{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T06:21:05Z","timestamp":1778221265145,"version":"3.51.4"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T00:00:00Z","timestamp":1733270400000},"content-version":"vor","delay-in-days":338,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Pediatrics"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> Breastfeeding is vital for infant nutrition, bonding, and overall health. However, challenges can arise with the presence of tethered oral tissues, commonly known as labial (lip) tie or lingual (tongue) tie, otherwise known as ankyloglossia. This case study explores the differential resolution of breastfeeding symptoms in a one\u2010month\u2010old infant with both labial and lingual ties. It outlines the diagnostic process, surgical interventions, and postoperative care, emphasizing the importance of detailed characterization of symptom resolution associated with a lingual and labial frenectomy.<\/jats:p><jats:p><jats:bold>Case Presentation:<\/jats:bold> The one\u2010month\u2010old male presented with 11 symptoms of feeding difficulties. Sequential surgical releases were performed for the labial and lingual ties, with a ranula also addressed. Detailed symptom assessments were conducted at one, two, and 4\u2009weeks postsurgery, revealing differential responses to labial and lingual releases.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> The results show that 81.8% of symptoms resolved after labial and lingual surgeries, with some symptoms responding specifically to either labial or lingual release. The study suggests that surgical intervention can significantly improve breastfeeding outcomes, including for patients who may not have access to sufficient lactation counseling resources.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> This single case study provides a valuable starting point for the exploration of which dysfunctional breastfeeding symptoms are associated with a labial tie versus lingual tie. Further research with larger samples is warranted to explore optimal treatment strategies for diverse parent\u2013baby dyads experiencing breastfeeding difficulties, or whose access to lactation support services is limited.<\/jats:p>","DOI":"10.1155\/crpe\/5545986","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T14:48:36Z","timestamp":1733323716000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Breastfeeding Symptom Resolution After Sequential Labial\u2013Lingual Frenectomies: A Case Report"],"prefix":"10.1155","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7108-4665","authenticated-orcid":false,"given":"Raymond J.","family":"Tseng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4003-2838","authenticated-orcid":false,"given":"Jessica","family":"Altemara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5882-4673","authenticated-orcid":false,"given":"Sharon","family":"Smart","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,4]]},"reference":[{"key":"e_1_2_7_1_2","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2012.9975"},{"key":"e_1_2_7_2_2","volume-title":"Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals","author":"World Health Organization","year":"2009"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/20.4.209"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0890334418816973"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26306"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1179\/2046905512y.0000000023"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/01945998211039784"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.1696"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.01.003"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/joor.13609"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/0890334413491325"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/0890334410362520"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.2302"},{"key":"e_1_2_7_14_2","first-page":"259","article-title":"Ankyloglossia (Tongue-Tie): A Diagnostic and Treatment Quandary","volume":"30","author":"Kotlow L. 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