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Office frenotomy for neonates: resolving dysphagia, parental satisfaction and cost-effectiveness

De'Shon Toner, Teresa Giordano, Steven D Handler

    Orl-Head and Neck Nursing : Official Journal of the Society of Otorhinolaryngology and Head-Neck Nurses
    |June 19, 2014
    PubMed

    Insights

    Office frenotomy offers significant cost savings and high parental satisfaction for infants with ankyloglossia, improving feeding outcomes without complications. This procedure avoids general anesthesia, making it a preferred choice for early-life interventions.

    Area of Science:

    • Pediatric Surgery
    • Neonatal Care
    • Health Economics

    Background:

    • Ankyloglossia (tongue-tie) can impede infant nursing, necessitating intervention.
    • Frenotomy is a common procedure to address ankyloglossia.
    • The setting for frenotomy (office vs. operating room) impacts cost and resource utilization.

    Purpose of the Study:

    • To compare parental satisfaction with office-based frenotomy versus frenotomy under general anesthesia.
    • To evaluate the cost-effectiveness of office-based frenotomy.
    • To assess the safety and efficacy of office frenotomy for infant feeding.

    Main Methods:

    • Retrospective chart review of 55 patients undergoing office frenotomy (2003-2008).
    • Inclusion of 25 consented patients for parental interviews.
    • Comparison of costs associated with office versus operating room procedures.

    Main Results:

    • All interviewed parents reported improved infant feeding within two weeks post-procedure.
    • Parents expressed moderate to high satisfaction with office frenotomy compared to general anesthesia.
    • No complications were reported for office frenotomies.

    Conclusions:

    • Office frenotomy provides significant cost savings, avoiding anesthesia and hospital fees.
    • The procedure is safe, effective, and preferred by parents for treating ankyloglossia.
    • Office frenotomy is a recommended, cost-effective alternative for infants with nursing difficulties due to ankyloglossia.
    Abstract

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