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Ankyloglossia in Newborns: Clinical Implications and Management-A Narrative Review
Teresa Edith Ynurrigarro-Medina1, Gabriela Torre-Delgadillo1, Adriana Torre-Delgadillo2
1Postgraduate Program in Pediatric Dentistry, Faculty of Dentistry, Autonomous University of San Luis Potosi, San Luis Potosí 78290, Mexico.
Children (Basel, Switzerland)
|May 4, 2026
Summary
Ankyloglossia, or tongue-tie, can affect infant feeding. Functional assessment guides individualized treatment, prioritizing lactation support before considering frenotomy for improved feeding and bonding.
Area of Science:
- Pediatrics
- Neonatology
- Lactation Consultancy
Background:
- Ankyloglossia is a congenital condition involving restricted tongue mobility due to lingual frenulum abnormalities.
- It can present with challenges in breastfeeding, including latch difficulties and inefficient milk transfer.
Purpose of the Study:
- To review current knowledge on the etiology, diagnosis, and management of ankyloglossia in newborns.
- To emphasize functional assessment over anatomical appearance in diagnosis.
- To outline a stepwise, individualized management approach.
Main Methods:
- This study is a narrative review of existing literature.
- It synthesizes concepts on ankyloglossia's causes, symptoms, diagnostics, functional impact, and treatment.
Main Results:
- Functional assessment is crucial as anatomical appearance doesn't reliably predict tongue function.
- Management should be stepwise: starting with lactation support and positioning, then considering frenotomy if needed.
- Timely, individualized intervention improves feeding efficiency and caregiver comfort.
Conclusions:
- A multidisciplinary approach is essential for diagnosing and managing ankyloglossia.
- Care should be patient-centered, aligning treatment with infant's functional needs and family goals.
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