{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T02:34:34Z","timestamp":1789094074498,"version":"build-2803163510"},"reference-count":69,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,7,30]],"date-time":"2020-07-30T00:00:00Z","timestamp":1596067200000},"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":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aims of this systematic review were to first identify and summarise original research that compared symptoms of problematic feeding in infants with tongue tie before and after frenotomy and then evaluate the quality of measures used to assess problematic feeding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>CINAHL and PubMed were searched for ((tongue\u2010tie) or (ankyloglossia)) and ((feeding) or (breastfeeding) or (bottle\u2010feeding)) and ((frenotomy) or (frenectomy) or (frenulectomy) or (frenulotomy)). Original research reporting on feeding before and after frenotomy in infants under 1\u00a0year old was included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Maternal nipple pain, breastfeeding self\u2010efficacy and LATCH scores improved after frenotomy. Few data are available on the effect of frenotomy on infant feeding. The measures used to assess infant feeding were not comprehensive and did not possess strong psychometric properties.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Literature suggests that maternal nipple pain, self\u2010efficacy and LATCH scores improve in breastfeeding mother\u2010infant dyads after frenotomy. However, current literature does not provide adequate data regarding the effect of frenotomy on the infant's ability to feed or which infants benefit from the procedure. Future research should utilise comprehensive, psychometrically sound measures to assess infants for tongue tie and to evaluate infant feeding to provide stronger evidence for the effect of frenotomy on feeding in infants with tongue tie.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.15473","type":"journal-article","created":{"date-parts":[[2020,7,12]],"date-time":"2020-07-12T12:11:25Z","timestamp":1594555885000},"page":"2502-2514","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Symptoms of problematic feeding in infants under 1\u00a0year of age undergoing frenotomy: A review article"],"prefix":"10.1111","volume":"109","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5505-508X","authenticated-orcid":false,"given":"Rebecca R.","family":"Hill","sequence":"first","affiliation":[{"name":"MGH Institute of Health Professions School of Nursing Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8016-2370","authenticated-orcid":false,"given":"Britt F.","family":"Pados","sequence":"additional","affiliation":[{"name":"Boston College William F. 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