Ankyloglossia, a multidisciplinary approach: a case series
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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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