Department of Paediatric Surgery, Evelina London Children's Hospital, West minster Bridge Road, London, SE1 7EH, UK.
Department of Paediatric Surgery, Great Ormond Street Hospital, London, WC1N3JH, UK.
Matern Child Health J. 2022 Aug;26(8):1727-1731. doi: 10.1007/s10995-022-03454-x. Epub 2022 Jun 18.
Frenotomy is performed in breast fed infants who experience difficulty in latching after failed conservative management for ankyloglossia or tongue-tie. Though parents sometimes enquire about massage after frenotomy, neither published evidence nor clinical consensus supports this. The aim of our study was to assess if there was significant difference in breast feeding or recurrence rate between those infants who had post frenotomy massage and those who did not.
A retrospective study was conducted in a tertiary Children's hospital from January 2018 to December 2018. The tongue-tie service consisted of five pediatric surgical consultants, three of whom routinely advice post frenotomy massage. As a result, we had two groups to compare -massage and non-massage group. Total sample size (n = 599) consisted of those who were advised massage (n = 282) and those who were not advised massage (n = 317).
Overall recurrence rate was 4/599 (0.66%) and this did not achieve statistical significance between the two groups. Breast feeding rates were also similar in both the groups. However, it is interesting to note that only 43.5% of those advised massage adhered to the massage regimen.
Improvement in breast feeding and recurrence after frenotomy were similar between massage and non-massage groups. This confirms the lack of any additional benefit of post frenotomy massage. This study assists clinicians with decision making not to advise massage as it is unlikely to benefit infants with tongue-tie.
在母乳喂养的婴儿中，如果在保守治疗（用于治疗舌系带过紧或舌系带粘连）失败后出现哺乳困难，可以进行切开术。尽管有些父母会在切开术后询问按摩的问题，但目前既没有相关的研究证据，也没有临床共识支持这种做法。本研究旨在评估切开术后进行按摩与不进行按摩的婴儿在母乳喂养或复发率方面是否存在显著差异。
本研究是在 2018 年 1 月至 2018 年 12 月期间在一家三级儿童医院进行的回顾性研究。舌系带服务由 5 名儿科外科顾问组成，其中 3 名顾问常规建议切开术后进行按摩。因此，我们将患者分为两组进行比较：按摩组和非按摩组。总样本量（n=599）包括接受按摩建议的患者（n=282）和未接受按摩建议的患者（n=317）。
总体复发率为 4/599（0.66%），两组之间无统计学差异。两组的母乳喂养率也相似。然而，有趣的是，仅 43.5%接受按摩建议的患者坚持了按摩方案。
切开术后的母乳喂养和复发率在按摩组和非按摩组之间相似。这证实了切开术后按摩没有额外益处。本研究有助于临床医生做出不建议按摩的决策，因为对于患有舌系带过紧的婴儿，按摩不太可能带来益处。
