Upper lip frenotomy for neonatal breastfeeding problems
Prayag S Patel1, Derek B Wu1, Ziv Schwartz1
1Department of Otolaryngology, SUNY Downstate Medical Center, 450 Clarkson Avenue, MSC 126, Brooklyn, NY, 11203, USA.
International Journal of Pediatric Otorhinolaryngology
|June 16, 2019
Summary
In-office upper lip tie release improved infant latch and breastfeeding satisfaction for most mothers. The procedure showed favorable short-term outcomes with minimal complications and low recurrence rates.
Area of Science:
- Pediatric surgery
- Lactation consultancy
- Neonatal care
Background:
- Isolated upper lip tie can impede infant latch and breastfeeding.
- Limited research exists on the outcomes of isolated upper lip tie release.
Purpose of the Study:
- To describe the technique and evaluate outcomes of in-office release of isolated upper lip tie.
- To assess the impact on infant feeding and maternal satisfaction.
Main Methods:
- Retrospective review of 22 mother-infant dyads undergoing upper lip frenotomy (CPT Code 40,806).
- Infants were under 60 days old with breastfeeding difficulties attributed to restrictive upper lip frenum.
- Outcomes assessed via telephone survey within 4 weeks post-procedure.
Main Results:
- 82% of mothers reported improved infant latch.
- 73% of mothers reported increased breastfeeding satisfaction.
- 9% recurrence rate; no significant complications or infections reported. Lip pain resolved within 24 hours for most.
Conclusions:
- In-office upper lip frenotomy demonstrates favorable short-term outcomes in selected infants.
- The procedure is associated with mild, transient discomfort and a low recurrence rate.
- Further research with control groups is needed to confirm efficacy and long-term impact.
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