Influence of frenotomy on breastfeeding in newborns with ankyloglossia

ABSTRACT Purpose: evaluate the influence of frenotomy on the breastfeeding of newborns diagnosed with ankyloglossia. Methods: this is an intervention study performed with 50 newborns diagnosed with ankyloglossia. It was conducted in three stages: diagnosis, intervention and reassessment. In the diagnostic phase, the Protocol for the Assessment of Speech Language with Scores for Babies was applied to diagnose ankyloglossia and a questionnaire assessing the symptoms and coordination of sucking, swallowing and breathing during breastfeeding. In the intervention, frenotomy was performed, and at reassessment, the diagnostic protocol and questionnaire in order to compare the post-surgical effects. Results: of the 50 babies participating in the study, 35 (70%) were boys and 15 (30%) girls. A total of 68% of ankyloglossia cases were reported in the family, a majority (38%) involving cousins. There was a statistically significant reduction in the average protocol score in the reassessment stage, from 8.38 (7-12 points) to 0.86 (0-5 points), as well as a statistically significant improvement in all variables related to the symptoms of breastfeeding. Conclusion: surgical intervention, known as frenotomy, made it possible to improve the negative symptoms of breastfeeding in newborns diagnosed with ankyloglossia.

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Main Authors: Lima,Anna Letícia Xavier de, Dutra,Monique Ramos Paschoal
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Fonoaudiologia 2021
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822021000100309
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spelling oai:scielo:S2317-178220210001003092021-05-05Influence of frenotomy on breastfeeding in newborns with ankyloglossiaLima,Anna Letícia Xavier deDutra,Monique Ramos Paschoal Lingual frenulum Breastfeeding Infant Newborn Ankyloglossia Clinical Protocols ABSTRACT Purpose: evaluate the influence of frenotomy on the breastfeeding of newborns diagnosed with ankyloglossia. Methods: this is an intervention study performed with 50 newborns diagnosed with ankyloglossia. It was conducted in three stages: diagnosis, intervention and reassessment. In the diagnostic phase, the Protocol for the Assessment of Speech Language with Scores for Babies was applied to diagnose ankyloglossia and a questionnaire assessing the symptoms and coordination of sucking, swallowing and breathing during breastfeeding. In the intervention, frenotomy was performed, and at reassessment, the diagnostic protocol and questionnaire in order to compare the post-surgical effects. Results: of the 50 babies participating in the study, 35 (70%) were boys and 15 (30%) girls. A total of 68% of ankyloglossia cases were reported in the family, a majority (38%) involving cousins. There was a statistically significant reduction in the average protocol score in the reassessment stage, from 8.38 (7-12 points) to 0.86 (0-5 points), as well as a statistically significant improvement in all variables related to the symptoms of breastfeeding. Conclusion: surgical intervention, known as frenotomy, made it possible to improve the negative symptoms of breastfeeding in newborns diagnosed with ankyloglossia.info:eu-repo/semantics/openAccessSociedade Brasileira de FonoaudiologiaCoDAS v.33 n.1 20212021-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822021000100309en10.1590/2317-1782/20202019026
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author Lima,Anna Letícia Xavier de
Dutra,Monique Ramos Paschoal
spellingShingle Lima,Anna Letícia Xavier de
Dutra,Monique Ramos Paschoal
Influence of frenotomy on breastfeeding in newborns with ankyloglossia
author_facet Lima,Anna Letícia Xavier de
Dutra,Monique Ramos Paschoal
author_sort Lima,Anna Letícia Xavier de
title Influence of frenotomy on breastfeeding in newborns with ankyloglossia
title_short Influence of frenotomy on breastfeeding in newborns with ankyloglossia
title_full Influence of frenotomy on breastfeeding in newborns with ankyloglossia
title_fullStr Influence of frenotomy on breastfeeding in newborns with ankyloglossia
title_full_unstemmed Influence of frenotomy on breastfeeding in newborns with ankyloglossia
title_sort influence of frenotomy on breastfeeding in newborns with ankyloglossia
description ABSTRACT Purpose: evaluate the influence of frenotomy on the breastfeeding of newborns diagnosed with ankyloglossia. Methods: this is an intervention study performed with 50 newborns diagnosed with ankyloglossia. It was conducted in three stages: diagnosis, intervention and reassessment. In the diagnostic phase, the Protocol for the Assessment of Speech Language with Scores for Babies was applied to diagnose ankyloglossia and a questionnaire assessing the symptoms and coordination of sucking, swallowing and breathing during breastfeeding. In the intervention, frenotomy was performed, and at reassessment, the diagnostic protocol and questionnaire in order to compare the post-surgical effects. Results: of the 50 babies participating in the study, 35 (70%) were boys and 15 (30%) girls. A total of 68% of ankyloglossia cases were reported in the family, a majority (38%) involving cousins. There was a statistically significant reduction in the average protocol score in the reassessment stage, from 8.38 (7-12 points) to 0.86 (0-5 points), as well as a statistically significant improvement in all variables related to the symptoms of breastfeeding. Conclusion: surgical intervention, known as frenotomy, made it possible to improve the negative symptoms of breastfeeding in newborns diagnosed with ankyloglossia.
publisher Sociedade Brasileira de Fonoaudiologia
publishDate 2021
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822021000100309
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