How Is The Infant's Breastfeeding Performance Affected After Lip Tie and Tongue Tie Release Surgery?
Breastfeeding Improvement Following Tongue Tie and Lip Tie Release in Babies
We had an angel who had many complaints like straining before sucking breast, biting nipple, gas swallowing, protruding in the middle part of upper lip, milk flowing through the mouth and so on, we cut the lip tie and tongue tie. Although he was in the early period, he had a weight gain above the percentile curve after 2 weeks. I wish my baby patient a nice and long life.
In our country, unfortunately, there is no standardized treatment protocol for babies with breastfeeding problems 😟
Below I wanted to add information from the different source links related to lip tie and tongue tongue.
How does the upper lip tie affect the baby's breast sucking?
Image source: How to breastfeed: pictures - BabyCentre UK |
Successful breastfeeding depends on the ability of a baby to latch or grasp towards the mother's breast. If a baby is born with oral soft tissue abnormalities, such as tongue tiesor lips, breastfeeding can become difficult or impossible. During oral evaluation of a baby presenting with breastfeeding problems, it is often an area that is often overlooked and undiagnosed and therefore the untreated upper jaw is attached to the maxillary gingival tissue. Historically, this tissue has been described as upper labial frenulum, median labial braking, or maxillary labial frenulum. All of these terms refer to a part of the mucous membrane in the midline of the upper lip, including loose, unbound gums of the upper lip or loose connective tissue reaching the tight, gingival tissue. There is no muscle in this tissue. In severe cases, this tissue can extend to the area behind the upper central incisor and incisive papillae. The upper lip connects the upper lip to the mobility of the upper lip, which causes the upper lip to be clinically attached to the upper jaw bone.
Your baby should be able to insert the nipple into the mouth of the areola while sucking the nipple!
Correct latching of the baby - Latching - Image source: Latch (breastfeeding) - Wikipedia |
In the picture above, the baby's nipple should normally be absorbed and the nipple into the baby's mouth until the end of the areola, which is at the last border of the brown ring at the nipple.
How does upper lip tie and tongue tie affect your baby's breastfeeding performance?
In the study of the above source link, 290 (47%) patients had anterior ankyloglossia (anterior tongue tie), 120 (19%) had posterior ankyloglossia (posterior tongue tie), and 14 (2%) had upper lip ties. . In 78% of patients with anterior tongue ligation, improvement in breastfeeding after bradotomy (tongue ligation) was reported. For those with posterior tongue ties, 91% reported improvement in breastfeeding after bradotomy. An increase in 100% breastfeeding performance was shown after upper lip ligation.
In this study, it was emphasized that lip bond and tongue bond should be evaluated in babies with breastfeeding problems. It was emphasized that the treatment of the two problems can remove the problems experienced in sucking the breasts in infants.
With swallowing and reflux problems in babies with tongue tie and lip ties, these problems can be relieved after the release surgery of tongue tie and lipe tie!
There is a relationship between lip bond and tongue bond and AIR (Aerophagia Induced Reflux). Treatment of these babies with a relatively simple bradotomy procedure can reduce or eliminate reflux. As a result, many of these babies may be free of invasive tests or medications that have been shown to have potentially significant side effects. This may change the diagnostic and treatment algorithms.
There may be a significant increase in breastfeeding performance in infants after cutting tongue and cutting upper lip!
Maybe in recent years, this is a very nice work on the subject. Clicking on this link in the Internet environment is enough for you to read in full version.
Research on treatments that affect breastfeeding results positively enables patient counseling for treatment decisions to optimize breastfeeding quality. In this study, it was aimed to determine the effect of the tongue tie / lip tie cut on the nipple disorder. In the US, breastfeeding rates have increased over the past two decades, with the emphasis on improved health outcomes in breast-fed children and the recent effort to meet the care standards established by the Baby-Friendly Hospital Initiative for hospitals. The reasons for stopping breastfeeding are multifactorial and include structural restrictions such as poor weight gain requiring reinforcement, poor nipple grip, maternal nipple pain, lip bond and tongue ligation.
Lip tie release surgery (frenectomy) and tongue tie surgery (frenectomy) with thermal welding device. |
Surgical treatment of tongue / lip tie provides a significant mean improvement in maternal and infant breastfeeding outcome measures. Developments begin to occur early (1 week postoperative) (language bond massage and lip tether massage cause the baby's pain to burn, and in my patients, I have generally seen an increase in breastfeeding performance after 2-3 weeks) and continue to improve for 1 month postoperatively. Since the posterior tongue tiescan be understood by hand during the examination, it is necessary to carefully assess the language bond in babies with breastfeeding problems.
Nipple pain, baby reflux symptoms, and measurements of mother breastfeeding self-esteem may be resolved after complete release of the lingual frenulum!
Source 5 - Revision Lingual Frenotomy Improves Patient-Reported Breastfeeding Outcomes: A Prospective Cohort Study - Bobak A. Ghaheri, MD, Melissa Cole, IBCLC, Jess C. Mace, MPH, CCRP
In addition to the nipple pain, the symptoms of infant reflux symptoms and maternal breastfeeding self-esteem may resolve following the complete release of the tongue tie. In other words, the disconnection of the tongue can lead to the elimination of negative psychological effects in the mother, not only for the elimination of feeding problems in the infant.
Here are a few other links that show that you can dramatically increase the strength of the tongue tie and lip tie in infants >> Frenotomy for tongue-tie in Australian children, 2006–2016: an increasing problem / Revision Lingual Frenotomy Improves Patient-Reported Breastfeeding Outcomes: A Prospective Cohort Study / Defining Tip–Frenulum Length for Ankyloglossia and Its Impact on Breastfeeding: A Prospective Cohort Study / Understanding and alleviating maternal postpartum distress: Perspectives from first-time mothers in Australia
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul
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Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
Appointment Phone: +90 212 561 00 52
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