Format

Send to

Choose Destination
J Paediatr Child Health. 2005 May-Jun;41(5-6):243-5.

Review of tongue-tie release at a tertiary maternity hospital.

Author information

1
Breastfeeding Education and Support Services, Royal Women's Hospital, Victoria, Australia. lamir@unimelb.edu.au

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.

METHODS:

A structured telephone interview was conducted with the mother at least 3 months after the assessment. Data were collected about the presenting problem and the effect of release of the tongue-tie (if performed). Parents were also asked about their satisfaction with the procedure and of problems following the release.

RESULTS:

Sixty-six babies were assessed in 12 months. If infants were assessed as: (i) having impaired lingual function (using the Hazelbaker assessment tool for lingual frenulum function); (ii) the frenulum visualized to be a thin membrane; and (iii) the parent(s) gave informed consent, the frenulum was released. Initial and follow-up data are available on 46 infants. Infants had a mean age of 18 days (range 3-98), 63% were male infants and most had difficulties with attachment to the breast. Frenotomy was performed on 35 infants and breast-feeding improved in 83%. Parents reported high levels of satisfaction with the frenotomy procedure and no complications were reported.

CONCLUSION:

Frenotomy is a safe and easy procedure. Infants with a significant tongue-tie that is interfering with breast-feeding have shown an improvement with breast-feeding following frenotomy.

Comment in

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Wiley
Loading ...
Support Center