Bejegyzés

Congenital Tongue-tie and Its Impact on Breastfeeding

Elizabeth Coryllos, MD, MSs, FAAP, FACS, FRCSc, IBCLC
Catherine Watson Genna, BS, IBCLC
Alexander C. Salloum, MD, MA

Newsletter of the American Academy of Pediatrics – Summer 2004

Introduction

Many of today’s practicing physicians were taught that treatment of tongue-tie, (ankyloglossia) is an outdated concept – a relic of times past. Among breastfeeding specialists tongue-tie has emerged as a recognized cause of breastfeeding difficulties – and a very easily corrected one.
During the last several decades of predominant bottle-feeding, tongue-tie was relegated to the status of a “non-problem” because of the lack of significant impact upon bottle feeding behaviors.
The goal of this article is to alert pediatricians to the potential link between tongue-tie and breastfeeding problems in order to expedite intervention in symptomatic cases.
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Breastfeeding and Frenulums

Dr. Brian Palmer prezentációja kommentárokkal.

Introduction

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.

It is falsely assumed that tight frenulums will go away by themselves and do not have consequences. There are NO MEDICAL OR DENTAL BENEFITS of having a tight lingual (under the tongue) or labial (lip side) frenulum.
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Office treatment of congenital ankyloglossia

Sody Abby Naimer, Amnon Biton, Daniel Vardy, Alex Zvulunov

Med Sci Monit, 2003; 9(10): CR432-435

Summary

Background: Congenital oral adhesions may pose both aesthetic and functional disturbing ailments to wary parents. Most of these as we have experienced, are benign, easily cured and may be treated as soon as possible in the office. A local survey elucidated that these youngsters are usually advised to wait until one year of age and then taken into the operating room and incision of the adhesion is performed under general anesthesia. We assessed the benign nature of this ailment and relative avascularity of the tissue involved and concluded that with minimal risk an office procedure under local anesthesia can replace current practice.
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Ankyloglossia: Assessment, Incidence, and Effect of Frenuloplasty on the Breastfeeding Dyad

Jeanne L. Ballard, MD, Christine E. Auer, RN, IBCLC and Jane C. Khoury, MS

PEDIATRICS Vol. 110 No. 5 November 2002, pp. e63

Abstract

Objective. Ankyloglossia in breastfeeding infants can cause ineffective latch, inadequate milk transfer, and maternal nipple pain, resulting in untimely weaning. The question of whether the performance of a frenuloplasty benefits the breastfeeding dyad in such a situation remains controversial. We wished to 1) define significant ankyloglossia, 2) determine the incidence in breastfeeding infants, and 3) measure the effectiveness of the frenuloplasty procedure with respect to solving specific breastfeeding problems in mother-infant dyads who served as their own controls.
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