Ankyloglossia, a multidisciplinary approach: a case series

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Alvaro Leon Jacome Orozco
Claudia Sildana Patiño Garnica
Carlos Brito

Abstract

Introduction: Ankyloglossia (Ag) is defined as a tongue tie at the base of the tongue that restricts the normal movement of the tongue. In the first days of life, its diagnosis is necessary due to the complications associated with the difficulties it can cause on breastfeeding. Objective: To present the experience of private outpatient service in the management of Ag in newborn patients' first medical consult evaluating breastfeeding problems. Material and methods: Descriptive case series study. Demographic information of the entire origin cohort is described, as well as details of the evolution and follow-up of the cases with Ag, including symptoms and classifications with the Coryllos test, the Lengüita test, and the Hazelbaker scale. Results: Of 216, newborn patients evaluated, 32 presented ankyloglossia (15%). The distribution of age, weight, and sex was similar between the groups, and 12 patients had a family history of ankyloglossia (38%). The symptoms in the cases with Ag were pain (84%), both in anterior and posterior Ag, cracked nipples (76%) predominantly in anterior Ag, and Raynaud's syndrome (72%), mainly in patients with anterior Ag. Eight patients required surgery. The mean exclusive lactation for patients with Ag was 110 days (SD 58 days). Conclusions: This series shows the management of Ag based on the evolution of the mother concerning relation to breastfeeding, based on physical and functional diagnosis, which optimized exclusive breastfeeding times.

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Jacome Orozco, A. L., Patiño Garnica, C. S., & Brito, C. (2023). Ankyloglossia, a multidisciplinary approach: a case series. Pediatría, 55(4), 193–200. https://doi.org/10.14295/rp.v55i4.413
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Originals

References

Llanos-Redondo A, Contreras-Suárez K-S, Aguilar-Cañas S-J. Evaluación del frenillo lingual en neonatos. Una revisión sistemática. Rev Investig e Innovación en Ciencias la Salud. 2021;3(1):87–97. DOI: https://doi.org/10.46634/riics.71

Brookes A, Bowley DM. Tongue tie: The evidence for frenotomy. Early Hum Dev [Internet]. 2014;90(11):765–8. Available from: http://dx.doi.org/10.1016/j.earlhumdev.2014.08.021 DOI: https://doi.org/10.1016/j.earlhumdev.2014.08.021

Anna H. Messner, MD; M. Lauren Lalakea, MD; Janelle Aby, MD; James Macmahon, MD; Ellen Bair, MS P. Ankyloglossia Incidence and Associated Feeding Difficulties. Arch Otolaryngol Head Neck Surg. 2000;126:36–9. DOI: https://doi.org/10.1001/archotol.126.1.36

Campanha, Silvia; Lopes de Castro Martinelli, Roberta; Palhares D. association between ankyloglosia and breastfeeding.pdf. CoDAS. 2019;31(1):1–7. DOI: https://doi.org/10.1590/2317-1782/20182018264

Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. Lancet [Internet]. 2016;387(10017):475–90. Available from: http://dx.doi.org/10.1016/S0140-6736(15)01024-7 DOI: https://doi.org/10.1016/S0140-6736(15)01024-7

Instituto Colombiano de Bienestar Familiar. ENSIN 2015 ENCUESTA NACIONAL DE LA SITIUACION NUTRICIONAL. 2017; Available from: https://www.icbf.gov.co/bienestar/nutricion/encuesta-nacional-situacion-nutriciona

Instituto Colombiano de Bienestar Familiar. ENSIN 2010 ENCUESTA NACIONAL DE LA SITUACION NUTRICIONAL EN COLOMBIA 2010. 2010;1. Available from: https://www.icbf.gov.co/sites/default/files/resumenfi.pdf

Fraga M do RB de A, Barreto KA, Lira TCB, Celerino PRRP, Tavares IT da S, Menezes VA de. Ankyloglossia and breastfeeding: what is the evidence of association between them? Rev CEFAC. 2020;22(3):1–8. DOI: https://doi.org/10.1590/1982-0216/202022312219

New Zealand Ministry of Health. National Guidance for the Assessment, Diagnosis and Surgical Treatment of Tongue-Tie in Breastfeeding Neonates. 2020;(November). Available from: https://www.health.govt.nz/publication/national-guidance-assessment-diagnosis-and-surgical-treatment-tongue-tie-breastfeeding-neonates

Souza-oliveira AC, Cruz PV, Bendo CB, Batista WC, Souza-oliveira AC. Does ankyloglossia interfere with breastfeeding in newborns? - a cross-sectional study. J Clin Transl Res. 2021;7(2):263–9.

Narsat MA, Beygirci A, Tuğçe Özdönmez G, Yıldız E. Grouping of Ankyloglossia According to Coryllos Anatomical Classification and Follow-Up Results for Breastfeeding: Single Center, Cross-Sectional Study. 2022; Available from: www.preprints.org DOI: https://doi.org/10.20944/preprints202211.0158.v1

Martinelli RL de C, Marchesan IQ, Lauris JR, Honório HM, Gusmão RJ, Berretin-Felix G. Validade e confiabilidade da triagem: “teste da linguinha.” Rev CEFAC. 2016;18(6):1323–31. DOI: https://doi.org/10.1590/1982-021620161868716

Roberta L.C. Martinelli, Irene Q. Marchesan, Reinaldo J. Gusmão GB-F. Test de la Lengüita. Cart del Test la Lengüita para Lact Habl y vivir Mejor. 2014;

Susanibar F, Castillo J. Protocolo De Evaluación Del Frenillo De La Lengua Con Puntuación Para Bebés. 2012;(1).

Araujo M da CM, Freitas RL, Lima MG de S, Kozmhinsky VM d. R, Guerra CA, Lima GM d. S, et al. Evaluation of the lingual frenulum in newborns using two protocols and its association with breastfeeding. J Pediatr (Rio J) [Internet]. 2020;96(3):379–85. Available from: https://doi.org/10.1016/j.jped.2018.12.013 DOI: https://doi.org/10.1016/j.jped.2018.12.013

Ingram J, Johnson D, Copeland M, Churchill C, Taylor H. The development of a new breast feeding assessment tool and the relationship with breast feeding self-efficacy. Midwifery [Internet]. 2015;31(1):132–7. Available from: http://dx.doi.org/10.1016/j.midw.2014.07.001 DOI: https://doi.org/10.1016/j.midw.2014.07.001

Ingram J, Johnson D, Copeland M, Churchill C, Taylor H, Emond A. The development of a tongue assessment tool to assist with tongue-tie identification. Arch Dis Child Fetal Neonatal Ed. 2015;100(4):F344–8. DOI: https://doi.org/10.1136/archdischild-2014-307503

Haham A, Marom R, Mangel L, Botzer E, Dollberg S. Prevalence of breastfeeding difficulties in newborns with a lingual frenulum: A prospective cohort series. Breastfeed Med. 2014;9(9):438–41. DOI: https://doi.org/10.1089/bfm.2014.0040

Catherine B, Genna W, Coryllos E V. Breastfeeding and Tongue-Tie. J Hum Lact. 2009;25(1):111–2. DOI: https://doi.org/10.1177/08903344090250011501

González Jiménez D, Costa Romero M, Riaño Galán I, González Martínez MT, Rodríguez Pando MC, Lobete Prieto C. Prevalencia de anquiloglosia en recién nacidos en el Principado de Asturias. An Pediatr. 2014;81(2):115–9. DOI: https://doi.org/10.1016/j.anpedi.2013.10.030

Guinot Jimeno F, Carranza Bagé N, Veloso Durán A, Parri Bonet S, Virolés Suñer MM. Prevalencia de anquiloglosia en neonatos y relación con datos auxológicos del recién nacido o con otras malformaciones o enfermedades asociadas TT - Prevalência de anquiloglossia em recém-nascidos e relação com dados auxológicos do recém-nascido ou com o. Rev odontopediatr latinoam [Internet]. 2021;11(1):220171. Available from: https://www.revistaodontopediatria.org/index.php/alop/article/view/216 DOI: https://doi.org/10.47990/alop.v11i1.216

Geddes DT, Kent JC, McClellan HL, Garbin CP, Chadwick LM, Hartmann PE. Sucking characteristics of successfully breastfeeding infants with ankyloglossia: A case series. Acta Paediatr Int J Paediatr. 2010;99(2):301–3. DOI: https://doi.org/10.1111/j.1651-2227.2009.01577.x

Geddes DT, Langton DB, Gollow I, Jacobs LA, Hartmann PE, Simmer K. Frenulotomy for breastfeeding infants with ankyloglossia: Effect on milk removal and sucking mechanism as imaged by ultrasound. Pediatrics. 2008;122(1). DOI: https://doi.org/10.1542/peds.2007-2553

Colombari GC, Mariusso MR, Ercolin LT, Mazzoleni S, Stellini E, Ludovichetti FS. Relationship between Breastfeeding Difficulties, Ankyloglossia, and Frenotomy: A Literature Review. J Contemp Dent Pract. 2021;22(4):452–61. DOI: https://doi.org/10.5005/jp-journals-10024-3073

Programme TNHC. Policies and Guidelines - Breastfeeding [Internet]. 2018. Available from: https://www.hse.ie/file-library/guideline-on-the-observation-of-a-breastfeed-and-use-of-the-breastfeeding-observation-assessment-tool-boat-resource.pdf

Auychai P, Neff A, Pitak-Arnnop P. Tongue-Tie children with a severe Hazelbaker score or difficult breastfeeding greatly benefit from frenotomy or frenuloplasty with/without anaesthesia – First do or do no harm? J Stomatol Oral Maxillofac Surg. 2021;(November). DOI: https://doi.org/10.1016/j.jormas.2021.09.007

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