Materiały źródłowe

• #1 Tongue-Tie (Ankyloglossia) Symptoms, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/17931-tongue-tie-ankyloglossia

  Theres no known way to prevent tongue-tie. For more severe cases, early diagnosis and treatment can prevent issues with breastfeeding. […] The key is seeking help early. Dont wait or think the situation will get better if you just try harder. Breastfeeding difficulties arent your fault, and theyre very common. Even experienced mothers sometimes need expert advice to solve issues that come up.

• #2 Ankyloglossia (Tongue Tie) | Children’s Hospital of Philadelphia

  https://www.chop.edu/conditions-diseases/ankyloglossia-tongue-tie

  Tongue tie is common, affecting nearly 5 percent of all newborns. […] While the condition sometimes goes away on its own, the simple surgery to correct it supports a baby’s normal oral development and helps to prevent eating and speaking problems. […] Most cases of tongue tie are treated as soon as they are diagnosed, and depending on the child’s age, it can be done either in the office or in the operating room. […] 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.

• #3 Tongue-tie affects 1 in 10 babies. Here’s what to know about it. – The Washington Post

  https://www.washingtonpost.com/wellness/2024/06/10/tongue-tie-breastfeeding-babies-surgery/

  Tongue-tie — or ankyloglossia — occurs in up to 10 percent of newborns, according to the Mayo Clinic. […] When the band, called the frenulum, is too short or too tight, it can limit the tongue’s range of motion, making breastfeeding difficult for the infant and painful for the mother. […] Left untreated, “if it is tight enough, it can cause difficulty pronouncing certain sounds, and later in life such simple pleasures as licking an ice cream cone, kissing and other activities,” said Rebekah Huppert, a registered nurse and lactation consultant at the Mayo Clinic Children’s Center in Rochester, Minn. […] Some health-care providers urge quick treatment, while others suggest a wait-and-see attitude. […] Although the surgery is low-risk, experts point out that it’s not always necessary in mild cases and that, with time, the band can stretch.

• #4 Tongue-tie affects 1 in 10 babies. Here’s what to know about it. – The Washington Post

  https://www.washingtonpost.com/wellness/2024/06/10/tongue-tie-breastfeeding-babies-surgery/

  If you aren’t sure whether your baby has tongue-tie, watch how the tongue moves. […] Pediatricians don’t routinely check for it when examining a newborn, but the condition can quickly become apparent once the mother tries to breastfeed. […] Before considering surgery, known as a frenotomy, experts often suggest first consulting a lactation specialist to be sure that tongue-tie is the cause of the breast latch-on problems. […] But if their recommendations still don’t work, they often encourage a frenotomy. […] “We want to make a move quickly if we can to encourage the mothers to continue breastfeeding,” Huppert says. […] Most experts recommend the clipping be done by a trained ear, nose and throat specialist, which is usually covered by insurance. […] Maya Bunik, a professor of pediatrics at the University of Colorado School of Medicine and chair of the section on breastfeeding for the American Academy of Pediatrics, worries that parents may be too quick to opt for surgery, and thinks the procedure may be overused — understandable, she adds, because “everybody wants to do whatever they can for their babies, and breastfeeding is a challenging part of babyhood.”

• #5 Ankyloglossia in Children | Valley Children’s Healthcare

  https://www.valleychildrens.org/services/ent/conditions-we-treat/ankyloglossia-in-children

  Tongue-tie (ankyloglossia) is a problem with the tongue that is present from birth. It causes speech and eating problems in some children. […] Symptoms are different in each child. Some children may not have any symptoms. […] It causes breastfeeding problems in some infants. […] Not all children with tongue-tie need surgery. Your child may need surgery if their tongue-tie is more severe and causes major symptoms.

• #6 Tongue-Tie Surgery Age Limit: When is the Best Time?

  https://www.tonguetiephoenix.com/tongue-tie-surgery-age-limit/

  Your child should get an early treatment. Because the more you delay the surgery, the more severe the complications will be. Therefore, a better practice is to get it as soon as possible. […] It is pertinent for your baby to get this surgery. Some of the merits of tongue tie surgery are: […] Early detection and subsequent treatment reduce the risk of many health complications. A tied tongue causes breathing, swallowing, and speech difficulties when left untreated. […] In light of the above-built context, it is safe to say that your child can get a frenotomy at any stage of his life.

• #7 ADULT TONGUE TIE: HOW TO SPOT, SYMPTOMS AND TREATMENT | Mya Care

  https://myacare.com/blog/adult-tongue-tie-how-to-spot-symptoms-and-treatment

  The common misconception that tongue tie, or ankyloglossia, is just a childhood condition needs to be dispelled. In reality, this condition is more prevalent in adults. […] Therefore, recognizing and addressing this condition in adults is as important as it is in children. […] Early diagnosis and appropriate treatment can mitigate these consequences and significantly improve quality of life. […] Each treatment option has its indications and potential benefits. The choice of therapy depends on the severity of the tongue tie, the specific symptoms and challenges faced by the individual, and personal preferences. […] Remember, the decision to undergo surgery should be made in collaboration with healthcare professionals, considering all individual factors and potential outcomes. For many, it can be a step towards significant improvement in function and quality of life. […] It is important for people living with tongue tie to know that there are ways to manage the condition effectively, even without surgical intervention.

• #8

  https://www.healthychildren.org/English/news/Pages/AAP-report-addresses-rise-in-tongue-tie-diagnoses-for-breastfeeding-concerns.aspx

  When breastfeeding difficulties arise, a growing number of infants are being diagnosed with ankyloglossia, also called „tongue tie.” […] The AAP encourages doctors to first consider nonsurgical options to address breastfeeding challenges rather than a frenotomy surgery that works to reduce restriction of an infant’s tongue movement. […] „Surgery is often unnecessary for breastfeeding concerns, and there is limited research on its effectiveness. […] The American Academy of Pediatrics (AAP) recommends exclusive breastfeeding for about 6 months, with continuation of breastfeeding for 2 years or longer as mutually desired by mother and infant. […] The AAP recommends efforts to: Identify feeding problems early to support successful breastfeeding outcomes. […] Offer comprehensive care for infants with tongue-tie by collaborating with lactation consultants, speech-language pathologists and other specialists.

• #9

  https://link.springer.com/article/10.1007/s40746-016-0052-x

  Ankyloglossia, or tongue tie, classically involves a short or thickened lingual frenulum that may prohibit tongue protrusion. […] Management of ankyloglossia often includes a multidisciplinary approach including lactation consultants, speech language pathologists, pediatricians, and otolaryngologists. […] Surgical intervention for ankyloglossia should be recommended with caution and performed only on infants or children with clear findings of ankyloglossia on physical exam and a documented history of breastfeeding or speech difficulties; the timing and method of treatment should be tailored to the individual infant or child. […] Frenotomy or frenuloplasty should only be performed by providers with adequate training and experience in order to minimize complications. […] There have been five randomized controlled trials and seven systematic reviews investigating the effects of frenotomy on breastfeeding.

• #10

  https://www.cbsnews.com/news/tongue-ties-overdiagnosis-needless-treatment-infants-pediatrics/

  Tongue-tie a condition in infants that can affect breastfeeding may be overdiagnosed in the U.S. and too often treated with unnecessary surgery, a prominent doctors group said Monday. […] The academy’s new report encourages pediatricians and other medical professionals to consider nonsurgical options to address breastfeeding problems. […] The report also recommends lactation experts, pediatricians and surgeons and other medical professionals work with parents to evaluate possible reasons for breastfeeding challenges and make the best treatment decision. […] The American Dental Association didn’t directly respond to The Associated Press’ questions about the new report. It sent a statement saying the organization agrees with a 2022 policy statement by the American Academy of Pediatric Dentistry, which noted not all children with ankyloglossia need surgical intervention and that a team-based approach with other specialists can aid in treatment planning.

• #11 Correct treatment for tongue-tie in infants | Tidsskrift for Den norske legeforening

  https://tidsskriftet.no/en/2021/10/opinions/correct-treatment-tongue-tie-infants

  Tongue-tie in infants can cause difficulties with breastfeeding. New evidence-based guidelines for healthcare professionals will make it easier to obtain help. […] If tongue-tie gives rise to difficulties with breastfeeding, breastfeeding counselling is to be offered first. If this does not lead to improvement a frenotomy may be considered. There is a sufficient evidence base to support this primary recommendation, which is also consistent with the recommendations of UpToDate and other international guidelines. […] Good breastfeeding counselling is important to ensure that more common causes of difficulty with breastfeeding are addressed first. However, if counselling does not improve the situation, infants with tongue-tie and impaired tongue function must be examined and treated by healthcare professionals with specialist knowledge of the issue.

• #12 Ankyloglossia and breastfeeding | Canadian Paediatric Society

  https://cps.ca/documents/position/ankyloglossia-breastfeeding

  Ankyloglossia (tongue-tie) is a relatively common congenital anomaly characterized by an abnormally short lingual frenulum, which may restrict tongue tip mobility. […] Based on available evidence, frenotomy cannot be recommended for all infants with ankyloglossia. […] When an association between significant tongue-tie and major breastfeeding problems is clearly identified and surgical intervention is deemed to be necessary, frenotomy should be performed by a clinician experienced with the procedure and using appropriate analgesia. […] If an association between significant tongue-tie and major breastfeeding problems is identified and surgical intervention is deemed to be necessary, frenotomy should be performed by a clinician experienced with the procedure, using appropriate analgesia.

• #13 Ankyloglossia and breastfeeding | Canadian Paediatric Society

  https://cps.ca/documents/position/ankyloglossia-breastfeeding

  Clear criteria are needed for the diagnosis of ankyloglossia, along with specific attention to characteristics of infants for whom a frenotomy would be of value to improve feeding. […] Consultation with a health care professional who has expertise in breastfeeding is recommended before referring a child for frenotomy.

• #14

  https://www.healthychildren.org/English/news/Pages/AAP-report-addresses-rise-in-tongue-tie-diagnoses-for-breastfeeding-concerns.aspx

  Reserve frenotomy for cases where significant functional impairments are observed and nonsurgical interventions have failed. […] avoid recommending post-frenotomy stretching exercises in which the parents open the wound several times to prevent reattachment. […] „We just encourage families to first work with their pediatrician who can help them understand what is known and unknown about a diagnosis of ankyloglossia and treatment.”

• #15 Tongue-tie affects 1 in 10 babies. Here’s what to know about it. – The Washington Post

  https://www.washingtonpost.com/wellness/2024/06/10/tongue-tie-breastfeeding-babies-surgery/

  “There has to be a happy medium,” adds Bunik, who co-authored a soon-to-be-published clinical report on ankyloglossia for the American Academy of Pediatrics. […] She says it’s important to rule out other causes of breastfeeding problems before considering surgery, and she encourages patience. […] “You need to evaluate both the mom and the baby,” she says. “I do think some babies just need more time. But if feeding is not going well, the baby is not gaining weight, and the mom is having nipple or breast pain, it’s probably worth doing the surgery.”

• #16

  https://link.springer.com/article/10.1007/s40746-016-0052-x

  A systematic review by Chinnadurai et al. (2015) concluded that there is insufficient evidence to assess the efficacy of frenotomy on nonbreastfeeding outcomes such as speech or social outcomes. […] The timing of frenotomy in the available literature has been variable, with ages at the time of procedure ranging from 1 to 18 days for those experiencing breastfeeding difficulties in the neonatal period. […] In order to minimize the risk of complications, frenotomy should only be performed by experienced and trained practitioners. […] Surgical intervention should be recommended with caution only in infants for whom ankyloglossia is clearly evident on physical examination and who have documented difficulties with breastfeeding.

• #17 Correct treatment for tongue-tie in infants | Tidsskrift for Den norske legeforening

  https://tidsskriftet.no/en/2021/10/opinions/correct-treatment-tongue-tie-infants

  Symptomatic tongue-tie can be treated with a simple procedure in which the lingual frenulum is cut, a frenotomy. There is little risk of complications when the procedure is performed by qualified healthcare professionals. The procedure is considered to cause little pain. The new Norwegian guidelines include recommendations for the provision of pain prophylaxis and relief. […] Infants should only receive treatment for tongue-tie when an indication for treatment is present. […] The frenotomy of a tongue-tie on the basis of an appropriate indication is associated with improved breastfeeding. […] Follow-up with breastfeeding counselling and support should be offered irrespective of whether a frenotomy is performed or the tongue tie is treated conservatively, with the aim of enabling all mothers who wish to breastfeed to do so successfully.

• #18 Tongue-Tie | Otolaryngology – Head & Neck Surgery

  https://ent.weill.cornell.edu/patients/clinical-specialties/conditions/tongue-tie

  Ankyloglossia (tongue-tie) is a common abnormality in which a band of tissue, the lingual frenulum, attaches the front of the tongue to the floor of the mouth, and prevents full mobility of the tongue. […] We urge parents of children with severe cases of ankyloglossia, even babies who are able to feed from breast or bottle, to have the lingual frenulum repaired in order to prevent future problems with speech. […] Tongue-tie can be repaired through a simple procedure known as a frenulectomy, which we perform on infants safely and easily in-office.

• #19 Frenectomy or Frenotomy for Ankyloglossia – Medical Clinical Policy Bulletins | Aetna

  https://www.aetna.com/cpb/medical/data/100_199/0116.html

  Aetna considers the following experimental, investigational, or unproven: […] Prophylactic frenectomy, frenotomy or frenuloplasty to promote speech development. […] The authors concluded that there are limited reports indicating that prophylactic frenotomy may promote subsequent speech development; however, evidence is currently insufficient to condone this practice and further good quality research into this area is needed. […] The authors concluded that there was no clear connection between ankyloglossia and speech disorders. […] The authors concluded that data are currently insufficient for assessing the effects of frenotomy on non-breast-feeding outcomes that may be associated with ankyloglossia.

• #20 Tongue and Lip Ties – La Leche League International

  https://llli.org/breastfeeding-info/tongue-lip-ties/

  Are you experiencing pain while breastfeeding, possibly combined with slow weight gain for your baby? […] Tongue tie (ankyloglossia) is caused by a tight or short lingual frenulum (the membrane that anchors the tongue to the floor of the mouth). […] Where a tongue tie is causing breastfeeding problems, treatment options are available and effective especially if the treatment is prompt. […] There is evidence that treating tongue tie by frenotomy is effective in resolving breastfeeding difficulties. […] Continuing to breastfeed after frenotomy maximises a baby’s chance of normal mouth (palate), speech and dental development. […] Dividing a tongue tie is a quick and simple procedure. […] The earlier a tongue tie is divided, the easier it is to resolve any breastfeeding difficulties. […] If you suspect that the initial procedure has not resolved your baby’s breastfeeding problems, arrange another consultation. […] If several factors are involved it can take time and expertise to resolve the problem.

• #21 Tongue-Tie & Lip Tie Symptoms & Treatment | TherapyWorks

  https://therapyworks.com/blog/child-development/tongue-tie-lip-tie-symptoms-treatment/

  If you have concerns in these areas, or see signs your child may have a lip or tongue tie, consider seeking an evaluation by a Speech-Language Pathologist. […] The Speech-Language Pathologist can assess your child for signs and symptoms of a lip or tongue tie. The therapist can guide you with recommendations for discussing surgical intervention with a specialist. Speech Therapy can also help improve feeding and speech skills in children.

• #22

  https://www.ijcmph.com/index.php/ijcmph/article/view/11728

  The lingual frenulum inhibits tongue mobility in ankyloglossia, sometimes referred to as tongue-tie. […] Treatment options include lactation consultation, improving latch during breastfeeding, and a procedure called frenotomy, which involves releasing the frenulum. […] Research is ongoing to establish evidence-based recommendations and standardized diagnostic criteria for ankyloglossia.

• #23 Correct treatment for tongue-tie in infants | Tidsskrift for Den norske legeforening

  https://tidsskriftet.no/en/2021/10/opinions/correct-treatment-tongue-tie-infants

  The new Norwegian guidelines for the diagnosis and treatment of tongue-tie in infants have been prepared by a nationwide working group, consisting of neonatologists, paediatricians, otorhinolaryngologists, a dentist, a speech therapist, midwives, school nurse practitioners, general practitioners and doctors specialising in community medicine, as part of an initiative from the Norwegian National Advisory Unit on Breastfeeding.

• #24 Tongue Tie Ankyloglossia – Evren Aykoç | Kulak Burun Boğaz Uzmanı

  https://evrenaykoc.com/en/tongue-tie-ankyloglossia/

  Tongue tie, or ankyloglossia, is a congenital condition where the lingual frenulum, the band of tissue connecting the underside of the tongue to the floor of the mouth, restricts the tongue’s range of motion. […] The treatment of ankyloglossia depends on the severity of the condition and the associated symptoms. In mild cases, no treatment may be necessary, especially if there are no functional impairments. However, for moderate to severe cases, several treatment options are available. […] In some cases, tongue tie is not severe enough to cause noticeable symptoms. Babies and toddlers who have a tongue tie but do not have problems feeding, swallowing, or speaking may not need treatment. […] Because people are born with tongue tie, there is no way to prevent it. In more serious cases of tongue tie, early diagnosis and treatment is the key to a successful recovery.

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