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Updated: Sep 2, 2025

Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling
Published on: February 5, 2019
Tongue-tie and breastfeeding.
Zhaoyang Wen1, David L Walner2, Yulia Popova3
1Chicago Medical School at Rosalind Franklin University of Medicine and Sciences, North Chicago, IL, USA.
Lingual frenulum release significantly improves breastfeeding for infants with tongue-tie. The procedure enhances infant feeding efficiency and reduces maternal pain and feeding duration.
Area of Science:
- Pediatric surgery
- Lactation consulting
- Neonatal care
Background:
- Ankyloglossia, or tongue-tie, affects infant breastfeeding.
- Maternal pain and reduced feeding efficiency are common challenges.
Purpose of the Study:
- To assess the impact of lingual frenulum release on infant breastfeeding.
- To evaluate maternal pain and feeding efficiency post-procedure.
Main Methods:
- 41 mother-infant dyads with ankyloglossia were studied.
- Pre- and post-procedure questionnaires assessed breastfeeding using LATCH® criteria, pain, and feeding time.
- Infant ankyloglossia severity was graded using the Coryllos® scale.
Main Results:
- All dyads showed improved or stable LATCH® scores (mean improvement 3.2 points).
- Maternal feeding perception improved (mean 3.3 points), and maternal pain decreased (mean 4.0 points).
- Mean breastfeeding time decreased by 0.80 points.
Conclusions:
- Lingual frenulum release is effective in improving breastfeeding.
- The procedure significantly reduces maternal pain and enhances feeding efficiency.
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