ArticlePediatric surgery international2016
The outcomes of a frenulotomy on breastfeeding infants followed up for 3 months at Thammasat University Hospital.
Article in Pediatric surgery international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.
- Frenectomy for ankyloglossia in children under five: a systematic review and meta-analysis on breastfeeding outcomes.International breastfeeding journal · 2025Pooled it
- Quantitative impact of frenotomy on breastfeeding: a systematic review and meta-analysis.Pediatric research · 2024Pooled it
- A comparison between an early- and a late frenulotomy for neonates with problematic tongue-tie.Pediatric surgery international · 2026Article
- Effects of Frenulotomy on Outcomes Associated with Breastfeeding Practice.Journal of clinical medicine · 2026Article
- Article
- Effect of Frenotomy on Maternal Breastfeeding Symptoms and the Relationship Between Maternal Symptoms and Problematic Infant Feeding.Global pediatric health · 2022Article
- How to Treat a Tongue-tie: An Evidence-based Algorithm of Care.Plastic and reconstructive surgery. Global open · 2021Article
- Double lingual frenulum: a case report.Journal of medical case reports · 2020Article
- Diagnosis, classification and management of ankyloglossia including its influence on breastfeeding.Developmental period medicine · 2019Review
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo study the effects of frenulotomy on nipple pain, latch and the success in exclusive breastfeeding (EBF) at 3-month follow-up.
methodsA prospective cross-sectional study of 328 mother-infant pairs with both tongue-tie and breastfeeding problems was performed. Nipple pain and latch were evaluated using numeric rating scale and LATCH score, respectively, and compared between pre and post-operatively at 24 h and 1 week. The success rate of EBF was assessed at 3 months after frenulotomy.
resultsNipple pain score were significantly decreased (median difference = 3 and 4, P < 0.001) and LATCH score were significantly increased (mean difference = 1.92 and 2.13, P < 0.001) at 24 h and 1 week post-operatively. At 3 months, a success rate of EBF was 66.67 %. Multivariable analysis clustering by maternal age of 18 years was performed. Factors that were significantly (P < 0.05) associated with the success were: girls, age at surgery ≤24 h, higher number of children in family, low birth weight, tongue-tie severity, nipple grading, LATCH score ≥8 and nipple sensation at 1 week after surgery.
conclusionFrenulotomy could significantly reduce nipple pain and increase LATCH score in tongue-tied infants with breastfeeding difficulty. Several factors are positively associated with the success of EBF. Tongue-tie severity, LATCH score and nipple sensation were the factors that can be modified by frenulotomy.
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