Faculty of Medicine, McGill University, Montréal, Canada.
Department of Otolaryngology - Head & Neck Surgery, London Health Sciences Centre and Schulich School of Medicine and Dentistry, London, Canada.
Breastfeed Med. 2021 Apr;16(4):346-348. doi: 10.1089/bfm.2020.0319. Epub 2020 Dec 28.
Ankyloglossia is a failure of the tongue to release from the oral floor with reported consequences that include breastfeeding difficulties and speech impediments. Frenotomy is a commonly performed procedure for the treatment of ankyloglossia. Laser (light amplification by stimulated emission of radiation) is one of several mediums used to perform frenotomies. Although most frenotomies are uncomplicated, there remains a small possibility of complication, such as infection, pain, ductal injury, and hemorrhage, even in expert hands. Because frenotomies are most often performed in infants, postoperative hemorrhage is an important complication to look for as even small amount of bleed may prove fatal, due to low blood volume reserve. We report a case of delayed hemorrhage after laser frenotomy in a 6-week old infant displaying shock symptoms and required fluid resuscitation.
舌系带过紧是指舌头无法从口腔底部释放，可能导致母乳喂养困难和言语障碍等后果。舌系带切开术是治疗舌系带过紧的常用方法。激光（受激辐射光放大）是用于进行舌系带切开术的几种介质之一。虽然大多数舌系带切开术并不复杂，但即使在专家手中，仍有发生并发症的可能性，如感染、疼痛、导管损伤和出血等。由于舌系带切开术通常在婴儿中进行，因此术后出血是需要注意的重要并发症，因为即使少量出血也可能因婴儿血容量储备低而导致致命。我们报告了一例 6 周大的婴儿在接受激光舌系带切开术后出现延迟性出血的病例，该婴儿出现休克症状，需要进行液体复苏。
