{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T15:25:40Z","timestamp":1784042740790,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2018,2,19]],"date-time":"2018-02-19T00:00:00Z","timestamp":1518998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The diagnosis of tongue\u2010tie (or ankyloglossia) has increased more than 10\u2010fold in some countries. Whether this is a global phenomenon or related to cultural and professional differences is uncertain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An online survey in English, Japanese, Chinese and Spanish was disseminated between May and November 2016 via 27 international professional bodies to &gt;30 clinical professions chosen <jats:italic>a priori<\/jats:italic> to represent occupations involved in the management of neonatal ankyloglossia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1721 responses came from nursing (51%), medical (40%), dental (6%) and allied health (4%) clinicians. Nurses (40%) and allied health (34%) professionals were more likely than doctors (8%) to consider ankyloglossia as important for lactation problems, as were western (83%) compared to Asian (52%) clinicians. Referrals to clinicians for ankyloglossia management originated mainly from parents (38%). Interprofessional referrals were not clearly defined. Frenectomies were most likely to be performed by surgeons (65%) and dentists (35%), who were also less likely to be involved in lactation support. Clinicians performing frenectomies were more likely to consider analgesia as important compared to those not performing frenectomies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The diagnosis and treatment of ankyloglossia vary considerably around the world and between professions. Efforts to standardise management are required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.14242","type":"journal-article","created":{"date-parts":[[2018,1,31]],"date-time":"2018-01-31T22:39:36Z","timestamp":1517438376000},"page":"1733-1738","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["What does the world think of ankyloglossia?"],"prefix":"10.1111","volume":"107","author":[{"given":"Ruilin R.","family":"Jin","sequence":"first","affiliation":[{"name":"School of Women's and Children's Health University of New South Wales Randwick NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alastair","family":"Sutcliffe","sequence":"additional","affiliation":[{"name":"PPP Theme UCL and Great Ormond Street Institute of Child Health London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximo","family":"Vento","sequence":"additional","affiliation":[{"name":"Division of Neonatology University and Polytechnic Hospital La Fe Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudelle","family":"Miles","sequence":"additional","affiliation":[{"name":"Clinical Midwifery Consultant for Lactation Services Royal Hospital for women Randwick NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javeed","family":"Travadi","sequence":"additional","affiliation":[{"name":"Department of Neonatology John Hunter Children's Hospital Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kumar","family":"Kishore","sequence":"additional","affiliation":[{"name":"Cloudnine Hospitals Bangalore India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keiji","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Tokai University School of Medicine Isehara Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Todd","sequence":"additional","affiliation":[{"name":"Department of Neonatology Canberra Hospital Garran ACT Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"Wooderson","sequence":"additional","affiliation":[{"name":"Department of Neonatology John Hunter Children's Hospital Newcastle NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azanna Ahmad","family":"Kamar","sequence":"additional","affiliation":[{"name":"Department of Neonatology University of Malaya Medical Centre Kuala Lumpur Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Shijiazhuang Children's Hospital Shijiazhuang Hebei Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Smyth","sequence":"additional","affiliation":[{"name":"School of Women's and Children's Health University of New South Wales Randwick NSW Australia"},{"name":"Clinical Midwifery Consultant for Lactation Services Royal Hospital for women Randwick NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ju Lee","family":"Oei","sequence":"additional","affiliation":[{"name":"School of Women's and Children's Health University of New South Wales Randwick NSW Australia"},{"name":"Clinical Midwifery Consultant for Lactation Services Royal Hospital for women Randwick NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-0658"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2005.00604.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.1.36"},{"key":"e_1_2_9_5_1","first-page":"1027","article-title":"Prevalence, diagnosis, and treatment of ankyloglossia Methodologic review","volume":"53","author":"Segal LM","year":"2007","journal-title":"Can Fam Physician"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306211"},{"key":"e_1_2_9_7_1","unstructured":"NICE.Division of ankyloglossia (tongue\u2010tie) for breastfeeding. 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