Literature review for - Flourish Paediatrics

Ankyloglossia
Search results
The initial search of the databases included 185 references on ankyloglossia. Data were
extracted from 24 references, 9 of the publications were used to form the final body of
evidence statements. Sufficient evidence was found to make statements on the prevalence of
ankyloglossia in infants. The studies on the treatment of ankyloglossia are difficult to
interpret as only the most severe cases appear to be included in trials. Further research is
needed into the definition of cases that require interventional treatment rather than
conservative management (see the ABM protocol below)
PREVALENCE OF ANKYLOGLOSSIA IN INFANTS
What is the prevalence of ankyloglossia in infants?
Draft Evidence statement
Draft Grade
Component Rating Notes
Approximately 3-10% of infants are born with
ankyloglossia.
D
Evidence Base Satisfactory 2 studies [1 SLR of 24 studies, 1 cross-sectional
(1P,10)]
Consistency Satisfactory Criteria used for identifying ankyloglossia varied
greatly in all studies. 5 studies in SLR (using
different diagnostic criteria) found a prevalence of
ankyloglossia of between 4% and 10%. Cross
sectional study found 3.2% of term infants had
ankyloglossia.
Clinical impact
Prevalence
only
Ankyloglossia is a relatively common finding in
infants
Generalisability Satisfactory Most studies conducted in US or UK
Applicability Satisfactory Results are applicable to Australian women
The study included in the body of evidence statement is shown in the Table below
EFFECT OF ANKYLOGLOSSIA IN INFANTS
Does ankyloglossia affect breastfeeding outcomes?
Draft Evidence statement
Draft Grade
Ankyloglossia is associated with an increased risk of
breastfeeding difficulties
D
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