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).
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)).