Feeding Evaluation Decreases Need for Frenotomy in Poor Breast-Feeders

Among 115 infants referred for surgical intervention for ankyloglossia, 63% did not require surgery following feeding evaluation.

Ankyloglossia (tongue tie) is often considered in evaluation of infants having challenges with breast-feeding. In a prospective, observational, quality improvement study, 115 infants (median age, 34 days, 59% boys) who were referred to a surgical center for breast-feeding difficulties first underwent a comprehensive feeding evaluation by a pediatric speech and language specialist. The feeding evaluation included anatomical and functional assessments and resulted in recommendations of feeding techniques to be implemented at home for 3 to 14 days prior to determination of the need for surgery. Infants were referred for surgery if functional sucking or attachment impairment was due to anatomical ankyloglossia.

Seventy-two patients (63%) did not…

Reviewing Author

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

F. Bruder Stapleton, MD

Disclosures

Consultant/Advisory BoardCareer Physician

Editorial BoardsUpToDate

Leadership Positions in Professional SocietiesAmerican Society of Pediatric Nephrology Foundation (Chair)

Feeding Evaluation Decreases Need for Frenotomy in Poor Breast-Feeders

Topics

Reviewing Author