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Frenotomy has gained renewed popularity as a way to help breast-feeding problems. However, pediatric societies in many countries do not recommend frenotomy because of lack of evidence (the American Academy of Pediatrics does support it as an early intervention when tongue-tie is symptomatic). To evaluate its effectiveness, researchers conducted a comprehensive literature review.
Among the findings:
Frenulum function is more important than observed anatomy, but clinical assessment tools vary in reliability for determining tongue function and breast-feeding success. The difficulty in identifying clinically significant tongue-tie is reflected in the wide range of reported prevalence: 0.02% to 10.7%.
Prior systematic reviews show that quality of e…