Lingual laser frenotomy in newborns with ankyloglossia: a prospective cohort study.
Ankyloglossia
Breastfeeding
Laser frenotomy
Laser surgery
Newborns
Journal
Italian journal of pediatrics
ISSN: 1824-7288
Titre abrégé: Ital J Pediatr
Pays: England
ID NLM: 101510759
Informations de publication
Date de publication:
05 Sep 2022
05 Sep 2022
Historique:
received:
10
05
2022
accepted:
27
08
2022
entrez:
5
9
2022
pubmed:
6
9
2022
medline:
8
9
2022
Statut:
epublish
Résumé
The study aims to describe the lingual laser frenotomy perioperative protocol for newborns with ankyloglossia with or without breastfeeding difficulties developed by Odontostomatology and Neonatology and Neonatal Intensive Care Units of the Aldo Moro University of Bari. Authors carried out a prospective observational cohort study. Newborns with ankyloglossia (classified by using both Coryllos' and Hazelbaker's criteria) with or without difficult breastfeeding (according to Infant Breastfeeding Assessment Tool) underwent diode laser frenotomy (800 ± 10 nm; 5 W; continuous wave mode; contact technique; under topical anesthesia) and follow-up visits after seven and thirty days postoperatively. The authors analyzed as main outcomes the perioperative pain intensity measured by the C.R.I.E.S. scale, the occurrence of complications and quality of healing, the quality of breastfeeding, newborn's postoperative weight gain, maternal nipple pain, and the presence of lesions as secondary outcomes. Fifty-six newborns were included in the current study. Intraoperative mean pain intensity was 5.7 ± 0.5 points, resolved within thirty postoperative minutes. Observed complications were mild punctuating bleeding, carbonization of the irradiated site, and transitory restlessness. All wounds were completely healed within the thirtieth postoperative day. During follow-up, a significant breastfeeding improvement was evident with satisfactory newborns' weight gain and a significant reduction of nipple pain and lesions (p < .05). Our lingual laser frenotomy protocol provided significant breastfeeding improvement in the mother-newborn dyads with low intraoperative pain and no significant complications.
Sections du résumé
BACKGROUND
BACKGROUND
The study aims to describe the lingual laser frenotomy perioperative protocol for newborns with ankyloglossia with or without breastfeeding difficulties developed by Odontostomatology and Neonatology and Neonatal Intensive Care Units of the Aldo Moro University of Bari.
METHODS
METHODS
Authors carried out a prospective observational cohort study. Newborns with ankyloglossia (classified by using both Coryllos' and Hazelbaker's criteria) with or without difficult breastfeeding (according to Infant Breastfeeding Assessment Tool) underwent diode laser frenotomy (800 ± 10 nm; 5 W; continuous wave mode; contact technique; under topical anesthesia) and follow-up visits after seven and thirty days postoperatively. The authors analyzed as main outcomes the perioperative pain intensity measured by the C.R.I.E.S. scale, the occurrence of complications and quality of healing, the quality of breastfeeding, newborn's postoperative weight gain, maternal nipple pain, and the presence of lesions as secondary outcomes.
RESULTS
RESULTS
Fifty-six newborns were included in the current study. Intraoperative mean pain intensity was 5.7 ± 0.5 points, resolved within thirty postoperative minutes. Observed complications were mild punctuating bleeding, carbonization of the irradiated site, and transitory restlessness. All wounds were completely healed within the thirtieth postoperative day. During follow-up, a significant breastfeeding improvement was evident with satisfactory newborns' weight gain and a significant reduction of nipple pain and lesions (p < .05).
CONCLUSION
CONCLUSIONS
Our lingual laser frenotomy protocol provided significant breastfeeding improvement in the mother-newborn dyads with low intraoperative pain and no significant complications.
Identifiants
pubmed: 36064609
doi: 10.1186/s13052-022-01357-9
pii: 10.1186/s13052-022-01357-9
pmc: PMC9446865
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
163Informations de copyright
© 2022. The Author(s).
Références
J Biol Regul Homeost Agents. 2015 Oct-Dec;29(4):999-1005
pubmed: 26753667
Eur J Paediatr Dent. 2019 Jun;20(2):155-163
pubmed: 31246095
J Appl Oral Sci. 2014 Jun;22(3):241-8
pubmed: 25025566
Breastfeed Med. 2021 Apr;16(4):346-348
pubmed: 33370541
BMC Pregnancy Childbirth. 2017 Nov 13;17(1):373
pubmed: 29132414
Breastfeed Med. 2012 Jun;7(3):189-93
pubmed: 21999476
J Biol Regul Homeost Agents. 2008 Apr-Jun;22(2):109-16
pubmed: 18597703
JAMA Otolaryngol Head Neck Surg. 2019 Sep 01;145(9):817-822
pubmed: 31294774
Otolaryngol Head Neck Surg. 2020 Sep;163(3):428-443
pubmed: 32482127
Pediatrics. 2015 Jun;135(6):e1467-74
pubmed: 25941312
Pediatrics. 2015 Jun;135(6):e1458-66
pubmed: 25941303
Eur Arch Paediatr Dent. 2011 Apr;12(2):106-12
pubmed: 21473843
Clin Implant Dent Relat Res. 2018 Dec;20(6):1030-1035
pubmed: 30324746
JAMA Otolaryngol Head Neck Surg. 2017 Oct 1;143(10):1032-1039
pubmed: 28715533
Int Breastfeed J. 2022 May 21;17(1):39
pubmed: 35597985
Otolaryngol Head Neck Surg. 2020 May;162(5):597-611
pubmed: 32283998
Pediatr Int. 2014 Aug;56(4):497-505
pubmed: 24978831
Pediatrics. 2011 Aug;128(2):280-8
pubmed: 21768318
J Appl Oral Sci. 2015 Mar-Apr;23(2):153-7
pubmed: 26018306
Pain Med. 2017 Feb 1;18(2):356-362
pubmed: 28204733
Anesth Prog. 1992;39(1-2):4-8
pubmed: 8507024
Eur J Paediatr Dent. 2016 Sep;17(3):220-222
pubmed: 27759411
J Clin Pediatr Dent. 2016;40(4):319-21
pubmed: 27471811
Pediatrics. 2019 Jun;143(6):
pubmed: 31138666
J Paediatr Child Health. 2020 Apr;56(4):557-562
pubmed: 31714639
Laryngoscope. 2017 May;127(5):1217-1223
pubmed: 27641715
Clin Anat. 2019 Sep;32(6):749-761
pubmed: 30701608
Cochrane Database Syst Rev. 2017 Mar 11;3:CD011065
pubmed: 28284020
Int J Pediatr Otorhinolaryngol. 2020 Nov;138:110356
pubmed: 32927351