Ankyloglossia (tongue-tie) is a relatively common congenital anomaly characterized by an abnormally shortlingual frenulum, which may restrict tongue mobility. Prevalence estimates range from 4.2% to 10.7% in newborns.There is considerable controversy regarding itsdiagnosis, clinical significance and management. Many times,infants with a visible lingual frenulum are asymptomatic and do not exhibit any feeding problems or growth issues. But, there may be subset of infants with significant breastfeeding challenges.
So, in cases where mothers are repeatedly reporting latching issues like painful latch, sore nipples, too frequent feeds, and/or growth is also not satisfactory with exclusive breastfeeds, clinician must look for oral restrictions due to an abnormal frenulum. These symptomatic infants may benefit froma timely intervention by a Lactation Specialist in form of special latching positions and/or frenotomy (i.e. the surgical division of the lingual frenulum).
Current evidence does not recommend frenotomy for all infants with anatomical ankyloglossia.
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