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Ankyloglossia in breastfeeding infants. An update
Marta Costa-Romero1,2, Blanca Espínola-Docio2,3, José M Paricio-Talayero4
1Unidad de Neonatología, Hospital Universitario de Cabueñes, Gijón, España.
Archivos Argentinos De Pediatria
|November 23, 2021
Summary
Ankyloglossia, or short frenulum, can cause breastfeeding issues. This review clarifies diagnosis and treatment, helping healthcare providers manage infant feeding challenges effectively.
Area of Science:
- Pediatrics
- Lactation Consultancy
- Oral Surgery
Background:
- Ankyloglossia (short frenulum) is associated with breastfeeding difficulties, impacting infant development and maternal well-being.
- Current diagnostic criteria for ankyloglossia are inconsistent, leading to overdiagnosis and underdiagnosis.
- Distinguishing between normal variation and functional impairment is challenging.
Purpose of the Study:
- To provide an updated overview of ankyloglossia classification.
- To review current treatment strategies for ankyloglossia.
- To aid healthcare providers in managing patients with ankyloglossia.
Main Methods:
- Literature review on ankyloglossia diagnosis and treatment.
- Analysis of current clinical guidelines and research findings.
- Synthesis of information for practical application.
Main Results:
- Approximately 50% of ankyloglossia cases do not cause significant breastfeeding problems or resolve with supportive measures.
- Functional assessment is crucial to determine if the frenulum impacts breastfeeding.
- Surgical intervention (frenulotomy) is considered for persistent cases.
Conclusions:
- Standardized diagnostic criteria for ankyloglossia are needed.
- A multidisciplinary approach involving lactation support and surgical expertise is beneficial.
- Effective management improves infant feeding outcomes and reduces breastfeeding abandonment.
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