Evidence map›Paper›PMID 42742648›Full record

ArticlePediatric surgery international2026

A comparison between an early- and a late frenulotomy for neonates with problematic tongue-tie.

Junsujee Wakhanrittee, Jiraporn Khorana, Siriphut Kiatipunsodsai

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Junsujee WakhanritteeDivision of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Thammasat University, Pathumthani, Bangkok, 12120, Thailand.
Jiraporn KhoranaDivision of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University Hospital, 50200, Chiang Mai, Thailand.
Siriphut KiatipunsodsaiDivision of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Thammasat University, Pathumthani, Bangkok, 12120, Thailand. ksiriphu@tu.ac.th.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare breastfeeding outcomes between early and late frenulotomy in infants with problematic tongue-tie to determine optimal intervention timing.

methodsConducted over two years at Thammasat University Hospital, this prospective cohort study divided mother-infant pairs into an early group (n = 103; <72 h postpartum) and a late group (n = 123; 7-14 days postpartum). Primary outcomes focused on exclusive breastfeeding (EBF) success at three months of age, while secondary outcomes measured LATCH scores improvement, pain reduction, and weight regain.

resultsBoth groups showed significant postoperative improvements. Median LATCH scores increased from 5 to 6 to 9, and latching pain decreased significantly within one week. However, the early group demonstrated a significantly higher EBF rate at three months (78.64% vs. 66.67%). Using inverse probability of treatment weighting (IPTW), early frenulotomy was associated with a higher likelihood of EBF success (RR = 1.60; p < 0.001) and superior pain reduction (RR = 1.33). No significant differences were observed in weight regain or LATCH score between groups.

conclusionFor infants with symptomatic tongue-tie, performing a frenulotomy within 72 h of birth provides greater benefits in terms of EBF success and latching pain reduction compared to delayed intervention, suggesting early correction is the preferred clinical approach.

Indexed as

AnkyloglossiaBreast FeedingLingual FrenumOral FrenectomyFemaleHumansInfant, NewbornMaleProspective StudiesTime FactorsTreatment OutcomeAnkyloglossiaBreastfeedingExclusive breastfeeding (EBF)FrenulotomyTongue tie

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.