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Breastfeeding problems should be the only relevant criteria for deciding whether to carry out a frenotomy in infancy

Roland Hentschel1

  • 1Department of General Pediatrics, Divsions of Neonatology/Intensive Care Medicine, Faculty of Medicine & Medical Center, University of Freiburg, Freiburg, Germany.

Acta Paediatrica (Oslo, Norway : 1992)
|June 7, 2018
PubMed

Performing a frenotomy on tongue-tied infants is controversial, particularly with regard to breastfeeding issues. This paper reviews the literature to bring together clinical experiences and scientific evidence in this field. I found that some tongue-tied babies may exhibit breastfeeding problems, while others may feed perfectly. The literature suggests that medical breastfeeding-related problems should be the only relevant criteria to guide the decision-making for a frenotomy in infancy. The advantages and disadvantages of either a wait and see position or surgical approach are addressed.

Keywords:
BreastfeedingFrenotomyHazelbaker scoreTethered tongueTongue-tie

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