Effectiveness of frenotomy for infants with ankyloglossia
| STUDY | YEAR | N | TYPE OF STUDY | OUTCOME |
|---|---|---|---|---|
| Hogan et al5 | 2005 | 1866: 201 with ankyloglossia; 56 had frenotomy | Randomized controlled trial | 54/56 had improved breastfeeding mechanics and reduced nipple pain with frenotomy; 79% improved immediately, and an additional 16% improved within 48 h |
| Griffiths6 | 2004 | 519 had frenotomy(215 were <3 mo) | Prospective uncontrolled cohort study | 124/215 (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 al8 | 2002 | 3036: 123 with ankyloglossia; 35 had frenotomy | Uncontrolled case series | Decreased mean maternal pain score from 6.9 (± 2.31) to 1.2 (± 1.52); increased comfort for 31/35 breastfeeding mothers |
| Masaitis and Kaempf3 | 1996 | 2450: 36 had frenotomy | Case report | 32/36 (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 al2 | 1990 | 13: 7 had frenotomy | Case report | 5/7 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 al19 | 1990 | 3: 2 had frenotomy | Case report | 1 showed improved sucking, and weight gain normalized; 1 developed a lisp |
| Notestine12 | 1990 | 2: 2 had frenotomy | Case report | 1 mother had increased nipple comfort and less nipple trauma; 1 had increased comfort, and nipple distortion was resolved |