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Ankyloglossia in Infancy: An Indian Experience
R Kishore Kumar1, P C Nayana Prabha, Prashant Kumar
1Department of Neonatology and Pediatrics, Cloudnine Hospital, Bengaluru, India. Correspondence to: Prof R Kishore Kumar, Chairman and Consultant Neonatologist and Pediatrician, Cloudnine Hospital, 1533, 9th Main, 3rd Block, Jayanagar, Bengaluru 560 011, India. drkishore@cloudninecare.com.
Objective:
To study the prevalence, clinical presentation and management of infants with ankyloglossia.
Methods:
A retrospective file review of infants less than 6 months of age with a diagnosis of ankyloglossia.
Results:
Of the 25786 babies born during the assessment period (2007-2015), 134 (0.52%) had ankyloglossia. Sixty-four (47.7%) infants who presented with breastfeeding difficulties were diagnosed significantly earlier than the asymptomatic group (P<0.05). Of the symptomatic group, 85.9% underwent frenotomy with satisfactory results. Seventy asymptomatic infants were managed conservatively with counselling.
Conclusion:
Frenotomy seems to be a safe and effective procedure in infants with symptomatic ankyloglossia.
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