Table 5

Effectiveness of frenotomy for infants with ankyloglossia

Hogan et al520051866: 201 with ankyloglossia; 56 had frenotomyRandomized controlled trial54/56 had improved breastfeeding mechanics and reduced nipple pain with frenotomy; 79% improved immediately, and an additional 16% improved within 48 h
Griffiths62004519 had frenotomy(215 were <3 mo)Prospective uncontrolled cohort study124/215 (57%) had improved feeding immediately; 174/215 (80%) had improved feeding at 24 h; 139/215(65%) were still breastfed at 3 mo; 204/215 could extend tongue out of mouth at 3 mo
Ballard et al820023036: 123 with ankyloglossia; 35 had frenotomyUncontrolled case seriesDecreased mean maternal pain score from 6.9 (± 2.31) to 1.2 (± 1.52); increased comfort for 31/35 breastfeeding mothers
Masaitis and Kaempf319962450: 36 had frenotomyCase report32/36 (89%) were breastfeeding 1 wk after procedure; 33/36 (92%) had normal tongue motion; 34/36 (94%) had appropriate growth at 3 mo; 36/36 (100%) reported normal criteria; 19/36 (53%) continued breastfeeding; 2/36 (0.5%) were weaned early due to breastfeeding problems
Marmet et al2199013: 7 had frenotomyCase report5/7 had improved latch and decreased nipple pain and had resolved slow weight gain and milk-supply difficulties; 1/7 had improved suck dynamics; and 1/7 showed no improvement
Fleiss et al1919903: 2 had frenotomyCase report1 showed improved sucking, and weight gain normalized; 1 developed a lisp
Notestine1219902: 2 had frenotomyCase report1 mother had increased nipple comfort and less nipple trauma; 1 had increased comfort, and nipple distortion was resolved