Anquiloglosia neonatal. ¿Existe un exceso de indicación intervencionista?
- Jesús Vicente Redondo Sedano
- Isabel Carrillo Arroyo
- M. D. Delgado Muñoz
- C. Alba Romero
- E. Martí Carrera
- Andrés Gómez Fraile
ISSN: 0001-6640
Datum der Publikation: 2016
Ausgabe: 74
Nummer: 2
Seiten: 45-49
Art: Artikel
Andere Publikationen in: Acta pediátrica española
Zusammenfassung
Introduction: The aim of this study is to analyze patients referred to frenotomy surgery during neonatal period and to review their correct indication, as nowadays there is no consensus on the diagnosis and treatment of ankyloglossia. Material and methods: A retrospective study of 136 patients with ankyloglossia referred to pediatric plastic surgery. Data collection was based on the consultation, breastfeeding problems and experiences before and after intervention. Results: The main reasons to attend consultation were related to breastfeeding technique (69 patients [65.7%]), and pain in between takes the more frequent symptom, nevertheless 33 patients (31.4%) had no symptoms. In most cases, referral to surgery was done by the pediatrician (85 patients [80%]). The most common type of ankyloglossia in the sample was type II. Only one case of recurrence was detected. Separation anxiety during frenotomy was the most frequent negative experience among mothers. Discussion: The lack of guidelines established for frenotomy and the relative ease of application of the technique in the neonatal age and the rise of breastfeeding campaigns, is leading to an excess of surgical indication as treatment of ankyloglossia. To create guidelines defining an appropriate criteria of treatment should be promoted, and to facilitate referrals to lactation consultation as a step prior to surgery.