A multifaceted programme to reduce the rate of tongue-tie release surgery in newborn infants: Observational study

International Journal of Pediatric Otorhinolaryngology
Bronwyn DixonAdrienne Lynn

Abstract

A programme was introduced in Canterbury, New Zealand to evaluate the diagnosis and treatment of frenulum releases in newborn infants with suspected tongue-tie (ankyloglossia). The primary goals were to support breastfeeding and ensure that unnecessary surgery was avoided. Local healthcare professionals reached consensus on a pathway for improving management of infants with tongue-tie and breast-feeding difficulties. This embedded an expert breast-feeding review and assessment of lingual function using a validated method, the Bristol Tongue-tie Assessment Tool (BTAT). Infants with breastfeeding problems related to tongue-tie had a frenotomy at a hospital outpatient clinic. An education programme was developed to support introduction of the new clinical pathway and included seminars and online information for healthcare professionals and the general public. Frenotomy intervention rate reduced markedly from 11.3% in 2015 to 3.5% by mid-2017. Feeding methods were not different before or after surgery between infants who received a frenotomy and those who did not. Initially, the BTAT threshold for frenotomy was set at ≤5, however the final clinical pathway combined a breastfeeding assessment and a BTAT threshold of ≤4. The educatio...Continue Reading

Citations

Nov 13, 2019·Journal of Paediatrics and Child Health·Matthew HaleBenjamin J Wheeler
Apr 15, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Anna H MessnerLisa Satterfield
May 20, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Eric X WeiJonathan Walsh
Jul 28, 2019·International Breastfeeding Journal·Jenny IngramAlan Emond
Jul 12, 2019·JAMA Otolaryngology-- Head & Neck Surgery·Christen CalowayChristopher J Hartnick
Nov 3, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Anna H MessnerJonathan Walsh
Aug 2, 2020·International Journal of Pediatric Otorhinolaryngology·Gillian R DiercksChristopher J Hartnick
Oct 1, 2021·Journal of Primary Health Care·Sameera SenanayakeSanjeewa Kularatna

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