Literature review for - Flourish Paediatrics

Studies used to make evidence statement for ankyloglossia
Reference Messner et al. 2000 Ballard et al. 2002
(included in Segal SLR
below)
Griffiths 2004
(included in Segal SLR
below)
Hogan et al. 2005
(included in Segal SLR
below)
Type of study Cohort case-series Prospective cohort study RCT
Level of evidence II (aetiology ) IV (aetiology) II (aetiology) II (intervention)
Definition of
breastfeeding
Not stated Not stated Not stated
Intervention/
comparator
N
Breastfeeding for a
minimum of 2 months
postpartum was used as the
criterion for determining the
percentage of infants who
were successfully
breastfed. Mothers were
considered to be actively
breastfeeding for as long as
the breastfeeding continued,
whether or not the feeding
of infants was supplemented
with formula; exclusive use
of breastfeeding was not
required
Current medical treatment
for tongue tie (referral to a
lactation consultant) vs.
immediate division
36 mother-infant dyads
enrolled in study (50
approached, 9 mothers did
not enroll, 5 lost to follow
up)
frenuloplasty procedure vs
solving specific
breastfeeding problems
3036 infants. Follow up was
99%
division of tongue tie
without an anaesthetic
215. Follow up at 3 months
was 100%
Current medical treatment
for tongue tie (referral to a
lactation consultant) vs.
immediate division
201 infants had tongue tie.
57 infants were part of
RCT.
Controls= 29
Division= 28
272