Guinot Francisco, Carranza Natalia, Ferrés-Amat Elvira, Carranza Manuel, Veloso Ana
Department of Pediatric Dentistry, Faculty of Dentistry, Universitat Internacional de Catalunya (UIC), Barcelona, Spain.
Hospital Nostra Senyora de Meritxell, Andorra.
J Clin Pediatr Dent. 2022 Nov;46(6):33-39. doi: 10.22514/jocpd.2022.023. Epub 2022 Nov 1.
To determine the prevalence of ankyloglossia in newborns with breastfeeding problems and to assess the effectiveness of frenotomy in the maintenance of exclusive breastfeeding at 1 month, 3 months and 6 months in newborns at an Andorran Hospital.
A descriptive, cross-sectional, population-based, retrospective study of newborns over a 5-year period (2016-2020) was performed. Nine medical history variables (presence or absence of ankyloglossia and type of frenulum, surgical intervention or not, first degree hereditary component, gender, Rh and blood group, type of breastfeeding, causes of cessation and duration of breastfeeding) related to perinatal and feeding history were collected confidentially and anonymously. The Coryllos classification was used for the diagnosis of ankyloglossia. Descriptive analysis of the data, Chi-square test and prevalence ratios were calculated.
A total of 2333 newborns were included in the study (50.02% males and 49.98% females). The prevalence of ankyloglossia was 7.84% (n = 183). Of the infants examined, 136 underwent lingual frenotomy. The number of infants who maintained exclusive breastfeeding, both surgically and non-surgically treated, was no statistically significant differences at 1 month ( = 0.65), 3 months ( = 0.61) and 6 months ( = 0.49).
Lingual frenotomy was only performed on patients with ankyloglossia associated with ineffective suction that causes BF difficulties. The realization or not of frenotomy was not a determining factor for the maintenance of breastfeeding at 1 month, 3 months and 6 months. On the contrary, it was a determining factor for the prolongation of mixed feeding. Ankyloglossia related to breastfeeding difficulties should be treated by a multidisciplinary team.
确定存在母乳喂养问题的新生儿中舌系带过短的患病率，并评估在安道尔一家医院对新生儿进行舌系带切开术在维持1个月、3个月和6个月纯母乳喂养方面的有效性。
对5年期间（2016 - 2020年）的新生儿进行了一项描述性、横断面、基于人群的回顾性研究。保密且匿名地收集了与围产期和喂养史相关的九个病史变量（有无舌系带过短及系带类型、是否进行手术干预、一级遗传因素、性别、Rh和血型、母乳喂养类型、停止母乳喂养的原因及母乳喂养持续时间）。采用科里洛斯分类法诊断舌系带过短。对数据进行描述性分析，计算卡方检验和患病率比值。
该研究共纳入2333名新生儿（男性占50.02%，女性占49.98%）。舌系带过短的患病率为7.84%（n = 183）。在接受检查的婴儿中，136例接受了舌系带切开术。手术治疗和非手术治疗的婴儿在1个月（P = 0.65）、3个月（P = 0.61）和6个月（P = 0.49）时维持纯母乳喂养的人数无统计学显著差异。
仅对因吸吮无效导致母乳喂养困难的舌系带过短患者进行舌系带切开术。是否进行舌系带切开术并非1个月、3个月和6个月时维持母乳喂养的决定性因素。相反，它是延长混合喂养的决定性因素。与母乳喂养困难相关的舌系带过短应由多学科团队进行治疗。
