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Dysfunctional suction dynamics in newborns with ankyloglossia
Bruna Mendes Lourenço Cunha1, Erika Baptista Luiz Badarane1, Paulo Vitor Melo Sousa Filho1
1Laboratório de Prototipagem Assistiva, Programa de Pós-graduação em Neurociências e Biologia Celular, Instituto de Ciências Biológicas, Universidade Federal do Pará - UFPA - Belém (PA), Brasil.
Insights
Newborns with ankyloglossia (tongue-tie) exhibit longer suction bursts during feeding. This objective measurement may help evaluate infant feeding difficulties and breastfeeding pain.
Area of Science:
- Pediatric Medicine
- Neonatology
- Biomedical Engineering
Background:
- Ankyloglossia, commonly known as tongue-tie, can affect infant feeding.
- Objective methods are needed to quantify infant suction patterns.
- Previous studies have not objectively measured suction in infants with ankyloglossia.
Purpose of the Study:
- To compare infant suction patterns in babies with and without ankyloglossia.
- To utilize a microprocessor-controlled pressure sensor for objective suction measurement.
- To evaluate the utility of this method in assessing ankyloglossia.
Main Methods:
- Fifty-five infants (0-2 months) were clinically assessed for ankyloglossia.
- A silicone pacifier connected to a pressure sensor recorded suction activity.
- Key parameters analyzed included burst duration, suck frequency, and inter-burst interval.
Main Results:
- Infants with ankyloglossia demonstrated significantly longer bursts of suction activity compared to controls.
- No other significant differences in suction parameters were noted between groups.
- Longer burst durations suggest a potential compensatory mechanism.
Conclusions:
- Longer suction burst durations in ankyloglossia may be a compensatory strategy.
- These feeding pattern differences could contribute to breastfeeding pain reported by mothers.
- The developed method offers objective quantification of infant suction capacity for ankyloglossia evaluation.
Purpose:
Compare infant suction in babies with and without ankyloglossia using a microprocessor-controlled pressure sensor coupled to a pacifier.
Methods:
Fifty-five infants from 0 to 2 months of age underwent clinical examination for ankyloglossia, after which they were offered a silicone pacifier connected to the pressure acquisitiondevice and suction activity was recorded. Thus, we extracted the frequency of sucks within a burst, the average suck duration, the burst duration, the number of sucks per burst, the maximum amplitude of sucks per burst and the inter-burst interval.
Results:
The key difference in newborns with ankyloglossia in relation to control was that they perform longer bursts of suction activity.
Conclusion:
The longer burst durations are likely a compensatory strategy and may underlie the pain reported by mothers during breastfeeding. We therefore propose a method for objectively quantifying some parameters of infant suction capacity and demonstrate its use in assisting the evaluation of ankyloglossia.
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