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Temporal Trends and Geographic Variation in Frenotomy Procedures Among Infants.

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Frenotomy rates in Danish infants have significantly increased, with notable geographic variations. Further research is needed to confirm the clinical value of this procedure for ankyloglossia.

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Area of Science:

  • Pediatric surgery
  • Public health
  • Neonatal care

Background:

  • Frenotomy is a common procedure for infant ankyloglossia, but its clinical effectiveness is debated.
  • Understanding the incidence and variations in frenotomy is crucial for evidence-based practice.

Purpose of the Study:

  • To analyze the incidence and geographic distribution of infant frenotomy in Denmark.
  • To investigate complications associated with frenotomy, including bleeding and repeat procedures.

Main Methods:

  • A nationwide cohort study of all infants born in Denmark between 2014 and 2024.
  • Utilized Danish National Health Service Register and National Patient Registry data.
  • Included matched controls for comparison of outcomes.

Main Results:

  • Frenotomy incidence increased from 5.3% to 12.1% among infants from 2015 to 2024.
  • Higher incidence observed in males and significant geographic variations in procedure rates.
  • Severe complications were rare; however, hospital contacts for feeding issues were more common post-frenotomy.

Conclusions:

  • Frenotomy rates in Danish infants have risen substantially over the past decade.
  • Considerable geographic variation exists, suggesting potential overuse or inconsistent application.
  • Further evaluation of frenotomy's clinical appropriateness and effectiveness is warranted.