Does lingual frenotomy improve breast feeding in babies diagnosed with ankyloglossia? An integrative literature review
DOI:
https://doi.org/10.5902/2236583473401Keywords:
Ankyloglossia, Breast Feeding, Infant, NewbornAbstract
The aim of this study is to investigate the repercussions of lingual frenotomy on breastfeeding of babies diagnosed with ankyloglossia. Integrative literature review in SciELO and BVS. In BVS the indexed databases were selected: MEDLINE and LILACS. The descriptors were used: Ankyloglossia, Breast Feeding, Infant, Newborn and Infant. Inclusion criteria were: articles published in portuguese, english and/or spanish, in the period from 2012 to 2022, with full text available online. Non-original studies, case reports, articles that did not contemplate the research subject and articles that did not answer the research question of this integrative review were excluded. After applying the eligibility criteria, 12 articles were selected. Lingual frenotomy performed in babies diagnosed with ankyloglossia was associated with positive results in breastfeeding in all analyzed studies. Reduction of maternal nipple pain after lingual frenotomy was observed in 9 included studies. No serious complications during or after the procedure were reported in any of the studies. It is concluded that lingual frenotomy is a safe procedure with positive results in breastfeeding babies diagnosed with ankyloglossia. However, there is still no consensus on the subject in the literature, so it is important to address realistic expectations with those responsible for the expected results.
Downloads
References
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde Da Criança: Aleitamento Materno e Alimentação Complementar. 2015; 2ed. [acesso em 2022 nov 17]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/saude_crianca_aleitamento_materno_cab23.pdf
Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475-490. doi:10.1016/S0140-6736(15)01024-7
Campanha SMA, Martinelli RL de C, Palhares DB. Association between ankyloglossia and breastfeeding. Codas. 2019;31(1):1-7. doi:10.1590/2317-1782/20182018264
Universidade Federal do Rio de Janeiro, Estudo Nacional de Alimentação e Nutrição Infantil. Resultados preliminares - Indicadores de aleitamento materno no Brasil. Univ Fed do Rio Janeiro. Published online 2020:1-9. [acesso em 2022 nov 17]. Disponível em: https://enani.nutricao.ufrj.br/wp-content/uploads/2020/08/Relatorio-preliminar-AM-Site.pdf
Schlatter SM, Schupp W, Otten JE, Harnisch S, Kunze M, Stavropoulou D, et al. The role of tongue-tie in breastfeeding problems-A prospective observational study. Acta Paediatr. 2019;108(12):2214-2221. doi:10.1111/apa.14924
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Coordenação Geral de Saúde da Criança e Aleitamento Materno. Nota Técnica no 35/2018. Ministério da Saúde. 2018. [acesso em 2022 nov 17]. Disponível em: https:// https://bvsms.saude.gov.br/bvs/publicacoes/anquiloglossia_ministerio_saude_26_11_2018_nota_tecnica_35.pdf
Procopio IMS, Costa VPP, Lia EN. Frenotomia lingual em lactentes. Rev da Fac Odontol - UPF. 2017;22(1):114-119. doi:10.5335/rfo.v22i1.6849
Lima ALX, Dutra MRP. Influence of frenotomy on breastfeeding in newborns with ankyloglossia. Codas. 2021;33(1):1-5. doi:10.1590/2317-1782/20202019026
O'Shea JE, Foster JP, O'Donnell CP, Breathnach D, Jacobs SE, Todd DA, et al. Frenotomy for tongue-tie in newborn infants. Cochrane Database Syst Rev. 2017;2017(3). doi:10.1002/14651858.CD011065.pub2
Melo LSA de, Rodrigues BAL, Carvalho ALV de, Silva LRG da, Silva-Selva ELMS da. A importância da frenotomia lingual na amamentação de bebês diagnosticados com anquiloglossia / The importance of lingual frenotomy in breastfeeding babies diagnosed with ankyloglossia. Brazilian J Dev. 2021;7(12):115739-115756. doi:10.34117/bjdv7n12-370
Webb AN, Hao W, Hong P. The effect of tongue-tie division on breastfeeding and speech articulation: a systematic review. Int J Pediatr Otorhinolaryngol. 2013;77(5):635-646. doi:10.1016/j.ijporl.2013.03.008
Fraga M do RB de A, Barreto KA, Lira TCB, Celerino PRRP, Tavares IT da S, Menezes VA de. Ankyloglossia and breastfeeding: what is the evidence of association between them? Rev CEFAC. 2020;22(3):1-8. doi:10.1590/1982-0216/202022312219
Francis DO, Krishnaswami S, McPheeters M. Treatment of ankyloglossia and breastfeeding outcomes: a systematic review. Pediatrics. 2015;135(6):e1458-66. doi:10.1542/peds.2015-0658
Miranda PP, Cardoso CL, Gomes E. Interventions in the Alteration on Lingual Frenum: Systematic Review. Int Arch Otorhinolaryngol. 2016;20(3):275-280. doi:10.1055/s-0035-1568135
Bin-Nun A, Kasirer YM, Mimouni FB. A Dramatic Increase in Tongue Tie-Related Articles: A 67 Years Systematic Review. Breastfeed Med. 2017;12(7):410-414. doi:10.1089/bfm.2017.0044
Ribeiro V dos S, Garbuio DC, Zamariolli CM, Eduardo AHA, Carvalho EC de. Simulação clínica e treinamento para as Práticas Avançadas de Enfermagem: revisão integrativa. Acta Paul Enferm. 2018;31(6):659-666. doi:10.1590/1982-0194201800090
Rasteniene R, Puriene A, Aleksejuniene J. Tongue function characteristics in infants experiencing breastfeeding difficulties and changes in breastfeeding after frenotomy procedures. Clin Oral Investig. 2021;25(8):4871-4877. doi:10.1007/s00784-021-03793-z
Bundogji N, Zamora S, Brigger M, Jiang W. Modest benefit of frenotomy for infants with ankyloglossia and breastfeeding difficulties. Int J Pediatr Otorhinolaryngol. 2020;133:109985. doi:10.1016/j.ijporl.2020.109985
Srinivasan A, Al Khoury A, Puzhko S, Dobrich C, Stern M, Mitnick H, et al. Frenotomy in Infants with Tongue-Tie and Breastfeeding Problems. J Hum Lact. 2019;35(4):706-712. doi:10.1177/0890334418816973
Billington J, Yardley I, Upadhyaya M. Long-term efficacy of a tongue tie service in improving breast feeding rates: A prospective study. J Pediatr Surg. 2018;53(2):286-288. doi:10.1016/j.jpedsurg.2017.11.014
Muldoon K, Gallagher L, McGuinness D, Smith V. Effect of frenotomy on breastfeeding variables in infants with ankyloglossia (tongue-tie): a prospective before and after cohort study. BMC Pregnancy Childbirth. 2017;17(1):373. doi:10.1186/s12884-017-1561-8
Wakhanrittee J, Khorana J, Kiatipunsodsai S. The outcomes of a frenulotomy on breastfeeding infants followed up for 3 months at Thammasat University Hospital. Pediatr Surg Int. 2016;32(10):945-952. doi:10.1007/s00383-016-3952-8
Sharma SD, Jayaraj S. Tongue-tie division to treat breastfeeding difficulties: our experience. J Laryngol Otol. 2015;129(10):986-989. doi:10.1017/S002221511500225X
Emond A, Ingram J, Johnson D, Blair P, Whitelaw A, Copeland M, et al. Randomised controlled trial of early frenotomy in breastfed infants with mild-moderate tongue-tie. Arch Dis Child Fetal Neonatal Ed. 2014;99(3):F189-95. doi:10.1136/archdischild-2013-305031
Sethi N, Smith D, Kortequee S, Ward VMM, Clarke S. Benefits of frenulotomy in infants with ankyloglossia. Int J Pediatr Otorhinolaryngol. 2013;77(5):762-765. doi:10.1016/j.ijporl.2013.02.005
Mettias B, O’Brien R, Abo Khatwa MM, Nasrallah L, Doddi M. Division of tongue tie as an outpatient procedure. Technique, efficacy and safety. Int J Pediatr Otorhinolaryngol. 2013;77(4):550-552. doi:10.1016/j.ijporl.2013.01.003
Visconti A, Hayes E, Ealy K, Scarborough DR. A systematic review: The effects of frenotomy on breastfeeding and speech in children with ankyloglossia. Int J Speech Lang Pathol. 2021;23(4):349-358. doi:10.1080/17549507.2020.1849399
Hill RR, Pados BF. Symptoms of problematic feeding in infants under 1 year of age undergoing frenotomy: A review article. Acta Paediatr. 2020;109(12):2502-2514. doi:10.1111/apa.15473
Kent JC, Ashton E, Hardwick CM, Rowan MK, Chia ES, Fairclough KA, et al. Nipple pain in breastfeeding mothers: Incidence, causes and treatments. Int J Environ Res Public Health. 2015;12(10):12247-12263. doi:10.3390/ijerph121012247
Kumar RK, Nayana Prabha PC, Kumar P, Patterson R, Nagar N. Ankyloglossia in infancy: An Indian experience. Indian Pediatr. 2017;54(2):125-127. doi:10.1007/s13312-017-1014-5
Hentschel R. Breastfeeding problems should be the only relevant criteria for deciding whether to carry out a frenotomy in infancy. Acta Paediatr. 2018;107(10):1697-1701. doi:10.1111/apa.14439
Opara PI, Gabriel-Job N, Opara KO. Neonates presenting with severe complications of frenotomy: a case series. J Med Case Rep. 2012;6:77. doi:10.1186/1752-1947-6-77
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Jéssica Gabriele da Rocha, Edilson Fernando Castelo
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
A Declaração de Direito Autoral e os itens a serem observados podem ser visualizados no seguinte link: http://cascavel.ufsm.br/revistas/ojs-2.2.2/index.php/seculoxxi/information/sampleCopyrightWording
