{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:06Z","timestamp":1791936006173,"version":"4.3.4"},"reference-count":20,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T00:00:00Z","timestamp":1647993600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T00:00:00Z","timestamp":1647993600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Assess current frenotomy practice patterns of pediatric otolaryngologists via a cross\u2010sectional survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Survey study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 31\u2010question electronic survey assessing frenotomy practice patterns was distributed to all American Society of Pediatric Otolaryngology (ASPO) members. Descriptive statistics were used to summarize responses and demographics of respondents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of all ASPO members, 41% (240\/588) completed the survey. Most respondents, 185 (77%), reported increased frenotomy referrals over the last 5\u2009years and 144 (60%) described the current number of referrals as \u201ctoo many.\u201d The two primary lingual frenotomy indications identified in infants were: breastfeeding\/nipple pain (92%) and inability to latch (83%). For older children, speech difficulty (87%) was the primary indication. Maxillary frenotomy indications in infants varied amongst respondents. For analgesia during in\u2010office frenotomy procedures, respondents used glucose\/sucrose drops (48%), topical lidocaine (29%), or no pain control measure (27%). For post\u2010procedure care, respondents recommended continuing lactation support (45%), massaging\/stretching the wound (38%), or none (40%). Most respondents, 143 (60%), reported having seen a complication from frenotomy, and the most reported frenotomy complications were frenulum re\u2010attachment and excessive bleeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In the last 5\u2009years, otolaryngologists have seen an increase in referrals for frenotomy. Pediatric otolaryngologists have varying practice patterns with regards to ankyloglossia diagnosis and treatment. The reported indications for frenotomy varied amongst pediatric otolaryngologists especially with respect to maxillary frenotomy. Practice patterns also varied with respect to procedural pain control and frenotomy aftercare recommendations. More frenotomy research is needed to establish a standard of care for patients with ankyloglossia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      4\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 132:2505\u20132512, 2022\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.30102","type":"journal-article","created":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T06:13:42Z","timestamp":1648016022000},"page":"2505-2512","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Survey of Pediatric Otolaryngology Frenotomy Practice Patterns"],"prefix":"10.1002","volume":"132","author":[{"given":"Sanidhya","family":"Dhir","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Kaiser Permanente Oakland Medical Center  Oakland CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barcleigh P.","family":"Landau","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Kaiser Permanente Oakland Medical Center  Oakland CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Edemobi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Kaiser Permanente Oakland Medical Center  Oakland CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna K.","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery University of California\u2014San Francisco  San Francisco CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1084-8702","authenticated-orcid":false,"given":"Megan L.","family":"Durr","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Kaiser Permanente Oakland Medical Center  Oakland CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,23]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2019.03.004"},{"key":"e_1_2_6_3_1","unstructured":"WHO\/UNICEF Meeting.Breastfeeding in the 1990s. Geneva. June 1990. Available at:https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/61550\/WHO_MCH_NUT_90.2.pdf?sequence=1&isAllowed=yAccessed: July 1 2021."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817690135"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2017.0948"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820915457"},{"key":"e_1_2_6_7_1","article-title":"Frenotomy for tongue\u2010tie in newborn infants","volume":"3","author":"O'Shea JE","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2018.07.045"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00359-1"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2002.129731"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.01.019"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-0658"},{"key":"e_1_2_6_13_1","first-page":"255","article-title":"Comparisons of the latching on between newborns with tongue\u2010tie and normal newborns","volume":"97","author":"Puapornpong P","year":"2014","journal-title":"J Med Assoc Thai"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.110.5.e63"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-0077"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2014.0040"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.05.024"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2005.00604.x"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2011.0030"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2013-305031"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/01945998211039784"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30102","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.30102","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30102","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T20:28:38Z","timestamp":1773001718000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.30102"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,23]]},"references-count":20,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1002\/lary.30102"],"URL":"https:\/\/doi.org\/10.1002\/lary.30102","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,23]]},"assertion":[{"value":"2021-10-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}