Sharma S D, Jayaraj S
Department of Otorhinolaryngology,Whipps Cross Hospital,London,UK.
J Laryngol Otol. 2015 Oct;129(10):986-9. doi: 10.1017/S002221511500225X. Epub 2015 Aug 28.
To assess the benefits of frenotomy on breastfeeding in infants, and determine the influence of age.
A telephone questionnaire of all patients diagnosed with tongue-tie over 12 months was conducted pre-intervention and 1-month post-intervention. The Infant Breastfeeding Assessment Tool was used to assess breastfeeding.
Of 54 infants diagnosed with tongue-tie, 78 per cent of mothers participated in the survey. Eighty-six per cent of patients underwent frenotomy, with no surgical complications. In the frenotomy group, 81 per cent of mothers reported improvement in breastfeeding, versus 17 per cent in the non-surgical group (p = 0.0074). In the frenotomy group, the mean (±standard deviation) Infant Breastfeeding Assessment Tool score was 3.33 ± 1.51 pre-intervention, versus 9.19 ± 2.44 post-intervention (p = 0.0001). In the non-surgical intervention group, the mean score (±standard deviation) was 4.17 ± 0.75 pre-intervention, versus 6.00 ± 1.73 post-intervention (p = 0.16). For infants who underwent frenotomy, there was a reported improvement in 94 per cent of those aged less than 30 days, versus 68 per cent in infants aged over 30 days (p = 0.092).
Frenotomy is a safe, short procedure that improves breastfeeding outcomes, and is best performed at an early age.
评估舌系带切开术对婴儿母乳喂养的益处，并确定年龄的影响。
对所有在12个月内被诊断为舌系带过短的患者进行电话问卷调查，在干预前和干预后1个月进行。使用婴儿母乳喂养评估工具来评估母乳喂养情况。
在54名被诊断为舌系带过短的婴儿中，78%的母亲参与了调查。86%的患者接受了舌系带切开术，无手术并发症。在舌系带切开术组中，81%的母亲报告母乳喂养情况有所改善，而非手术组为17%（p = 0.0074）。在舌系带切开术组中，干预前婴儿母乳喂养评估工具的平均（±标准差）得分为3.33 ± 1.51，干预后为9.19 ± 2.44（p = 0.0001）。在非手术干预组中，干预前平均得分（±标准差）为4.17 ± 0.75，干预后为6.00 ± 1.73（p = 0.16）。对于接受舌系带切开术的婴儿，30天以下婴儿中有94%报告情况有所改善，30天以上婴儿为68%（p = 0.092）。
舌系带切开术是一种安全、简短的手术，可改善母乳喂养结果，且最好在早期进行。
