Ankyloglossia
Conditions
Keywords
Ankyloglossia, Tongue tie, Frenotomy, Frenulectomy, Breast feeding, HATLFF, IBFAT
Brief summary
The purpose of this study is to determine if frenotomy for ankyloglossia will improve infant breastfeeding, decrease maternal nipple pain and increase duration of breastfeeding with the hypothesis that frenotomy will do all of the above.
Detailed description
The primary objective of our study is to determine if frenotomy (or release of tongue tie) for ankyloglossia (tongue tie) will decrease maternal nipple pain with breast feeding and improve infant's ability to breast feed. Our secondary objective is to determine if frenotomy for ankyloglossia will improve the length of time a mother breast feeds. Our hypothesis is that frenotomy will decrease maternal nipple pain, improve infant's breast feeding and prolong the duration of breast feeding.
Interventions
PROCEDUREFrentomy
Frenotomy will be performed. This procedure involves crushing frenulum tissue with straight hemostat for hemostasis and anesthesia while tongue is elevated with elevator. Frenulum then cut to desired length with iris scissors. Patient then returned to parents and immediately breastfeeds without parent observing infant's mouth.
OTHERSham procedure
Infant taken into room away from parents and no frenotomy performed. Infant's mouth is examined but no interventions made.
Sponsors
United States Naval Medical Center, Portsmouth
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE
Eligibility
Sex/Gender
ALL
Age
0 Days to 14 Days
Healthy volunteers
Yes
Inclusion criteria
* Significant ankyloglossia as judged by Hazelbaker scale (HATLFF) * Report of maternal nipple pain with feeding * Report of difficulty with infant breast feeding
Exclusion criteria
* Significant craniofacial defects * Age \>14 days at enrollment * Any maternal contraindication to breastfeeding * Neurologic defects that would impair breast feeding
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maternal nipple pain as judged by R. Melzack's short form pain scale and infant breast feeding as judged by IBFAT scale | immediately following 1st breast feed, and at 2 week, 2,4,6 12 month follow ups |
Secondary
| Measure | Time frame |
|---|---|
| Length of breast feeding | 1 year follow up |
Countries
United States
Outcome results
None listed