Turkish Journal of Pediatric Surgery

Mehmet Ali Özen, Egemen Eroğlu

Koç Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, İstanbul, Türkiye

Keywords: Tongue-tie, newborn, frenotomy

Abstract

Objective: In this study, we aimed to present the surgical technique and results of the the technique we used in patients diagnosed with tongue-tie in newborn period.

Method: Between 2015 and 2019, the records of infants who underwent frenotomy in the Koç University Hospital Pediatric Surgery Clinic during the newborn period due to tongue-tie were examined retrospectively. The infants were evaluated in terms of clinical presentation, surgical indication technique, and outcomes.

Results: During the four-year period, a total of 41 babies had undergone frenotomy for tonguetie. The presenting complaints in decreasing frequency were the inability to take out tongue, difficulty in sucking the mother’s breast, need for bottle-feeding, inability to maintain breastfeeding, need to support the baby’s head from behind during the breastfeeding and having nipple pain. During the follow-up period, bleeding, hematoma, or infection was not observed in patients. None of the patients required re-intervention during follow-up. In 41 patients, there was a significant improvement in the sucking problem. In addition, nipple pain of 9 out of 11 mothers during breastfeeding resolved.

Conclusion: Tongue-tie problem can be resolved in a safe, successful and easy way with the use of the frenotomy technique in infants with tongue-tie detected during physical examination who can not be breastfed even though they can be bottle-fed.

Atıf vermek için: Özen MA, Eroğlu E. Yenidoğan dil frenulumunda güvenli ve etkili bir teknik: Frenotomi. Çoc. Cer. Derg. 2019;33(3):126-9.