Tongue tie division in infants with breast feeding difficulties

International Journal of Pediatric Otorhinolaryngology
Helen Wallace, Susan Clarke

Abstract

Tongue tie is a congenital oral abnormality characterised by an abnormally short lingual frenulum. The majority of current medical and surgical opinion is that tongue tie rarely, if ever, causes feeding difficulties and therefore, should not be divided. With increased popularity of breast feeding in the last decade there has been renewed interest in tongue tie and its effect on breast feeding. We present a case series of infants who underwent tongue tie division for feeding difficulties and assess the indications for and outcomes of the procedure. Eleven infants with breast feeding difficulties associated with tongue tie underwent tongue tie division using a standard technique in the outpatient clinic. No anaesthetic or analgesia was used and there was little or no bleeding or infant distress. Parents were subsequently contacted by phone at least 4 months after the procedure to inquire about the effect of the procedure on feeding and any complications encountered. The age at tongue tie division ranged from 2 to 31 days (median=10 days). 10/11 of these infants were followed up. The age at follow up was 4-20 months (median=10 months). Prior to division, all mothers had attempted breast feeding and were keen to continue. 9/10 had ...Continue Reading

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