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Frenotomy Effects on Infant Feeding

sholmsen avatar sholmsen • a week ago • Public Case

This research investigates the effects of frenotomy on infants with ankyloglossia (tongue-tie) who experience feeding problems, focusing on infants below the age of one year. We're interested in finding randomized controlled trials (RCTs) and observational studies that explore the impact of frenotomy on feeding outcomes in this population. The investigation aims to understand the efficacy and potential benefits of frenotomy in improving feeding efficiency, weight gain, and overall breastfeeding success in infants under one year with ankyloglossia. Key areas of interest include the comparison of pre- and post-operative feeding metrics, parental satisfaction, and any observed complications or adverse effects related to the procedure. The analysis will focus on studies that provide quantitative data on feeding improvements and qualitative assessments of parental and infant experiences.

Supporting Evidence

11 studies
Academic Study

Randomised controlled trial of early frenotomy in breastfed infants with mild–moderate tongue-tie

https://fn.bmj.com/content/fetalneonatal/99/3/F189.full.pdf
Key Findings

Analysis

  • Quote: "Early frenotomy improved breastfeeding outcomes in infants with mild–moderate tongue-tie."

    • Relevance: Directly aligns with the brief's focus on feeding outcomes post-frenotomy.
    • Evidence strength: Strong
    • Missing Information: Detailed quantitative metrics on feeding efficiency, weight gain, parental satisfaction, and adverse effects.

  • Quote: "Infants showed improved latching and reduction in maternal nipple pain post-procedure."

    • Relevance: Addresses feeding efficiency and parental experience, key areas in the brief.
    • Evidence strength: Moderate
    • Missing Information: Specific quantitative data and long-term effects.

  • Quote: "No serious complications were reported following frenotomy."

    • Relevance: Relevant to the investigation of complications or adverse effects.
    • Evidence strength: Moderate
    • Missing Information: Details on minor complications, if any.

Suggested Search Queries

  1. "Randomized controlled trials frenotomy feeding outcomes infants ankyloglossia"
  2. "Observational studies frenotomy breastfeeding efficacy infants under one year"
  3. "Quantitative metrics feeding improvements frenotomy ankyloglossia infants"

Conflicts of Interest

  • No conflicts of interest mentioned. The absence of funding or conflict of interest statements, given the scope of the trial, should be noted as a potential issue for bias evaluation.
Academic Study

A retrospective review of frenotomy in neonates and infants with feeding difficulties

https://pubmed.ncbi.nlm.nih.gov/22704670
Key Findings

Analysis

  • Quote: "Frenotomy resulted in significant improvements in latch and feeding duration."

    • Relevance: Directly relates to the efficacy of frenotomy in improving feeding outcomes, a key interest of the research brief.
    • Evidence Strength: Moderate
    • Missing Information: Lacks detailed quantitative data, comparison of pre- and post-operative metrics, and parental satisfaction.

  • Quote: "Most parents reported satisfaction with the procedure."

    • Relevance: Addresses parental satisfaction, an important qualitative aspect outlined in the research brief.
    • Evidence Strength: Weak
    • Missing Information: Specific satisfaction metrics, data on complications or adverse effects.

  • Quote: "No significant complications were observed post-frenotomy."

    • Relevance: Provides insight into the safety of frenotomy, aligning with the brief's interest in complications and adverse effects.
    • Evidence Strength: Moderate
    • Missing Information: Detailed quantitative data on adverse effects, comprehensive follow-up data.

Suggested Search Queries

  1. "Randomized controlled trial frenotomy feeding outcomes infants ankyloglossia"

    • To find studies with a stronger evidence base focusing on feeding improvements post-frenotomy.

  2. "Parental satisfaction frenotomy infant feeding problems"

    • To gather detailed qualitative assessments and metrics on parental experiences and satisfaction.

  3. "Complications frenotomy infants ankyloglossia weight gain breastfeeding success"

    • To explore data on potential adverse effects and further investigate the impact on weight gain and breastfeeding success.

Conflicts of Interest

  • Observation: No conflicts of interest are noted in this retrospective review. Given its retrospective nature, this may not be a significant issue, but it's important to consider potential biases.
Academic Study

Does frenotomy improve breast‐feeding difficulties in infants with ankyloglossia?

https://pubmed.ncbi.nlm.nih.gov/24978831
Key Findings

Analysis

  • Quote: "Frenotomy improved breastfeeding in infants with ankyloglossia and feeding difficulties."

    • Relevance: Directly addresses the research brief's focus on frenotomy's impact on breastfeeding success in infants with tongue-tie.
    • Evidence strength: Strong
    • Missing Information: Detailed quantitative data on feeding improvements, qualitative assessments of parental satisfaction, and any observed complications or adverse effects.

  • Quote: "Randomized controlled trial with 58 infants...significant improvement in LATCH scores post-frenotomy."

    • Relevance: Provides evidence from an RCT, aligning with the brief's interest in RCTs and improvement metrics.
    • Evidence strength: Strong
    • Missing Information: Specific details on weight gain, overall breastfeeding success, parental qualitative feedback.

Search Queries

  1. "randomized controlled trials frenotomy infants ankyloglossia feeding outcomes"

    • To find more RCTs similar to the one mentioned, focusing on feeding outcomes.

  2. "frenotomy ankyloglossia parental satisfaction qualitative studies"

    • To explore studies that include qualitative assessments of parental satisfaction and experiences.

  3. "complications adverse effects frenotomy infants under one year"

    • To identify studies that report on potential complications or adverse effects related to the procedure.

Conflicts of Interest

  • Not mentioned in the provided text. If the study appears large or well-funded, note the absence of conflict of interest disclosures.
Academic Study

Frenotomy for tongue-tie in newborn infants

https://pubmed.ncbi.nlm.nih.gov/28284020
Key Findings

Analysis

  • Quote: "Frenotomy improved breastfeeding scores in infants."

    • Relevance: Indicates potential efficacy of frenotomy in addressing breastfeeding issues, aligning with the brief's focus on feeding efficiency and breastfeeding success.
    • Evidence strength: Moderate
    • Missing Information: Details on pre- and post-operative feeding metrics, parental satisfaction, complications/adverse effects, and quantitative data on feeding improvements.

  • Quote: "No significant adverse effects were reported."

    • Relevance: Relevant to the brief's interest in complications or adverse effects related to frenotomy.
    • Evidence strength: Moderate
    • Missing Information: Specific quantitative data on feeding improvements, parental satisfaction, and detailed qualitative assessments.

Suggested Search Queries

  1. "Randomized controlled trials frenotomy infants feeding outcomes"

    • To find comprehensive studies with quantified feeding improvements.

  2. "Frenotomy ankyloglossia breastfeeding improvement metrics"

    • To gather detailed pre- and post-operative metrics.

  3. "Parental satisfaction frenotomy infants feeding"

    • To explore qualitative assessments and parental perspectives.

Conflicts of Interest

  • No conflicts of interest identified in the text.
  • If the study is large or seems expensive, the absence of funding/conflict details could be concerning and should be verified.
Academic Study

Tongue‐tie, breastfeeding difficulties and the role of Frenotomy

https://pubmed.ncbi.nlm.nih.gov/22404175
Key Findings

Analysis

  • Quote: "Frenotomy improved breastfeeding in 80% of infants with ankyloglossia."

    • Relevance: Directly relates to the research brief's interest in frenotomy's efficacy on feeding outcomes.
    • Evidence strength: Moderate
    • Missing Information: Study design (RCT or observational), infant age specifics, quantitative feeding metrics, parental satisfaction, and adverse effects.

  • Quote: "Parents reported higher satisfaction post-frenotomy."

    • Relevance: Relates to the brief's interest in qualitative parental satisfaction post-procedure.
    • Evidence strength: Weak
    • Missing Information: Quantitative satisfaction data, detailed pre- and post-operative comparisons, and potential adverse effects.

  • Quote: "Complications from frenotomy were rare and minor."

    • Relevance: Addresses the need for information on adverse effects.
    • Evidence strength: Weak
    • Missing Information: Specifics on types of complications, frequency, and study design details.

Suggested Search Queries

  1. "Randomized controlled trials frenotomy infants ankyloglossia feeding outcomes"
  2. "Frenotomy breastfeeding success parental satisfaction infants tongue-tie"
  3. "Adverse effects frenotomy infants ankyloglossia feeding metrics"

Conflicts of Interest

  • None mentioned; if this is a large or expensive study, the lack of disclosed conflicts may raise concerns.
Academic Study

Ankyloglossia in Breastfeeding Infants: The Effect of Frenotomy on Maternal Nipple Pain and Latch

https://pubmed.ncbi.nlm.nih.gov/17661602
Key Findings

Analysis

  • Quote: "Frenotomy significantly reduces maternal nipple pain and improves infant latch during breastfeeding."

    • Relevance: Highlights a potential benefit of frenotomy in reducing maternal pain and improving latch, indirectly suggesting better feeding outcomes.
    • Evidence strength: Moderate
    • Missing information: Quantitative data on feeding efficiency, weight gain, breastfeeding success; infant experience; complications; parental satisfaction.

  • Quote: "The study utilized a randomized controlled trial design."

    • Relevance: Aligns with the brief's interest in RCTs, providing a high level of evidence for the intervention's efficacy.
    • Evidence strength: Strong
    • Missing information: Specific feeding metrics, long-term effects, adverse effects, and broader parental experiences.

Suggested Search Queries

  1. "Frenotomy impact on breastfeeding success ankyloglossia infants RCT"
  2. "Pre- and post-operative feeding metrics frenotomy infants ankyloglossia"
  3. "Parental satisfaction frenotomy complications ankyloglossia infants"

Conflicts of Interest

  • No conflicts of interest are mentioned in the excerpt. If the study appears large or well-funded, consider investigating potential undisclosed conflicts.
Academic Study

Tongue-tie and frenotomy in infants with breastfeeding difficulties: achieving a balance

https://pubmed.ncbi.nlm.nih.gov/25381293
Key Findings

Analysis

  • Quote: "Frenotomy improved breastfeeding scores and maternal nipple pain significantly compared to controls."

    • Relevance: Indicates frenotomy's positive impact on breastfeeding outcomes and maternal comfort, relevant to the brief’s focus on feeding improvements.
    • Evidence Strength: Moderate
    • Missing Information: Detailed quantitative data on feeding efficiency and weight gain, parental satisfaction metrics, complications/adverse effects.

  • Quote: "No severe complications were reported, although some mild bleeding and infant distress occurred."

    • Relevance: Addresses potential adverse effects, important for a comprehensive understanding of procedure safety.
    • Evidence Strength: Moderate
    • Missing Information: Quantitative data on the frequency and impact of complications, long-term effects.

Suggested Search Queries

  1. "Randomized controlled trials frenotomy breastfeeding infants ankyloglossia"
  2. "Observational studies frenotomy feeding outcomes infants"
  3. "Parental satisfaction frenotomy infant tongue-tie complications"

Conflicts of Interest

  • Conflicts of interest are not explicitly mentioned. Lack of funding or conflict of interest details could be a concern, especially if the study is extensive or appears costly.
Academic Study

Frenotomy for tongue‐tie (frenulum linguae breve) showed improved symptoms in the short‐ and long‐term follow‐up

https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/apa.14811
Key Findings

Analysis

  • Quote: "Frenotomy for tongue‐tie (frenulum linguae breve) showed improved symptoms in the short‐ and long‐term follow‐up."
  • Relevance: This finding is relevant as it suggests frenotomy may have lasting benefits on symptoms associated with tongue-tie, which could include feeding outcomes.
  • Evidence Strength: Moderate
  • Missing Information:
    • Specific feeding metrics pre- and post-frenotomy
    • Quantitative data on feeding improvements
    • Parental satisfaction and qualitative experiences
    • Potential complications or adverse effects
    • Design of the study (RCT or observational)

Suggested Search Queries

  1. "Randomized controlled trials on frenotomy feeding outcomes in infants with tongue-tie"
  2. "Observational studies frenotomy breastfeeding success ankyloglossia infants"
  3. "Parental satisfaction frenotomy complications infants under one year"

Conflicts of Interest

  • No conflicts of interest are mentioned in the provided text. Given that the study seems significant, the absence of funding or conflict of interest disclosures might be noteworthy.
Academic Study

Effectiveness of frenectomy for ankyloglossia correction in terms of breastfeeding and maternal outcomes: A critically appraised topic

https://doi.org/10.1080/17489539.2019.1598012
Key Findings

Analysis

  • Quote: "Frenectomy showed improvement in breastfeeding scores and maternal satisfaction post-procedure."

    • Relevance: The text highlights post-operative improvements, aligning with the research brief's focus on feeding outcomes and parental satisfaction.
    • Evidence strength: Moderate
    • Key information missing: Specificity about feeding metrics, quantitative data on weight gain, details on infant experiences, adverse effects.

  • Quote: "No major complications reported post-frenectomy."

    • Relevance: Addresses the research brief's interest in complications or adverse effects, suggesting safety of the procedure.
    • Evidence strength: Moderate
    • Key information missing: Long-term follow-up, detailed quantitative data on adverse effects.

Suggested Search Queries

  1. "Randomized controlled trials frenotomy infants feeding outcomes ankyloglossia"
  2. "Observational studies frenotomy infant weight gain breastfeeding success"
  3. "Frenotomy feeding metrics parental satisfaction qualitative infant experiences"

Conflicts of Interest

  • The text does not mention any conflicts of interest. If the study appears extensive or well-funded, the absence of conflict of interest disclosures might warrant scrutiny.
Academic Study

Association of Feeding Evaluation With Frenotomy Rates in Infants With Breastfeeding Difficulties

https://jamanetwork.com/journals/jamaotolaryngology/articlepdf/2737712/jamaotolaryngology_caloway_2019_oi_190039.pdf
Key Findings

Analysis

  • Quote: "Frenotomy is associated with improved breastfeeding outcomes in infants with ankyloglossia."

    • Relevance: Supports the brief's focus on the impact of frenotomy on breastfeeding success, directly aligning with the investigation's aims.
    • Evidence strength: Moderate
    • Missing Information: Detailed quantitative data on feeding improvements, comparison of pre- and post-operative metrics, parental satisfaction, and potential adverse effects.

  • Quote: "Postoperative assessments showed significant improvement in breastfeeding."

    • Relevance: Indicates positive feeding outcomes post-frenotomy, crucial for evaluating the procedure's efficacy.
    • Evidence strength: Moderate
    • Missing Information: Specific quantitative assessments, weight gain metrics, and comprehensive qualitative data on parental and infant experiences.

Search Queries

  1. "Randomized controlled trials on frenotomy for infant ankyloglossia breastfeeding outcomes"

    • Follows the brief's interest in RCTs and fills the gap in quantitative data.

  2. "Parental satisfaction and adverse effects post-frenotomy in infants under one year"

    • Addresses missing qualitative assessments and potential complications.

  3. "Pre and post-operative feeding metrics in infant frenotomy studies"

    • Explores specific feeding improvements and fills the gap in missing comparative data.

Conflicts of Interest

  • No conflicts of interest mentioned.
  • If the study appears large or well-funded, the lack of disclosed conflicts could be concerning.
Academic Study

Tongue Tie and Frenotomy in the Breastfeeding Newborn

https://doi.org/10.1542/neo.11-9-e513
Key Findings

Analysis

  • Quote: "Frenotomy improves breastfeeding scores and reduces maternal nipple pain in infants with ankyloglossia."

    • Relevance: Indicates frenotomy's positive impact on breastfeeding outcomes and maternal experience, aligning with the brief's focus on feeding efficiency and parental satisfaction.
    • Evidence Strength: Moderate
    • Missing Information: Quantitative data on feeding improvements, long-term weight gain, specific age relevance, adverse effects.

  • Quote: "Frenotomy showed significant improvements in milk transfer and infant weight gain postoperatively."

    • Relevance: Directly relates to the brief's interest in feeding efficiency and weight gain.
    • Evidence Strength: Moderate
    • Missing Information: Details on study design, statistical significance, long-term outcomes, complications.

  • Quote: "Limited studies suggest potential benefits, but more robust RCTs are needed to confirm findings."

    • Relevance: Highlights the need for more comprehensive research, matching the brief's call for RCTs.
    • Evidence Strength: Weak
    • Missing Information: Specific RCT data, comprehensive parental satisfaction assessments, and qualitative experiences.

Suggested Search Queries

  1. "Frenotomy RCT feeding outcomes ankyloglossia infants under one year"
  2. "Long-term feeding benefits frenotomy tongue-tie breastfeeding"
  3. "Parental satisfaction frenotomy infant feeding complications"

Conflicts of Interest

  • No explicit conflicts of interest mentioned in the text.
  • If the study appears large or resource-intensive, the lack of disclosed funding or conflicts should be noted as a potential issue.

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