Source: British Journal of Oral and Maxillofacial Surgery; Dec 2016; vol. 54 (no. 10)
Publication Date: Dec 2016
Publication Type(s): Journal: Conference Abstract
Abstract:Outline: Breastfeeding confers significant health benefits to mother and baby. Restrictive tongue ties have been reported to cause difficulties in beastfeeding infants, and recently it has been reported that releasing the tongue tie can aid breast feeding. Five years ago a tongue tie releae service was started at our hospital. Several surgeons participate, and this paper will present the results of the first 500 cases performed by one surgeon.Methodology: Prospective audit data collection for all infant frenulotomies performed by one surgeon. This includes demographics, specific difficulties reported by the mothers prior to frenulomy, intended feeding outcomes and complication rates.Summary: Breastfeeding mothers who reported problems with breastfeeding in tongue-tied infants noted an improvement in immediate post-frenulotomy feeding scores. A significant number of bottle-fed infants were also referred but it is very difficult to quantify feeding improvements in them. The complication rate was low, and maternal satisfaction high.Conclusion: Frenulotomy in infants is safe, and improves breast feeding. An outline of how our service developed and evolved will also be presented.