Department of General Pediatrics, Divsions of Neonatology/Intensive Care Medicine, Faculty of Medicine & Medical Center, University of Freiburg, Freiburg, Germany.
Acta Paediatr. 2018 Oct;107(10):1697-1701. doi: 10.1111/apa.14439. Epub 2018 Jul 5.
Performing a frenotomy on tongue-tied infants is controversial, particularly with regard to breastfeeding issues. This paper reviews the literature to bring together clinical experiences and scientific evidence in this field. I found that some tongue-tied babies may exhibit breastfeeding problems, while others may feed perfectly. The literature suggests that medical breastfeeding-related problems should be the only relevant criteria to guide the decision-making for a frenotomy in infancy. The advantages and disadvantages of either a wait and see position or surgical approach are addressed.
The cornerstones for best practice are the meticulous examination, correct diagnosis and classification of tongue-tied infants.
对舌系带过紧的婴儿进行系带切开术存在争议，尤其是在母乳喂养问题方面。本文综述了该领域的临床经验和科学证据。我发现一些舌系带过紧的婴儿可能存在母乳喂养问题，而另一些婴儿可能会正常喂养。文献表明，与医学母乳喂养相关的问题应是指导婴儿期进行系带切开术决策的唯一相关标准。文中还讨论了观望或手术方法的优缺点。
最佳实践的基石是对舌系带过紧的婴儿进行细致的检查、正确的诊断和分类。
