Factors associated with neonatal ankyloglossia in term infants during the first month of life / Fatores associados à anquiloglossia neonatal em lactentes a termo no primeiro mês de vida
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v17.14010Keywords:
Anquiloglossia , Lactentes , Aleitamento MaternoAbstract
Objective: To analyze factors associated with neonatal ankyloglossia in term infants during the first month of life. Method: A retrospective case-control study was conducted using medical records from infants treated at a university hospital. Data on birth characteristics, breastfeeding-related manifestations, and growth measurements were compared between infants with and without ankyloglossia. Results: Infants with ankyloglossia presented a higher frequency of family history of the condition, as well as increased reports of maternal nipple pain and a biting sensation during breastfeeding. Lower birth weights and reduced weight gain in the first month of life were also observed. Conclusion: Ankyloglossia was associated with breastfeeding difficulties and lower weight gain in the first month of life, highlighting the importance of early diagnosis and management strategies to support effective and comfortable breastfeeding, and to help prevent early weaning.
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References
Prentice AM. Breastfeeding in the Modern World. Ann Nutr Metab. [Internet]. 2022 [cited 2025 jun 26];78. Available from: http://dx.doi.org/10.1159/000525001.
Louis Jacques AF, Stuebe AM. Enabling Breastfeeding to Support Lifelong Health for Mother and Child. Obstet Gynecol Clin North Am. [Internet]. 2020 [cited 2025 jun 26];47. Available from: http://dx.doi.org/10.1016/j.ogc.2020.03.001.
McGowan C, Bland R. The Benefits of Breastfeeding on Child Intelligence, Behavior, and Executive Function: A Review of Recent Evidence. Breastfeed Med. [Internet]. 2023 [cited 2025 jun 26];18. Available from: http://dx.doi.org/10.1089/bfm.2022.0326.
Brzęcka D, Garbacz M, Micał M, et al. Diagnosis, classification and management of ankyloglossia including its influence on breastfeeding. Dev Period Med. [Internet]. 2019 [cited 2025 jun 26];23. Available from: http://dx.doi.org/10.34763/devperiodmed.201923.0079.
Hill RR, Lee CS, Pados BF. The prevalence of ankyloglossia in children aged <1 year: a systematic review and meta analysis. Pediatr Res. [Internet]. 2021 [cited 2025 jun 26];90. Available from: http://dx.doi.org/10.1038/s41390-021-01501-8.
Lima ALXD, Dutra MRP. Influence of frenotomy on breastfeeding in newborns with ankyloglossia. CoDAS. [Internet]. 2021 [cited 2025 jun 26];33. Available from: http://dx.doi.org/10.1590/2317-1782/20212020190026.
Costa Romero M, Espínola Docio B, Paricio Talayero JM, et al. Ankyloglossia in breastfeeding infants. An update. Arch Argent Pediatr. [Internet]. 2021 [cited 2025 jun 26];119. Available from: http://dx.doi.org/10.5546/aap.2021.eng.e600.
Thomas J, Bunik M, Holmes A, et al. Identification and Management of Ankyloglossia and Its Effect on Breastfeeding in Infants: Clinical Report. Pediatrics. [Internet]. 2024 [cited 2025 jun 26];154(2):e2024067605. Available from: http://dx.doi.org/10.1542/peds.2024-067605.
Francis DO, Krishnaswami S, McPheeters M. Treatment of Ankyloglossia and Breastfeeding Outcomes: A Systematic Review. Pediatrics. [Internet]. 2015 [cited 2025 jun 26];135. Available from: http://dx.doi.org/10.1542/peds.2014-3594.
Emond A, Ingram J, Johnson D, et al. Randomised controlled trial of early frenotomy in breastfed infants with mild–moderate tongue tie. Arch Dis Child Fetal Neonatal Ed. [Internet]. 2014 [cited 2025 jun 26];99. Available from: http://dx.doi.org/10.1136/archdischild-2013-304602.
Ingram J, Johnson D, Copeland M, et al. The development of a tongue assessment tool to assist with tongue tie identification. Arch Dis Child Fetal Neonatal Ed. [Internet]. 2015 [cited 2025 jun 26];100. Available from: http://dx.doi.org/10.1136/archdischild-2014-306304.
Morowati S, Yasini M, Ranjbar R, et al. Familial ankyloglossia (tongue tie): a case report. Acta Med Iran. [Internet]. 2010 [cited 2025 jun 26];48. Available from: http://dx.doi.org/10.22038/acta.2010.1102.
Guinot Jimeno F, Carranza Bagé N, Veloso Durán A, et al. Prevalencia de anquiloglosia en neonatos e… (ahead of print). Rev Odontopediatr Latinoam. [Internet]. 2021 [cited 2025 jun 26];11. Available from: http://dx.doi.org/10.47990/alop.v11i1.216.
Moraes MBS, Lima KGDS, Perreira TF, et al. Diagnóstico e tratamento da Anquiloglossia em pacientes pediátricos: Uma revisão narrativa. RSD. [Internet]. 2023 [acesso em 26 de junho 2025];12. Disponível em: http://dx.doi.org/10.33448/rsd-v12i12.43634.
Guzmán LR, Quiroz TC, Bailón NR, et al. Herencia de la anquiloglosia: de tal palo, tal astilla. Rev Pediatr Aten Primaria. [Internet]. 2019 [citado 2025 jun 26];21. Disponível em: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1139-76322019000300011.
Srinivasan A, Dobrich C, Mitnick H, et al. Ankyloglossia in breastfeeding infants: the effect of frenotomy on maternal nipple pain and latch. Breastfeed Med. [Internet]. 2006 [cited 2025 jun 26];1. Available from: http://dx.doi.org/10.1089/bfm.2006.1.216.
Siggaard LD, Tingsgaard P, Lüscher M, et al. Parent reported infant and maternal symptom relief following frenotomy in infants with tongue tie. Dan Med J. [Internet]. 2022 [cited 2025 jun 26];69. Available from: http://dx.doi.org/10.1101/dmj.A12210934.
Azambuja I, Tostes M, Portela M. Anquiloglossia em bebês: da embriologia ao tratamento – uma revisão de literatura. Rio de Janeiro Dental Journal. [Internet]. 2021 [acesso em 26 de junho 2025];7. Disponível em: http://dx.doi.org/10.21112/rdj.v7i0.1234.
Brandão C de A, de Marsillac M de WS, Barja Fidalgo F, et al. Is the Neonatal Tongue Screening Test a valid and reliable tool for detecting ankyloglossia in newborns? Int J Paediatr Dent. [Internet]. 2018 [cited 2025 jun 26];28. Available from: http://dx.doi.org/10.1111/ipd.12345.
Geddes DT, Langton DB, Gollow I, et al. Frenulotomy for Breastfeeding Infants With Ankyloglossia: Effect on Milk Removal and Sucking Mechanism as Imaged by Ultrasound. Pediatrics. [Internet]. 2008 [cited 2025 jun 26];122. Available from: http://dx.doi.org/10.1542/peds.2008-0344.
Garbin CP, Sakalidis VS, Chadwick LM, et al. Evidence of Improved Milk Intake After Frenotomy: A Case Report. Pediatrics. [Internet]. 2013 [cited 2025 jun 26];132. Available from: http://dx.doi.org/10.1542/peds.2013-0834.
Orte González EM, Alba Giménez L, Serrano Alvar B. La anquiloglosia y las dificultades que presenta en el amamantamiento. Matronas Prof. [Internet]. 2017 [cited 2025 jun 26];18. Available from: http://dx.doi.org/10.4321/0102-20264007050003.
Wong K, Patel P, Cohen MB, et al. Breastfeeding Infants with Ankyloglossia: Insight into Mothers’ Experiences. Breastfeed Med. [Internet]. 2017 [cited 2025 jun 26];12. Available from: http://dx.doi.org/10.1089/bfm.2016.0132.
Hill R. Implications of Ankyloglossia on Breastfeeding. MCN Am J Matern Child Nurs. [Internet]. 2019 [cited 2025 jun 26];44. Available from: http://dx.doi.org/10.1097/NMC.0000000000000456.
Batista CLC, Pereira ALP. Influência da Anquiloglossia neonatal na amamentação exclusiva nos seis primeiros meses de vida: estudo de coorte. CoDAS. [Internet]. 2024 [acesso em 26 de junho 2025];36. Disponível em: http://dx.doi.org/10.1590/2317-1782/2023202100028.
Caloway C, Hersh CJ, Baars R, et al. Association of Feeding Evaluation With Frenotomy Rates in Infants With Breastfeeding Difficulties. JAMA Otolaryngol Head Neck Surg. [Internet]. 2019 [cited 2025 jun 26];145. Available from: http://dx.doi.org/10.1001/jamaoto.2019.0103.
Fraga M de RB de A, Barreto KA, Lira TCB, et al. Is the Occurrence of Ankyloglossia in Newborns Associated with Breastfeeding Difficulties? Breastfeed Med. [Internet]. 2020 [cited 2025 jun 26];15. Available from: http://dx.doi.org/10.1089/bfm.2019.0234.
Wen Z, Walner DL, Popova Y, et al. Tongue tie and breastfeeding. Int J Pediatr Otorhinolaryngol. [Internet]. 2022 [cited 2025 jun 26];160. Available from: http://dx.doi.org/10.1016/j.ijporl.2022.111242.
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