal Ed. 2015;100(4:F):344–9.
[19]. Ingram J, Copeland M, Johnson D, Emond A. The development and evaluation of a picture tongue assessment tool for tongue-tie in breastfed babies (TABBY). Int Breastfeed J. 2019;14:31. doi: 10.1186/s13006-019-0224-y. PMID: 31346346; PMCID: PMC6636052.
[20]. Jensen D. Wallace S. Kelsay P. LATCH: A breastfeeding charting system and documentation tool. J Obstet Gynecol neonatal Nursing. 1994;23:27–32.
[21]. 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):1714-7. doi: 10.1016/j.ijporl.2015.07.033. PMID: 26255605.
[22]. 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;88:13-6. doi: 10.1016/j.ijporl.2016.06.037. PMID: 27497378.
[23]. Patel PS, Wu DB, Schwartz Z, Rosenfeld RM. Upper lip frenotomy for neonatal breastfeeding problems. Int J Pediatr Otorhinolaryngol. 2019;124:190-192. doi: 10.1016/j.ijporl.2019.06.008. PMID: 31202037.
[24]. Merritt LS. The Effect of Tongue-Tie and Lip-Tie on Breastfeeding. J Nurse Pract. 2019;15:356–60.
[25]. Heo W, Ahn HC. Upper lip tie wrapping into the hard palate and anterior premaxilla causing alveolar hypoplasia. Arch Craniofac Surg. 2018;19(1):48-50. doi: 10.7181/acfs.2018.19.1.48. PMID: 29609432; PMCID: PMC 5894555.
[26]. Convissar RA. Láser en odontología. Principios y práctica. Edición en. Barcelona: Elsevier; 2012.
[27]. Iturriaga GS, Unceta-Barrenechea AA, Zárate KS, Olaechea IZ, Núñez AR, Rivero MM. Efecto analgésico de la lactancia materna en la toma sanguínea del talón en el recién nacido [Analgesic effect of breastfeeding when taking blood by heel-prick in newborns]. An Pediatr (Barc). 2009;71(4):310-3. doi: 10.1016/j.anpedi. 2009.06.023. PMID: 19762295.
[28]. Shah PS. Aliwalas LL. Shah V. Lactancia o leche maternal para los procedimientos dolorosos en los neonatos. Bibl Cochrane Plus. 2008.
[29]. Urzainqui Zabalza O. Caravaca Hernández A. Egea Zerolo B. González Álvarez M. Revisión bibliográfica: efecto analgésico de la lactancia materna en recién nacidos a término. Enfermería Glob. 2004;4:1–5.
[30]. Messner AH, Lalakea ML, Janelle A, Macmahon J, Bair E. Ankyloglossia: Incidence and associated feeding diffi-culties. Arch Otolaryngol - Head Neck Surg. 2000.
[31]. Ricke LA, Baker NJ, Madlon-Kay DJ, DeFor TA. Newborn tongue-tie: Prevalence and effect on breast-feeding. J Am Board Fam Pract. 2005.
[32]. Ballard JL. Auer CE. Khoury JC. Ankyloglossia: assess-ment, incidence, and effect of frenuloplasty on the breastfeeding dyad. Pediatrics. 2002;110(63).
[33]. Francis DO. Krishnaswami S. McPheeters M. Treatment of ankyloglossia and breastfeeding outcomes: a systematic review. Pediatrics. 2015;135(6):1.458-66.
[34]. Berry J, Griffiths M, Westcott C. A double-blind, ran-domized, controlled trial of tongue-tie division and its immediate effect on breastfeeding. Breastfeed Med. 2012.
[35]. Segal LM. Stephenson R. Dawes M. Feldman P. Prevalence, diagnosis, and treatment of ankyloglo-ssia: methodologic review. Can Fam Physician. 2007;53:1027–33.
[36]. Corrêa MSNP, Abanto Alvarez J, Corrêa FNP, Bonini GAVC, Alves FBT. Anquiloglosia y amamantamiento: Revisión y reporte de caso. Rev Estomatológica Hered. 2014.
[37]. Advíncula E, Elizabeth C, Paz P. Frenillo Lingual: ¿Cuándo es un problema? Odontol Pediatr. 2010.
[38]. Kummer AW. Ankyloglossia: To Clip or Not to Clip? That’s the Question. ASHA Leader. 2005;27.
[39]. Martinelli RLC. Marchesan IQ. Berretin-Felix G. Estudo longitudinal de características anatômicas do frênulo lingual comparado com afirmações da literatura. Rev CEFAC. 2014;16(4):1202-7.
[40]. Queiroz Marchesan I, Castro Martinelli RL de, Jordão Gusmão R, Castro Rodrigues A de, Berretin-Felix G. Histological Characteristics of Altered Human Lingual Frenulum. Int J Pediatr Child Heal. 2014.
[41]. Martinelli RLC. Marchesan IQ. Frênulo lingual nos primeiros meses de vida. XX Congr Bras Fonoaudiol Brasília Rev da Soc Bras Fonoaudiol – Supl Espec. 2012.
[42]. Dixon B, Gray J, Elliot N, Shand B, Lynn A. A multifaceted programme to reduce the rate of tongue-tie release surgery in newborn infants: Observational study. Int J Pediatr Otorhinolaryngol. 2018;113:156-163. doi: 10.1016/j.ijporl.2018.07.045. PMID: 30173975.
[43]. Pastor-Vera T, Rodriguez-Alessi P, Ferrés-Amat E, Ferrés-Padró E. Anquiloglosia y problemas de succión, tratamiento multidisciplinar: terapia miofuncional orofacial, sesiones de lactancia materna y frenotomía. Revista de Logopedia, Foniatría y Audiología.2016; 37(1):1-10.
[44]. Hogan M, Westcott C, Griffiths M. Randomized, controlled trial of division of tongue-tie in infants with feeding problems. J Paediatr Child Health. 2005; 41(5-6):246-50. doi: 10.1111/j.1440-1754.2005.00604.x. PMID: 15953322.
[45]. Dollberg S, Botzer E, Grunis E, Mimouni FB. Immediate nipple pain relief after frenotomy in breast-fed infants with ankyloglossia: a randomized, prospective study. J Pediatr Surg. 2006;41(9):1598-600. doi: 10.1016/j.jpedsurg.2006.05.024. PMID: 16952598.
[46]. Buryk M, Bloom D, Shope T. Efficacy of neonatal rele-ase of ankyloglossia: a randomized trial. Pediatrics. 2011;128(2):280-8. doi: 10.1542/peds.2011-0077. PMID: 21768318.
[47]. Ito Y. Does frenotomy improve breast-feeding difficulties in infants with ankyloglossia? Pediatr Int. 2014;56(4):497-505. doi: 10.1111/ped.12429. PMID: 24978831.
[48]. 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):635-46. doi: 10.1016/j.ijporl.2013.03.008. PMID: 23537928.
[49]. 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 Oct;32(10):945-52. doi: 10.1007/s00383-016-3952-8. PMID: 27484410.
[50]. Imparato JCP. Anuário Odontopediatria clínica: inte-grada e atual. Nova Odessa, SP: Napoleão. 2015;2(1).
[51]. Todd DA, Hogan MJ. Tongue-tie in the newborn: early diagnosis and division prevents poor breastfeeding outcomes. Breastfeed Rev. 2015;23(1):11-6. PMID: 259 06492.
[52]. Srinivasan A, Al Khoury A, Puzhko S, Dobrich C, Stern M, Mitnick H, Goldfarb L. Frenotomy in Infants with Tongue-Tie and Breastfeeding Problems. J Hum Lact. 2019;35(4):706-712. doi: 10.1177/0890334418816973. PMID: 30543756.
Published
2022-08-01
How to Cite
GARCÍA-RIGHETTI, Graciela; ISLAS-TEJERA, Adriana.
Tongue-tie in babies. Diagnosis and laser frenectomy. Case report..
Journal of Oral Research, [S.l.], v. 11, n. 1, p. 1-10, aug. 2022.
ISSN 0719-2479.
Available at: <https://www.joralres.com/index.php/JOralRes/article/view/joralres.2022.006>. Date accessed: 19 apr. 2024.
doi: https://doi.org/10.17126/joralres.2022.006.
Section
Cases
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