Frenotomy for tongue-tie in newborn infants

  • Protocol
  • Intervention



This is the protocol for a review and there is no abstract. The objectives are as follows:

To determine whether frenotomy is safe and effective in improving ability to feed orally in infants younger than three months of age with tongue-tie (and problems feeding).

Subgroup analysis

  • Severity of tongue-tie before frenotomy as measured by a validated tool (e.g. ATLFF (scores < 11; scores ≥ 11)) (Hazelbaker 1993).

  • Gestational age at birth (< 37 weeks' gestation; 37 weeks' gestation and above).

  • Method of feeding (breast or bottle).

  • Age at frenotomy (≤ 10 days of age; > 10 days to three months of age).

  • Severity of feeding difficulty (infants with feeding difficulty affecting weight gain (as assessed by the infant's not regaining birth weight by day 14 or falling off centiles); infants with symptomatic feeding difficulty but thriving (greater than birth weight by day 14 and tracking centiles)).