Ankyloglossia: Difference between revisions - Wikipedia

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Messner ''et al.''<ref name="MessnerEtal2000">{{cite journal|author =Messner, Anna H.|author2 =Lalakea, M. Lauren|author3 =Aby, Janelle|author4 =Macmahon, James|author5 =Bair, Ellen |pmid=10628708|year=2000|title=Ankyloglossia: Incidence and associated feeding difficulties|volume=126|issue=1|pages=36–9|journal=Archives of Otolaryngology–Head & Neck Surgery|doi=10.1001/archotol.126.1.36|doi-access=free}}</ref> studied ankyloglossia and infant feeding. Thirty-six infants with ankyloglossia were compared to a [[control group]] without ankyloglossia. The two groups were followed for six months to assess possible [[breastfeeding]] difficulties; defined as [[nipple]] pain lasting more than six weeks, or infant difficulty latching onto or staying onto the mother’s breast. Twenty-five percent of mothers of infants with ankyloglossia reported breastfeeding difficulty compared with only 3% of the mothers in the control group. The study concluded that ankyloglossia can adversely affect breastfeeding in certain infants. Infants with ankyloglossia do not, however, have such big difficulties when feeding from a [[bottle]].<ref name="LalakeaMessner2002">{{cite journal|author =Lalakea, M. Lauren|author2 =Messner, Anna H. |doi=10.1053/otot.2002.32157|title=Frenotomy and frenuloplasty: If, when, and how|year=2002|journal=Operative Techniques in Otolaryngology–Head and Neck Surgery|volume=13|pages=93–97}}</ref> Limitations of this study include the small sample size and the fact that the quality of the mother’s breastfeeding was not assessed.{{cn}}

Wallace and Clark also studied breastfeeding difficulties in infants with ankyloglossia.<ref name="Wallace">{{cite journal|author =Wallace, Helen|author2 =Clarke, Susan|pmid=16527363|year=2006|title=Tongue tie division in infants with breast feeding difficulties|volume=70|issue=7|pages=1257–61|doi=10.1016/j.ijporl.2006.01.004|journal=International Journal of Pediatric Otorhinolaryngology}}</ref> They followed 10 infants with ankyloglossia who underwent surgical [[frenuloplasty of tongue|tongue-tie division]]. Eight of the ten mothers experienced poor infant latching onto the breast, 6/10 experienced sore nipples and 5/10 experienced continual feeding cycles; 3/10 mothers were exclusively breastfeeding. Following a tongue-tie division, 4/10 mothers noted immediate improvements in breastfeeding, 3/10 mothers did not notice any improvements and 6/10 mothers continued breastfeeding for at least four months after the [[surgery]]. The study concluded that tongue-tie division may be a possible benefit for infants experiencing breastfeeding difficulties due to ankyloglossia and further investigation is warranted. The limitations of this study include the small sample size and the fact that there was not a control group. In addition, the conclusions were based on subjective parent report as opposed to objective measures.{{cn}}

=== Speech ===