These studies look at the effects of tongue tie on breastfeeding and methods to diagnose it.
Quantitative impact of frenotomy on breastfeeding: a systematic review and meta-analysis
This systematic review and meta-analysis showed that breastfeeding self-efficacy, maternal pain, infant latch, and infant gastroesophageal reflux significantly improve after frenotomy in mother-infant dyads with breastfeeding difficulties and ankyloglossia. Providers should offer frenotomy to improve breastfeeding outcomes in symptomatic mother-infant dyads who face challenges associated with ankyloglossia.
Cordray H, Raol N, Mahendran G (2024) Quantitative impact of frenotomy on breastfeeding: a systematic review and meta-analysis. Paeditri Res. 95 (1) 34-42: https://pubmed.ncbi.nlm.nih.gov/37608056/
Systematic review of the evidence for resolution of common breastfeeding problems-Ankyloglossia (Tongue Tie)
This systematic review and meta-analysis aims to examine the effectiveness of tongue-tie treatment on breastfeeding difficulties. Six studies on tongue-tie division were included (4 randomised and 2 non-randomised). Meta-analysis of standardised mean differences in breastfeeding difficulty scores in four studies showed statistically significant differences in favour of frenotomy (Pooled SMD +2.12, CI:(0.17-4.08)p = 0.03). Similarly, a statistically significant difference in favour of frenotomy was observed for pain (Pooled SMD -1.68, 95% CI: (-2.87- -0.48). Results support that infant frenotomy is effective for improving standardised scores on breastfeeding difficulty and maternal pain scales and could improve breastfeeding outcomes.
Bruney T, Scime N, Madubueze et al (2022) Systematic review of the evidence for resolution of common breastfeeding problems – Ankyloglossia. Acta Paediatr. Vol 111(5). Pg 940-947. https://pubmed.ncbi.nlm.nih.gov/35150472/
- Trends in ankyloglossia and frenotomy in British Columbia
Joseph, K.S. et al (2016). Temporal trends in ankyloglossia and frenotomy in British Columbia, Canada, 2004-2013: a population-based study. CMAJ Open, doi: 10.9778/cmajo.20150063
- The development of a tongue assessment tool
Ingram, J. et al (2015). The development of a tongue assessment tool to assist with tongue-tie identification.
- Does frenotomy help infants with tongue-tie overcome breastfeeding difficulties?
Cawse-Lucas, J. et al (2015). Clinical Inquiry: Does frenotomy help infants with tongue-tie overcome breastfeeding difficulties? J Fam Pract, 2015 Feb;64(2):126-7
- Tongue-tie and frenotomy: achieving a balance
Power & Murphy (2014), Tongue-tie and frenotomy in infants with breastfeeding difficulties: achieving a balance. Archives of Disease in Childhood, doi:10.1136/archdischild-2014-306211
