{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T23:49:33Z","timestamp":1788306573385,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T00:00:00Z","timestamp":1573516800000},"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":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the incidence and characteristics of complications arising from frenotomy for ankyloglossia (tongue\u2010tie) in New Zealand.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective surveillance among hospital\u2010based paediatricians of complications arising from frenotomy for ankyloglossia to children &lt;1\u2009year old was conducted by the New Zealand Paediatric Surveillance Unit for 24\u2009months, from August 2016 to July 2018, inclusive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 16 cases of complications arising from frenotomy were reported. The overall average annual incidence rate was 13.9\/100\u2009000. Geographic variation was noted with a peak of 85.6\/100\u2009000 in one region. Complications reported: poor feeding (44%), respiratory events (25%), pain (19%), bleeding (19%) and weight loss (19%). Three children (19%) also had delayed diagnosis of an underlying medical condition initially overlooked in favour of treating their ankyloglossia, this has not previously been reported. The majority (75%) of cases required admission to hospital. Treatments given included supplementary feeds (44%), surgical intervention (25%), breastfeeding support (19%), analgesia (13%) and blood products (13%). A total of 25% of children had one or more frenotomies; 50% were treated for two or more of: \u2018anterior\u2019 ankyloglossia, \u2018posterior\u2019 ankyloglossia or \u2018lip tie\u2019; 50% had their frenotomies performed out of the hospital. Dentists were the most common performing practitioner (31%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Frenotomy rates in New Zealand are unknown. Poor feeding, pain, bleeding, weight loss and delayed diagnosis of an alternative underlying medical condition are important complications that require hospital assessment and admission. Practitioners and parents\/families need to be aware of these possibilities. Centralised guidelines with access to specialist second opinions should be developed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.14682","type":"journal-article","created":{"date-parts":[[2019,11,12]],"date-time":"2019-11-12T14:32:57Z","timestamp":1573569177000},"page":"557-562","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Complications following frenotomy for ankyloglossia: A 24\u2010month prospective New Zealand Paediatric Surveillance Unit study"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0624-9889","authenticated-orcid":false,"given":"Matthew","family":"Hale","sequence":"first","affiliation":[{"name":"Department of Women's and Children's Health Dunedin School of Medicine, University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikki","family":"Mills","sequence":"additional","affiliation":[{"name":"Department of Paediatric Otorhinolaryngology Starship Children's Hospital  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liza","family":"Edmonds","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Dunedin School of Medicine, University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Dawes","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Dunedin Hospital  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigel","family":"Dickson","sequence":"additional","affiliation":[{"name":"New Zealand Paediatric Surveillance Unit, Department of Women's and Child Health Dunedin School of Medicine, University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Barker","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Dunedin School of Medicine, University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3348-5238","authenticated-orcid":false,"given":"Benjamin J","family":"Wheeler","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Dunedin School of Medicine, University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,11,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.9778\/cmajo.20150063"},{"key":"e_1_2_8_3_1","first-page":"712a","article-title":"Clinical inquiries. 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