Intervention Protocol

Frenotomy for tongue-tie in newborn infants

  1. Joyce E O'Shea1,*,
  2. Jann P Foster2,3,
  3. Colm PF O'Donnell4,
  4. Deirdre Breathnach5,
  5. Susan E Jacobs6,7,8,
  6. David A Todd9,
  7. Peter G Davis7

Editorial Group: Cochrane Neonatal Group

Published Online: 14 APR 2014

Assessed as up-to-date: 5 MAR 2014

DOI: 10.1002/14651858.CD011065

How to Cite

O'Shea JE, Foster JP, O'Donnell CPF, Breathnach D, Jacobs SE, Todd DA, Davis PG. Frenotomy for tongue-tie in newborn infants (Protocol). Cochrane Database of Systematic Reviews 2014, Issue 4. Art. No.: CD011065. DOI: 10.1002/14651858.CD011065.

Author Information

  1. 1

    The Royal Women's Hospital, Department of Newborn Research, Melbourne, Australia

  2. 2

    University of Western Sydney, School of Nursing & Midwifery, Sydney, NSW, Australia

  3. 3

    University of Sydney, Central Clinical School, Discipline of Obstetrics, Gynaecology and Neonatology, Sydney Medical School/Sydney Nursing School, Sydney, NSW, Australia

  4. 4

    The National Maternity Hospital, Dublin, Ireland

  5. 5

    Campaspe Family Practice, Kyneton, Victoria, Australia

  6. 6

    The Royal Women's Hospital, Neonatal Services, Parkville, Melbourne, Victoria, Australia

  7. 7

    The University of Melbourne, Melbourne, Victoria, Australia

  8. 8

    Murdoch Childrens Research Institute, Parkville, Victoria, Australia

  9. 9

    The Canberra Hospital, Neonatal Unit, Canberra, ACT, Australia

*Joyce E O'Shea, Department of Newborn Research, The Royal Women's Hospital, Melbourne, Australia.

Publication History

  1. Publication Status: New
  2. Published Online: 14 APR 2014




  1. Top of page
  2. Abstract

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)).