Ever wonder what the evidence is regarding the role of ankyloglossia or tongue-tie in breastfeeding? Ever wonder what role ankyloglossia might play in not just breastfeeding but also speech, other feeding issues and even a social stigma? This week we share two systematic reviews by a team of authors focusing on ankyloglossia.
The first by McPheeters et al. (doi:10.1542/peds.2015-0658) systematically identified 29 studies on breastfeeding effectiveness with tongue-tie and found some evidence that frenotomy may be associated with improved breastfeeding—but how strong this evidence is can best be discerned by reading the review.
The other study found 13 studies consisting of randomized controlled trials, cohort studies, and case series, looking at by Chinnadurai et al (doi:10.1542/peds.2015-0660)) focused on the effect of tongue-tie on speech, feeding and social outcomes before and after frenotomy. While the benefits of frenotomy for reasons other than breastfeeding are highlighted, the evidence again may not be as strong as you might think it is.
There is more than a mouthful of information to glean from both these two systematic reviews—but we would also love to glean your own personal experience of how you have dealt with anykyloglossia in your own practice. Share your impressions by responding to this blog, or via an e-letter or a posting on our Facebook or Twitter sites.