{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T00:19:51Z","timestamp":1784333991560,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2019,4,29]],"date-time":"2019-04-29T00:00:00Z","timestamp":1556496000000},"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":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate clinical manifestations of tongue\u2010tie as well as short\u2010term and long\u2010term outcomes following frenotomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this retrospective study, for 329 patients (295 infants and 34 children) who underwent frenotomy between 2011 and 2017, symptoms, short\u2010term and long\u2010term outcomes were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 295 infants (median age six weeks), 199 (=60%) showed inadequate breastfeeding. Symptoms were painful or sore maternal nipples, poor weight gain, dribbling milk from the corner of the mouth, reduced milk supply, inadequate latch during bottle\u2010feeding and maternal mastitis. In the 34 children, predominant symptoms were articulation disorders, misaligned teeth and problems with swallowing solid food. Of the 141 patients with short\u2010term feedback, 86% reported improvement, 13% an unchanged situation. In a former premature, the reported worsening of symptoms (\u2018breath spells\u2019) are likely related to prematurity. Of the 164 patients where the questionnaire for long\u2010term outcome was provided, 82% reported improvement, 16% an unchanged situation. For two infants worsening was reported, referring to refusal to drink from breast or bottle for two hours after the procedure and fever for one day, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Frenulum breve is a potential cause of breastfeeding difficulties and can be treated safely and efficiently by frenotomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.14811","type":"journal-article","created":{"date-parts":[[2019,4,10]],"date-time":"2019-04-10T11:15:53Z","timestamp":1554894953000},"page":"1861-1866","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Frenotomy for tongue\u2010tie (frenulum linguae breve) showed improved symptoms in the short\u2010 and long\u2010term follow\u2010up"],"prefix":"10.1111","volume":"108","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0134-6639","authenticated-orcid":false,"given":"Gabriele","family":"Ramoser","sequence":"first","affiliation":[{"name":"Clinic for Pediatrics I Medical University of Innsbruck Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rta","family":"Gu\u00f3th\u2010Gumberger","sequence":"additional","affiliation":[{"name":"IBCLC in Private Practice Rosenheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Baumgartner\u2010Sigl","sequence":"additional","affiliation":[{"name":"Clinic for Pediatrics I Medical University of Innsbruck Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Zoeggeler","sequence":"additional","affiliation":[{"name":"Clinic for Pediatrics I Medical University of Innsbruck Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabine","family":"Scholl\u2010B\u00fcrgi","sequence":"additional","affiliation":[{"name":"Clinic for Pediatrics I Medical University of Innsbruck Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Karall","sequence":"additional","affiliation":[{"name":"Clinic for Pediatrics I Medical University of Innsbruck Innsbruck Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.23343"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.52010\/ijom.2012.38.1.8"},{"key":"e_1_2_10_4_1","first-page":"19","article-title":"Tongue\u2010tie and breastfeeding: a review of the literature","volume":"19","author":"Edmunds J","year":"2011","journal-title":"Breastfeed Rev"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00608-013-0135-x"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10022-1016"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2009.02.011"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.1.36"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59980300258-4"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334413479174"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2006.1.216"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814554554"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1891\/215805311807011467"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.18.1.1"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-0660"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2009.01577.x"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/20.4.209"},{"key":"e_1_2_10_18_1","first-page":"48","article-title":"Tongue tie: from confusion to clarity\u2010a review","volume":"3","author":"Darshan HE","year":"2011","journal-title":"Int J Dent Clin"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569(1992)029<0072:EPOAWM>2.3.CO;2"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.4103\/0972-124X.134590"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.23937\/2469-5769\/1510003"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1746-4358-1-3"},{"key":"e_1_2_10_23_1","first-page":"96","article-title":"Tongue\u2010tie\u2010exploding the myths.","volume":"2","author":"Johnson PR","year":"2006","journal-title":"Infant"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1590\/1678-775720130629"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306211"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/089033449000600315"},{"key":"e_1_2_10_27_1","unstructured":"Gu\u00f3th\u2010GumbergerM KarallD. 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