Tongue Tie and Frenotomy in the Breastfeeding Newborn

Isabella Knox
NeoReviews (2010) 11, 513-519


Tongue tie or ankyloglossia has been the subject of much controversy. As defined in this review, tongue tie occurs when a common minor embryologic tissue remnant—persistence of midline sublingual tissue that usually undergoes apoptosis during embryonic development—causes restriction of normal tongue movement. Effective breastfeeding requires newborns to fine-tune their tongue movements to adapt to their mothers' particular nipple and breast anatomy and physiology.

Posterior ankyloglossia: A case report

Michael W. Chua and David C. Bloom

Int J Pediatr Otorhinolaryngol. 2009 Jun;73(6):881-3.


Ankyloglossia, or tongue-tie, refers to an abnormally short lingual frenulum. Ankyloglossia is a recognized but poorly defined condition and has been reported to cause feeding difficulties, dysarthria, dyspnea, and social or mechanical problems. In infants, the most concerning symptoms are feeding difficulties and inability to breastfeed.

Ankyloglossia in Breastfeeding Infants: The Effect of Frenotomy on Maternal Nipple Pain and Latch

Anjana Srinivasan, Carole Dobrich, Howard Mitnick, Perle Feldman
Breastfeeding Medicine. 2006, 1(4): 216-224.


Objective: The aim of this study was to measure the effectiveness of frenotomy in ankyloglossic infants, by quantifying the changes in latch and maternal nipple pain using standardized tools.

Review of tongue-tie release at a tertiary maternity hospital

Lisa Helen Amir, Jennifer Patricia James and Joanne Beatty

Journal of Paediatrics and Child Health 41 (5-6), 243–245. - May 2005.


Objective: To review the first 12 months of assessment and release of lingual frenulum (frenotomy) at a breast-feeding clinic in a tertiary maternity hospital (August 2002 to end of July 2003) and to report on the breast-feeding outcomes and parental satisfaction.

Randomized, controlled trial of division of tongue-tie in infants with feeding problems

Monica Hogan, Carolyn Westcott and Mervyn Griffiths

Journal of Paediatrics and Child Health 41 (5-6), 246–250. - May 2005


Objective: To determine whether, in infants with a tongue-tie and a feeding problem, the current medical treatment (referral to a lactation consultant) or immediate division works best and enables the infants to feed normally.

Breastfeeding and Frenulums

Dr. Brian Palmer prezentációja kommentárokkal.


I have been evaluating frenulums and the importance of breastfeeding for many years. I am hoping this presentation will help those who believe tight frenulums can have a negative impact on breastfeeding but have not had the documentation needed to convince a doctor or parent to do anything about it. I am hoping this presentation will give you that needed documentation.

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