Aerophagia Induced Reflux in Breastfeeding Infants With Ankyloglossia and Shortened Maxillary Labial Frenula (Tongue and Lip Tie)

@article{Siegel2016AerophagiaIR,
  title={Aerophagia Induced Reflux in Breastfeeding Infants With Ankyloglossia and Shortened Maxillary Labial Frenula (Tongue and Lip Tie)},
  author={Scott A Siegel},
  journal={International Journal of Clinical Pediatrics},
  year={2016},
  volume={5},
  pages={6-8}
}
  • S. Siegel
  • Published 1 April 2016
  • Medicine
  • International Journal of Clinical Pediatrics
Background: Infants with tongue and possible lip tie often have a poor latch in which there is often an inadequate seal around the breast and disorganized swallowing. [] Key Result Five hundred twenty (52%) showed improvement or complete reversal of symptoms of reflux to the end point of cessation of reflux medication.
Ankyloglossia and its impact on breastfeeding: a prospective observational study
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Significant ankyloglossia prevents an infant from anteriorly extending and elevating the tongue and thereby limiting the normal peristaltic motion of the tongue during feeding, which results in nipple trauma and ineffective milk transfer and ultimately affects infant weight gain.
Effect of frenotomy on breastfeeding and reflux: results from the BRIEF prospective longitudinal cohort study
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Frenotomy is a safe procedure with no post-operative complications and resulting in significant improvement of breastfeeding self-efficacy, nipple pain, and gastro-oesophageal reflux problems and should be considered by clinicians as a proper tool to resolve these problems if non-interventions did not help.
Revision Lingual Frenotomy Improves Patient-Reported Breastfeeding Outcomes: A Prospective Cohort Study
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It is demonstrated that besides nipple pain, measures of infant reflux symptoms and maternal breastfeeding self-confidence can improve following full release of the lingual frenulum.
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  • L. Kotlow
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  • 2019
TLDR
Air induced reflux and Obstructive sleep disordered breathing are often the consequence of the ankylosed tongue and if allowed to go untreated can allow developmental problems which can last a life time.
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When measured 10 days after frenotomy for PTT, infants improve feeding parameters using an objective bottle-feeding system, and similar improvements are seen with patient-reported outcomes when PTT is released.
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Scientific plausibility can and often should be substituted for the concept of evidence-based knowledge when the authors look at the accumulated experience, education, and clinical skills of many practitioners who have been revising infants TOTs for years with great success.
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Five patients with posterior tongue restrictions underwent CO 2 laser frenectomy without any general anesthesia or sedation and demonstrated increased lingual mobility evidenced by improved speech and feeding skills, challenging the status quo that Speech and feeding are not affected by posterior tongue-tie.
Policy on Management of the Frenulum in Pediatric Dental Patients
  • Medicine
  • 2019
TLDR
A review of current dental and medical literature and sources of recognized professional expertise and stature, including both the academic and practicing health communities, related to frenula/frenotomies, found one hundred seventeen articles matched these criteria.
DIA MUNDIAL DA MOTRICIDADE OROFACIAL. “Língua presa, funções orofaciais prejudicadas”
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Ggnathic system, being part of all the orofacial functions like suction, mastication, deglutition, breathing and speech, helped the professionals to understand better this structure, making easier the evaluation, as well as the alterations diagnosis.
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References

SHOWING 1-10 OF 10 REFERENCES
Infant Reflux and Aerophagia Associated with the Maxillary Lip-tie and Ankyloglossia (Tongue-tie)
TLDR
The author presents two cases where infants were being treated for reflux by their medical doctors and after revision of both the lip- and tongue-ties, the symptoms were significantly reduced, eliminating the need for medications.
Infant Gastroesophageal Reflux (GER): Benign Infant Acid Reflux or just Plain Aerophagia?
TLDR
Infants presenting with signs of GER should also be evaluated for restrictive tethered oral tissues (TOTS) such as ankyloglossia, lip and buccal ties, since the release of these tissues may eliminate the need for invasive gastrointestinal investigations and pharmacologic treatment of gastroesophageal reflux.
Ankyloglossia: assessment, incidence, and effect of frenuloplasty on the breastfeeding dyad.
TLDR
Careful assessment of the lingual function, followed by frenuloplasty when indicated, seems to be a successful approach to the facilitation of breastfeeding in the presence of significant ankyloglossia.
Diagnosing and Understanding the Maxillary Lip-tie (Superior Labial, the Maxillary Labial Frenum) as it Relates to Breastfeeding
  • L. Kotlow
  • Medicine
    Journal of human lactation : official journal of International Lactation Consultant Association
  • 2013
TLDR
As more and more women choose to breastfeed, lip-ties must be considered as an impediment to breastfeeding, recognizing that they can affect a successful, painless latch and milk transfer.
Diagnosing gastro‐oesophageal reflux disease or lactose intolerance in babies who cry alot in the first few months overlooks feeding problems
TLDR
Two problems of research translation need to be addressed because failure to identify and manage other causes of cry‐fuss problems, including feeding difficulty, may have adverse outcomes for a small but significant minority of families.
Aerophagia in children: characterization of a functional gastrointestinal disorder
TLDR
Although many children with aerophagia present with upper gastrointestinal symptoms, the disorder appears to be distinct from functional dyspepsia, which is diagnosed in neurologically normal males and females, who can experience prolonged symptoms.
Oral Diagnosis of Abnormal Frenum Attachments in Neonates and Infants: Evaluation and Treatment of the Maxillary and Lingual Frenum using the Erbium: YAG Laser
TLDR
Two oral developmental problems that can be easily diagnosed and treated in the dental office are the abnormal attachments of the maxillary frenum and lingual frenum.
The cause and treatment of infant reflux
  • 2011