ArticlePediatric investigation2024
A cross-sectional study of breastfed infants referred for tongue tie assessment and frenotomy in one Canadian health region.
Article in Pediatric investigation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Ankyloglossia in Newborns: Clinical Implications and Management-A Narrative Review.Children (Basel, Switzerland) · 2026Review
- Tongue-tie diagnosis using the Lingual frenulum in newborn infants (LINNE) -scoring: A validation study.PloS one · 2025Article
- A cross-sectional study of breastfed infants referred for tongue tie assessment and frenotomy in one Canadian health region.Pediatric investigation · 2024Article
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Authors and funding
5 authors.
Funding
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Abstract
Importance: Tongue tie (TT) is a condition that can cause infant feeding difficulties due to restricted tongue movement. When TT presents as a significant barrier to breastfeeding, a frenotomy may be recommended. Universally accepted diagnostic criteria for TT are lacking and wide prevalence estimates are reported. New referral processes and a Frenotomy Assessment Tool were implemented in one Canadian health region to connect breastfeeding dyads with a provider for TT evaluation and frenotomy. Objective: To determine the proportion of babies with TT as well as the frequency of frenotomy. Methods: This cross-sectional study included infants who initiated breastfeeding at birth and were referred for TT evaluation over a 14-month period. Data were collected retrospectively by chart review and analyzed using SPSS. Factors associated with frenotomy were examined using logistic regression. Results: Two hundred and forty-one babies were referred. Ninety-two percent ( Interpretation: TT is a relatively common finding among breastfed infants. Future research should examine whether a simplified assessment tool containing the four items associated with frenotomy in our multivariate model can identify breastfed infants with TT who require frenotomy.
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