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Author Spotlight: Implications of Non-Nutritive Sucking on Speech Emergence and Infant Development
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Feeding Issues in Infants Referred for Frenotomy.

Mattie Rosi-Schumacher1, Alison C Ma1, Alyssa Reese1

  • 1Otolaryngology, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, USA.

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|June 3, 2024
PubMed
Summary
This summary is machine-generated.

Infants diagnosed with ankyloglossia (tongue tie) often had feeding issues, but some referrals lacked clear feeding problems. Further research is needed on infantile ankyloglossia diagnosis and frenotomy indications.

Keywords:
ankyloglossiafrenulectomyfrenuloplastylingual frenotomytongue tie

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Area of Science:

  • Pediatric Otolaryngology
  • Infant Feeding Disorders
  • Ankyloglossia Research

Background:

  • Ankyloglossia diagnosis and frenotomy rates have increased globally.
  • Scientific evidence supporting frenotomy efficacy for infant feeding issues remains limited.
  • Understanding pre-frenotomy feeding issues in infants is crucial.

Purpose of the Study:

  • To evaluate feeding issues in infants referred for frenotomy due to ankyloglossia.
  • To assess the correlation between ankyloglossia diagnosis and reported feeding difficulties.
  • To investigate diagnostic and treatment patterns in pediatric practices.

Main Methods:

  • Retrospective chart review of infants under one year of age referred for ankyloglossia (2018-2020).
  • Data collected included age, gender, comorbidities, feeding issues, diagnosis, and procedure.
  • Frequencies and non-parametric comparisons were calculated.

Main Results:

  • Ankyloglossia diagnosed in 94.7% of 646 consultations; 12.5% lacked reported feeding issues.
  • Common feeding complaints included poor latch (57.1%) and painful latch (50.3%).
  • Ankyloglossia diagnosis and frenotomy were more likely in hospital settings than clinics.

Conclusions:

  • Infants referred for ankyloglossia often present with feeding issues, but not universally.
  • Discrepancies exist in diagnosis and treatment recommendations between clinical and hospital settings.
  • Knowledge gaps persist regarding infantile ankyloglossia and appropriate frenotomy indications.