Literature review for - Flourish Paediatrics

Effect on risk
Frenotomy alleviates
nipple pain immediately
after frenotomy.
Frenotomy is an
effective therapy for
ankyloglossia.
Timely frenotomy and
breastfeeding counselling
is an effective
intervention,
improving latch and
decreasing nipple pain.
Diagnostic criteria for
ankyloglossia are needed
Frenotomy is likely an
effective treatment
Infants with ankyloglossia showed
less compression of
the nipple by the tongue postfrenulotomy,
which was
associated with improved
breastfeeding (better
attachment, increased milk
transfer, and less maternal pain).
In the assessment of breastfeeding
difficulties, ankyloglossia should
be considered as a potential cause.
Clinical 4 4 4 4
importance
Clinical 1 1 1 1
relevance
Generalisability Y – Israel Y Y Y
Applicability Y Y Y Y
References used in body of evidence table: (Messner, Lalakea et al. 2000; Ballard, Auer et al. 2002; Griffiths 2004; Hogan, Westcott et al. 2005;
Amir, James et al. 2006; Dollberg, Botzer et al. 2006; Srinivasan, Dobrich et al. 2006; Segal, Stephenson et al. 2007; Geddes, Langton et al.
2008)
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