Marques Danielle Cristine, Furlan Renata Maria Moreira Moraes, Fracaroli Narciso Sena, Motta Andréa Rodrigues, Casas Estevam Barbosa de Las, Gomes Sandra Raquel de Melo
Residência Multiprofissional, Hospital Metropolitano Odilon Behrens - Belo Horizonte (MG), Brasil.
Departamento de Fonoaudiologia, Faculdade de Medicina, Universidade Federal de Minas Gerais - UFMG - Belo Horizonte (MG), Brasil.
Codas. 2025 Aug 8;37(4):e20240297. doi: 10.1590/2317-1782/e20240297pt. eCollection 2025.
Changes in the lingual frenulum can impair breastfeeding, leading to poor weight gain and/or early weaning. This study aimed to investigate the influence of frenotomy on the clinical and instrumental parameters of non-nutritive sucking in newborns. It is a case series study with six full-term newborns, three males and three females, diagnosed with ankyloglossia through the Lingual Frenulum Evaluation Protocol for Infants and the Bristol Tongue Assessment Tool. Clinical assessment of non-nutritive sucking was conducted using the Non-Nutritive Sucking Assessment Protocol, and instrumental assessment was performed using an instrument that records sucking pressure. Both assessments were conducted before frenotomy and up to 48 hours after the procedure, respectively, comparing the parameters between these moments. The number of suctions, suction groups, and the mean pressure increased significantly. The evaluation scores also changed significantly after surgery, with a decrease in the lingual frenulum assessment protocol score and an increase in the Bristol Tool score. Instrumental parameters (number of suction groups, total suctions, and mean pressure) and clinical parameters (lip sealing, tongue cupping, tongue dorsum elevation and lowering, mandible elevation and lowering, sucking strength, sucking rhythm, bites, exaggerated mandible excursions, and signs of stress) improved after frenotomy.
舌系带的改变会影响母乳喂养，导致体重增加不佳和/或过早断奶。本研究旨在探讨舌系带切开术对新生儿非营养性吸吮的临床和仪器参数的影响。这是一项病例系列研究，纳入了6名足月新生儿，3名男性和3名女性，通过婴儿舌系带评估方案和布里斯托尔舌评估工具诊断为舌系带过短。使用非营养性吸吮评估方案对非营养性吸吮进行临床评估，并使用记录吸吮压力的仪器进行仪器评估。两项评估分别在舌系带切开术前和术后48小时内进行，比较这些时间点之间的参数。吸吮次数、吸吮组和平均压力显著增加。术后评估分数也有显著变化，舌系带评估方案分数降低，布里斯托尔工具分数增加。舌系带切开术后，仪器参数（吸吮组数量、总吸吮次数和平均压力）和临床参数（唇部密封、舌杯状、舌背抬高和降低、下颌抬高和降低、吸吮强度、吸吮节奏、咬合、夸张的下颌运动和压力迹象）有所改善。
