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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.
Insights
Ankyloglossia (tongue-tie) affects 0.52% of infants. Frenotomy (tongue-tie release) is safe and effective for symptomatic cases, with 85.9% showing satisfactory results after the procedure.
Area of Science:
- Pediatrics
- Neonatal care
- Surgical interventions
Background:
- Ankyloglossia, commonly known as tongue-tie, is a condition affecting infants.
- Early diagnosis and intervention are crucial for managing associated complications.
Purpose of the Study:
- To determine the prevalence of ankyloglossia in a neonatal population.
- To describe the clinical presentation and management strategies for infants diagnosed with ankyloglossia.
Main Methods:
- Retrospective review of medical records for infants under 6 months of age.
- Data collected on diagnosis, symptoms, and treatment outcomes.
Main Results:
- The prevalence of ankyloglossia was found to be 0.52% (134 out of 25,786 infants).
- Infants with breastfeeding difficulties were diagnosed earlier than asymptomatic infants (P<0.05).
- Frenotomy was performed on 85.9% of symptomatic infants, yielding satisfactory results; 70 asymptomatic infants received conservative management.
Conclusions:
- Frenotomy is a safe and effective surgical procedure for infants experiencing symptoms of ankyloglossia.
- Conservative management with counseling is an option for asymptomatic infants.
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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