Przyczepienie języka (ankyloglossia)
Rokowania, prognozy i postęp choroby
Ankyloglossia, występująca u około 5% noworodków, jest wadą wrodzoną charakteryzującą się nieprawidłowym przyczepieniem wędzidełka języka, której naturalny przebieg jest w dużej mierze niepoznany. Rokowanie zależy od stopnia nasilenia wady oraz wpływu na karmienie piersią. W przypadku braku objawów klinicznych najlepszym postępowaniem jest obserwacja, gdyż wiele łagodnych przypadków może ustąpić samoistnie. Badania nie wykazały istotnych różnic w samoocenie skuteczności karmienia piersią (BSE) między niemowlętami z ankyloglossią a zdrowymi w 14. dniu życia. Decyzja o frenotomii powinna być oparta na klinicznych trudnościach w karmieniu, a nie wyłącznie na anatomicznej klasyfikacji wędzidełka. Procedura ta, choć niskiego ryzyka, niesie ze sobą rzadkie powikłania, takie jak krwawienie czy bliznowacenie, a w niektórych przypadkach może wymagać uzupełniającej frenuloplastyki.
Rokowanie w przyczepienie języka (ankyloglossia) – Prognoza i przewidywanie wyników
Przyczepienie języka (ankyloglossia) to stosunkowo częsta wada wrodzona, występująca u około 5% wszystkich noworodków, której naturalny przebieg pozostaje w dużej mierze niepoznany. 12 Rokowanie w tej jednostce chorobowej zależy od wielu czynników, w tym stopnia nasilenia wady, wpływu na karmienie piersią, oraz decyzji dotyczących interwencji chirurgicznej.
Rokowanie bez interwencji chirurgicznej
W przypadku braku objawów i problemów związanych z karmieniem, obserwacja jest najlepszym podejściem terapeutycznym. Wiele przypadków przyczepienia języka o łagodnym nasileniu może nie wymagać interwencji, a niektóre mogą nawet samoistnie ustąpić. 34 Badania sugerują, że sam fakt występowania przyczepienia języka nie musi prowadzić do istotnych klinicznie trudności w karmieniu piersią. Analizy wykazały brak różnic w samoocenie skuteczności karmienia piersią (BSE – Breastfeeding Self-Efficacy) między noworodkami z przyczepeniem języka a tymi bez tej wady u dzieci w 14. dniu życia. 5
Decyzja o wykonaniu frenotomii (przecięcie wędzidełka) oparta wyłącznie na anatomii wędzidełka językowego, bez uwzględnienia faktycznych trudności w karmieniu, nie jest uznawana za właściwe podejście. 6 Obserwacja kliniczna sugeruje, że klasyfikacja wędzidełka sama w sobie nie stanowi bezpiecznego wskaźnika dla decyzji o przeprowadzeniu zabiegu w pierwszych tygodniach życia. 7
Rokowanie po interwencji chirurgicznej
Dla niemowląt doświadczających trudności w karmieniu piersią, frenotomia jest akceptowalną opcją terapeutyczną, ponieważ jest procedurą niskiego ryzyka i potencjalnie korzystną. 8 W zdecydowanej większości przypadków, leczenie chirurgiczne przyczepienia języka trwale koryguje ten stan i zapobiega problemom z jedzeniem, mową i problemom stomatologicznym, które często towarzyszą tej wadzie. 9
Badania wykazały, że znaczna liczba niemowląt z problemami w karmieniu piersią ma przyczepienie języka, a po korekcji problemy te mogą zostać wyeliminowane. 10 Powikłania frenotomii są rzadkie, ale mogą obejmować krwawienie, niedrożność dróg oddechowych, uszkodzenie okolicznych struktur, bliznowacenie i awersję do jedzenia. 11
Sporadycznie prosta procedura frenotomii może nie wyeliminować przyczepienia języka i problem może nawrócić. W takich przypadkach zalecane jest leczenie uzupełniające z frenuloplastyką. 12
Długofalowe rokowanie
Długoterminowe rokowanie w przyczepienie języka obejmuje kilka aspektów:
- Wpływ na rozwój zgryzu – Przyczepienie języka jest wiązane z rozwojem wad zgryzu, szczególnie klasy III. Hipoteza dotycząca związku przyczepienia języka z prognatyzmem żuchwy i niedorozwojem szczęki wynika z założenia, że niska pozycja języka u pacjentów z tą wadą wywiera nacisk ku przodowi i w dół. Jednakże dowody na to, że przyczepienie języka przyczynia się do wad zgryzu są ograniczone, a przekonanie to może być oparte jedynie na spekulacjach. 13
- Problemy z mową – Starsze dzieci, których mowa była zaburzona przez przyczepienie języka, zwykle pokonują problemy z wymową w ciągu roku lub dwóch, przy pomocy logopedy. 14
- Problemy z jedzeniem i aspekty społeczne – Wczesna interwencja może zapobiec trudnościom w karmieniu u niemowląt, a u starszych dzieci subtelniejnym problemom z mową, problemom stomatologicznym i związanym z nimi lękom społecznym. 15
Kontrowersje wokół leczenia i prognozy
Leczenie przyczepienia języka wiąże się z wieloma kontrowersjami, które mogą być bardzo mylące dla rodziców szukających różnych opinii. 16 Istnieją dwa główne podejścia do leczenia:
- Podejście wyczekujące – Niektórzy lekarze stosują podejście wyczekujące, aby sprawdzić, czy przyczepienie języka może ustąpić w łagodniejszych przypadkach. 17
- Podejście interwencyjne – Inni w coraz większym stopniu zalecają szybkie leczenie, aby zapobiec dalszym trudnościom w karmieniu niemowlęcia lub bardziej subtelnym problemom z mową, problemom stomatologicznym i związanym z nimi lękom społecznym u starszego dziecka. 18
Wpływ przyczepienia języka na wyniki karmienia piersią może być przeszacowany, a chirurgiczne leczenie noworodków pozostaje kontrowersyjnym tematem. 19 Najlepszym podejściem dla personelu medycznego jest ocena potencjalnych korzyści dla pacjenta. Obserwacja jest najlepszą opcją leczenia, jeśli stan nie powoduje problemów w okresie noworodkowym. Po wykluczeniu innych potencjalnych przyczyn trudności w karmieniu, frenotomia może być przedstawiona jako możliwa opcja leczenia. 20
Podsumowanie rokowania
Ogólnie rzecz biorąc, większość pacjentów odnosi korzyści z obserwacji. Jednak frenotomia jest generalnie uważana za procedurę niskiego ryzyka, którą można wykonać w klinice ambulatoryjnej bez znieczulenia. Ma potencjał poprawić trudności w karmieniu piersią i przynieść ulgę zazwyczaj sfrustrowanej matce. 21
Ważne jest, aby pamiętać, że sama obecność przyczepienia języka, nawet określonego anatomicznie, nie wskazuje na znaczące trudności w karmieniu piersią lub przeszkodę. 22 Rokowanie w większości przypadków jest dobre, zwłaszcza przy odpowiednim podejściu terapeutycznym dostosowanym do konkretnych potrzeb i objawów dziecka.
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Materiały źródłowe
- #1 Ankyloglossia (Tongue Tie) | Children’s Hospital of Philadelphiahttps://www.chop.edu/conditions-diseases/ankyloglossia-tongue-tie
Tongue tie is common, affecting nearly 5 percent of all newborns. […] Research has shown that a significant number of infants with breastfeeding problems have tongue tie, and that when corrected, those problems may be eliminated. […] While some providers take a watchful waiting approach to see if tongue tie might go away in milder cases, others increasingly recommend a prompt treatment approach, to prevent continued feeding difficulties in an infant, or in an older child more subtle speech difficulties, dental problems, and associated social anxieties. […] In the vast majority of cases, treatment for tongue tie permanently corrects the condition and prevents the eating, speech, and dental problems that frequently go along with tongue tie. […] Occasionally, the simple frenotomy procedure fails to eliminate tongue tie and the problem recurs. Follow-up treatment with a frenuloplasty is then recommended. […] Older children whose speech was impaired by tongue tie generally overcome their enunciation problems within a year or two, with the aid of a speech therapist.
- #2 Ankyloglossia (Tongue-Tie) – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK482295/
The natural history of ankyloglossia remains unknown. For those infants experiencing breastfeeding difficulties, a frenotomy is an acceptable option since it is a low-risk procedure likely to be beneficial for such patients. […] Ankyloglossia is linked to the development of malocclusion, particularly Class III malocclusion. Ankyloglossia’s hypothesized association with mandibular prognathism and underdevelopment of the maxilla stems from the notion that the tongue’s low position in affected patients exerts forward and downward pressure. However, the evidence that tongue-tie contributes to malocclusion is limited, and this belief may be only based on speculation. […] Risks and complications of frenotomy are uncommon but have been described. Rare complications include bleeding, airway obstruction, damage to surrounding structures, scarring, and oral aversion.
- #3 Ankyloglossia (Tongue-Tie) – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK482295/
The treatment of ankyloglossia has many controversies, which can be very confusing for parents who seek different opinions. The best approach for any healthcare worker encountering this issue is to weigh the benefits for the patient. Observation is the best treatment option if the condition is not causing any problems during the neonatal period. Once other potential causes of feeding difficulties have been excluded, a frenotomy can be presented as a possible treatment option. […] Overall, most patients benefit from observation. However, frenotomy is generally considered a low-risk procedure that can be performed in an outpatient clinic without anesthesia. It has the potential to improve breastfeeding difficulties and provide relief to the typically frustrated mother.
- #4 Ankyloglossia (Tongue Tie) | Children’s Hospital of Philadelphiahttps://www.chop.edu/conditions-diseases/ankyloglossia-tongue-tie
Tongue tie is common, affecting nearly 5 percent of all newborns. […] Research has shown that a significant number of infants with breastfeeding problems have tongue tie, and that when corrected, those problems may be eliminated. […] While some providers take a watchful waiting approach to see if tongue tie might go away in milder cases, others increasingly recommend a prompt treatment approach, to prevent continued feeding difficulties in an infant, or in an older child more subtle speech difficulties, dental problems, and associated social anxieties. […] In the vast majority of cases, treatment for tongue tie permanently corrects the condition and prevents the eating, speech, and dental problems that frequently go along with tongue tie. […] Occasionally, the simple frenotomy procedure fails to eliminate tongue tie and the problem recurs. Follow-up treatment with a frenuloplasty is then recommended. […] Older children whose speech was impaired by tongue tie generally overcome their enunciation problems within a year or two, with the aid of a speech therapist.
- #5 Ankyloglossia and breastfeeding self-efficacy in newborns: a birth cohort study | BMC Oral Health | Full Texthttps://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-025-05444-1
The impact of ankyloglossia (tongue-tie) on breastfeeding outcomes may be overestimated and surgical treatment in newborns remains a controversial topic. […] Ankyloglossia at birth exerted no clinically relevant impact on breastfeeding self-efficacy in children at 14 days of life. […] The main finding was the absence of differences in BSE scores between newborns with and without ankyloglossia. […] The findings of the current study should also be analyzed in light of the method employed. […] Thus, one cannot discard the possibility that ankyloglossia may have caused breastfeeding difficulties for some of the children in the sample. […] This suggests that the presence of ankyloglossia per se, including defined ankyloglossia, does not indicate significant breastfeeding difficulties or impediment.
- #6 Ankyloglossia and breastfeeding self-efficacy in newborns: a birth cohort study | BMC Oral Health | Full Texthttps://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-025-05444-1
Among the clinical implications of these findings is that the decision to perform frenotomy in newborns based exclusively on the anatomy of the lingual frenum, is not appropriate. […] In conclusion, ankyloglossia at birth exerted no impact on the BSE score for newborns with 14 days of life. These results suggest that the classification of the lingual frenum per se is not a safe indicator for the decision to perform frenotomy in the first weeks of life.
- #7 Ankyloglossia and breastfeeding self-efficacy in newborns: a birth cohort study | BMC Oral Health | Full Texthttps://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-025-05444-1
Among the clinical implications of these findings is that the decision to perform frenotomy in newborns based exclusively on the anatomy of the lingual frenum, is not appropriate. […] In conclusion, ankyloglossia at birth exerted no impact on the BSE score for newborns with 14 days of life. These results suggest that the classification of the lingual frenum per se is not a safe indicator for the decision to perform frenotomy in the first weeks of life.
- #8 Ankyloglossia (Tongue-Tie) – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK482295/
The natural history of ankyloglossia remains unknown. For those infants experiencing breastfeeding difficulties, a frenotomy is an acceptable option since it is a low-risk procedure likely to be beneficial for such patients. […] Ankyloglossia is linked to the development of malocclusion, particularly Class III malocclusion. Ankyloglossia’s hypothesized association with mandibular prognathism and underdevelopment of the maxilla stems from the notion that the tongue’s low position in affected patients exerts forward and downward pressure. However, the evidence that tongue-tie contributes to malocclusion is limited, and this belief may be only based on speculation. […] Risks and complications of frenotomy are uncommon but have been described. Rare complications include bleeding, airway obstruction, damage to surrounding structures, scarring, and oral aversion.
- #9 Ankyloglossia (Tongue Tie) | Children’s Hospital of Philadelphiahttps://www.chop.edu/conditions-diseases/ankyloglossia-tongue-tie
Tongue tie is common, affecting nearly 5 percent of all newborns. […] Research has shown that a significant number of infants with breastfeeding problems have tongue tie, and that when corrected, those problems may be eliminated. […] While some providers take a watchful waiting approach to see if tongue tie might go away in milder cases, others increasingly recommend a prompt treatment approach, to prevent continued feeding difficulties in an infant, or in an older child more subtle speech difficulties, dental problems, and associated social anxieties. […] In the vast majority of cases, treatment for tongue tie permanently corrects the condition and prevents the eating, speech, and dental problems that frequently go along with tongue tie. […] Occasionally, the simple frenotomy procedure fails to eliminate tongue tie and the problem recurs. Follow-up treatment with a frenuloplasty is then recommended. […] Older children whose speech was impaired by tongue tie generally overcome their enunciation problems within a year or two, with the aid of a speech therapist.
- #10 Ankyloglossia (Tongue Tie) | Children’s Hospital of Philadelphiahttps://www.chop.edu/conditions-diseases/ankyloglossia-tongue-tie
Tongue tie is common, affecting nearly 5 percent of all newborns. […] Research has shown that a significant number of infants with breastfeeding problems have tongue tie, and that when corrected, those problems may be eliminated. […] While some providers take a watchful waiting approach to see if tongue tie might go away in milder cases, others increasingly recommend a prompt treatment approach, to prevent continued feeding difficulties in an infant, or in an older child more subtle speech difficulties, dental problems, and associated social anxieties. […] In the vast majority of cases, treatment for tongue tie permanently corrects the condition and prevents the eating, speech, and dental problems that frequently go along with tongue tie. […] Occasionally, the simple frenotomy procedure fails to eliminate tongue tie and the problem recurs. Follow-up treatment with a frenuloplasty is then recommended. […] Older children whose speech was impaired by tongue tie generally overcome their enunciation problems within a year or two, with the aid of a speech therapist.
- #11 Ankyloglossia (Tongue-Tie) – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK482295/
The natural history of ankyloglossia remains unknown. For those infants experiencing breastfeeding difficulties, a frenotomy is an acceptable option since it is a low-risk procedure likely to be beneficial for such patients. […] Ankyloglossia is linked to the development of malocclusion, particularly Class III malocclusion. Ankyloglossia’s hypothesized association with mandibular prognathism and underdevelopment of the maxilla stems from the notion that the tongue’s low position in affected patients exerts forward and downward pressure. However, the evidence that tongue-tie contributes to malocclusion is limited, and this belief may be only based on speculation. […] Risks and complications of frenotomy are uncommon but have been described. Rare complications include bleeding, airway obstruction, damage to surrounding structures, scarring, and oral aversion.
- #12 Ankyloglossia (Tongue Tie) | Children’s Hospital of Philadelphiahttps://www.chop.edu/conditions-diseases/ankyloglossia-tongue-tie
Tongue tie is common, affecting nearly 5 percent of all newborns. […] Research has shown that a significant number of infants with breastfeeding problems have tongue tie, and that when corrected, those problems may be eliminated. […] While some providers take a watchful waiting approach to see if tongue tie might go away in milder cases, others increasingly recommend a prompt treatment approach, to prevent continued feeding difficulties in an infant, or in an older child more subtle speech difficulties, dental problems, and associated social anxieties. […] In the vast majority of cases, treatment for tongue tie permanently corrects the condition and prevents the eating, speech, and dental problems that frequently go along with tongue tie. […] Occasionally, the simple frenotomy procedure fails to eliminate tongue tie and the problem recurs. Follow-up treatment with a frenuloplasty is then recommended. […] Older children whose speech was impaired by tongue tie generally overcome their enunciation problems within a year or two, with the aid of a speech therapist.
- #13 Ankyloglossia (Tongue-Tie) – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK482295/
The natural history of ankyloglossia remains unknown. For those infants experiencing breastfeeding difficulties, a frenotomy is an acceptable option since it is a low-risk procedure likely to be beneficial for such patients. […] Ankyloglossia is linked to the development of malocclusion, particularly Class III malocclusion. Ankyloglossia’s hypothesized association with mandibular prognathism and underdevelopment of the maxilla stems from the notion that the tongue’s low position in affected patients exerts forward and downward pressure. However, the evidence that tongue-tie contributes to malocclusion is limited, and this belief may be only based on speculation. […] Risks and complications of frenotomy are uncommon but have been described. Rare complications include bleeding, airway obstruction, damage to surrounding structures, scarring, and oral aversion.
- #14 Ankyloglossia (Tongue Tie) | Children’s Hospital of Philadelphiahttps://www.chop.edu/conditions-diseases/ankyloglossia-tongue-tie
Tongue tie is common, affecting nearly 5 percent of all newborns. […] Research has shown that a significant number of infants with breastfeeding problems have tongue tie, and that when corrected, those problems may be eliminated. […] While some providers take a watchful waiting approach to see if tongue tie might go away in milder cases, others increasingly recommend a prompt treatment approach, to prevent continued feeding difficulties in an infant, or in an older child more subtle speech difficulties, dental problems, and associated social anxieties. […] In the vast majority of cases, treatment for tongue tie permanently corrects the condition and prevents the eating, speech, and dental problems that frequently go along with tongue tie. […] Occasionally, the simple frenotomy procedure fails to eliminate tongue tie and the problem recurs. Follow-up treatment with a frenuloplasty is then recommended. […] Older children whose speech was impaired by tongue tie generally overcome their enunciation problems within a year or two, with the aid of a speech therapist.
- #15 Ankyloglossia (Tongue Tie) | Children’s Hospital of Philadelphiahttps://www.chop.edu/conditions-diseases/ankyloglossia-tongue-tie
Tongue tie is common, affecting nearly 5 percent of all newborns. […] Research has shown that a significant number of infants with breastfeeding problems have tongue tie, and that when corrected, those problems may be eliminated. […] While some providers take a watchful waiting approach to see if tongue tie might go away in milder cases, others increasingly recommend a prompt treatment approach, to prevent continued feeding difficulties in an infant, or in an older child more subtle speech difficulties, dental problems, and associated social anxieties. […] In the vast majority of cases, treatment for tongue tie permanently corrects the condition and prevents the eating, speech, and dental problems that frequently go along with tongue tie. […] Occasionally, the simple frenotomy procedure fails to eliminate tongue tie and the problem recurs. Follow-up treatment with a frenuloplasty is then recommended. […] Older children whose speech was impaired by tongue tie generally overcome their enunciation problems within a year or two, with the aid of a speech therapist.
- #16 Ankyloglossia (Tongue-Tie) – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK482295/
The treatment of ankyloglossia has many controversies, which can be very confusing for parents who seek different opinions. The best approach for any healthcare worker encountering this issue is to weigh the benefits for the patient. Observation is the best treatment option if the condition is not causing any problems during the neonatal period. Once other potential causes of feeding difficulties have been excluded, a frenotomy can be presented as a possible treatment option. […] Overall, most patients benefit from observation. However, frenotomy is generally considered a low-risk procedure that can be performed in an outpatient clinic without anesthesia. It has the potential to improve breastfeeding difficulties and provide relief to the typically frustrated mother.
- #17 Ankyloglossia (Tongue Tie) | Children’s Hospital of Philadelphiahttps://www.chop.edu/conditions-diseases/ankyloglossia-tongue-tie
Tongue tie is common, affecting nearly 5 percent of all newborns. […] Research has shown that a significant number of infants with breastfeeding problems have tongue tie, and that when corrected, those problems may be eliminated. […] While some providers take a watchful waiting approach to see if tongue tie might go away in milder cases, others increasingly recommend a prompt treatment approach, to prevent continued feeding difficulties in an infant, or in an older child more subtle speech difficulties, dental problems, and associated social anxieties. […] In the vast majority of cases, treatment for tongue tie permanently corrects the condition and prevents the eating, speech, and dental problems that frequently go along with tongue tie. […] Occasionally, the simple frenotomy procedure fails to eliminate tongue tie and the problem recurs. Follow-up treatment with a frenuloplasty is then recommended. […] Older children whose speech was impaired by tongue tie generally overcome their enunciation problems within a year or two, with the aid of a speech therapist.
- #18 Ankyloglossia (Tongue Tie) | Children’s Hospital of Philadelphiahttps://www.chop.edu/conditions-diseases/ankyloglossia-tongue-tie
Tongue tie is common, affecting nearly 5 percent of all newborns. […] Research has shown that a significant number of infants with breastfeeding problems have tongue tie, and that when corrected, those problems may be eliminated. […] While some providers take a watchful waiting approach to see if tongue tie might go away in milder cases, others increasingly recommend a prompt treatment approach, to prevent continued feeding difficulties in an infant, or in an older child more subtle speech difficulties, dental problems, and associated social anxieties. […] In the vast majority of cases, treatment for tongue tie permanently corrects the condition and prevents the eating, speech, and dental problems that frequently go along with tongue tie. […] Occasionally, the simple frenotomy procedure fails to eliminate tongue tie and the problem recurs. Follow-up treatment with a frenuloplasty is then recommended. […] Older children whose speech was impaired by tongue tie generally overcome their enunciation problems within a year or two, with the aid of a speech therapist.
- #19 Ankyloglossia and breastfeeding self-efficacy in newborns: a birth cohort study | BMC Oral Health | Full Texthttps://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-025-05444-1
The impact of ankyloglossia (tongue-tie) on breastfeeding outcomes may be overestimated and surgical treatment in newborns remains a controversial topic. […] Ankyloglossia at birth exerted no clinically relevant impact on breastfeeding self-efficacy in children at 14 days of life. […] The main finding was the absence of differences in BSE scores between newborns with and without ankyloglossia. […] The findings of the current study should also be analyzed in light of the method employed. […] Thus, one cannot discard the possibility that ankyloglossia may have caused breastfeeding difficulties for some of the children in the sample. […] This suggests that the presence of ankyloglossia per se, including defined ankyloglossia, does not indicate significant breastfeeding difficulties or impediment.
- #20 Ankyloglossia (Tongue-Tie) – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK482295/
The treatment of ankyloglossia has many controversies, which can be very confusing for parents who seek different opinions. The best approach for any healthcare worker encountering this issue is to weigh the benefits for the patient. Observation is the best treatment option if the condition is not causing any problems during the neonatal period. Once other potential causes of feeding difficulties have been excluded, a frenotomy can be presented as a possible treatment option. […] Overall, most patients benefit from observation. However, frenotomy is generally considered a low-risk procedure that can be performed in an outpatient clinic without anesthesia. It has the potential to improve breastfeeding difficulties and provide relief to the typically frustrated mother.
- #21 Ankyloglossia (Tongue-Tie) – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK482295/
The treatment of ankyloglossia has many controversies, which can be very confusing for parents who seek different opinions. The best approach for any healthcare worker encountering this issue is to weigh the benefits for the patient. Observation is the best treatment option if the condition is not causing any problems during the neonatal period. Once other potential causes of feeding difficulties have been excluded, a frenotomy can be presented as a possible treatment option. […] Overall, most patients benefit from observation. However, frenotomy is generally considered a low-risk procedure that can be performed in an outpatient clinic without anesthesia. It has the potential to improve breastfeeding difficulties and provide relief to the typically frustrated mother.
- #22 Ankyloglossia and breastfeeding self-efficacy in newborns: a birth cohort study | BMC Oral Health | Full Texthttps://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-025-05444-1
The impact of ankyloglossia (tongue-tie) on breastfeeding outcomes may be overestimated and surgical treatment in newborns remains a controversial topic. […] Ankyloglossia at birth exerted no clinically relevant impact on breastfeeding self-efficacy in children at 14 days of life. […] The main finding was the absence of differences in BSE scores between newborns with and without ankyloglossia. […] The findings of the current study should also be analyzed in light of the method employed. […] Thus, one cannot discard the possibility that ankyloglossia may have caused breastfeeding difficulties for some of the children in the sample. […] This suggests that the presence of ankyloglossia per se, including defined ankyloglossia, does not indicate significant breastfeeding difficulties or impediment.