{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:49:56Z","timestamp":1777852196654,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T00:00:00Z","timestamp":1526947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"published-print":{"date-parts":[[2018,8]]},"abstract":"\n Background:<\/jats:title>\n Lingual frenotomy improves patient-reported outcome measures, including infant reflux and maternal nipple pain, and prolongs the nursing relationship; however, many mother\u2013infant dyads continue to experience breastfeeding difficulty despite having had a frenotomy.<\/jats:p>\n <\/jats:sec>\n \n Research aim:<\/jats:title>\n The aim of this study was to determine how incomplete release of the tethered lingual frenulum may result in persistent breastfeeding difficulties.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A one-group, observational, prospective cohort study was conducted. The sample consisted of breastfeeding mother\u2013infant (0-9 months of age) dyads ( N = 54) after the mothers self-elected completion lingual frenotomy and\/or maxillary labial frenectomy following prior lingual frenotomy performed elsewhere. Participants completed surveys preoperatively, 1-week postoperatively, and 1-month postoperatively consisting of the Breastfeeding Self-Efficacy Scale\u2013Short-Form (BSES-SF), Visual Analog Scale (VAS) for nipple pain severity, and the Revised Infant Gastroesophageal Reflux Questionnaire (I-GERQ-R).<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Significant postoperative improvements were reported between mean preoperative scores compared with 1-week and 1-month scores of the BSES-SF, F\n (2)<\/jats:sub>\n = 41.2, p < .001; the I-GERQ-R, F\n (2)<\/jats:sub>\n = 22.7, p < .001; and VAS pain scale, F\n (2)<\/jats:sub>\n = 46.1, p < .001.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n We demonstrated that besides nipple pain, measures of infant reflux symptoms and maternal breastfeeding self-confidence can improve following full release of the lingual frenulum. Additionally, a patient population was identified that could benefit from increased scrutiny of infant tongue function when initial frenotomy fails to improve breastfeeding symptoms.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/0890334418775624","type":"journal-article","created":{"date-parts":[[2018,5,22]],"date-time":"2018-05-22T18:08:55Z","timestamp":1527012535000},"page":"566-574","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":41,"title":["Revision Lingual Frenotomy Improves Patient-Reported Breastfeeding Outcomes: A Prospective Cohort Study"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4800-5284","authenticated-orcid":false,"given":"Bobak A.","family":"Ghaheri","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\/Head and Neck Surgery, The Oregon Clinic, Portland, OR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Cole","sequence":"additional","affiliation":[{"name":"Luna Lactation, Portland, OR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jess C.","family":"Mace","sequence":"additional","affiliation":[{"name":"Division of Rhinology and Skull Base Surgery, Department of Otolaryngology\u2013Head and Neck Surgery, Oregon Health & Science University, Portland, OR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,5,22]]},"reference":[{"key":"bibr1-0890334418775624","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12366"},{"key":"bibr2-0890334418775624","unstructured":"Coryllos E. V., Genna C. W., Salloum A. C. (2004, summer). Congenital tongue-tie and its impact on breastfeeding. American Academy of Pediatrics Section on Breastfeeding Bulletin. Retrieved from the American Academy of Pediatrics website: http:\/\/www.aap.org\/advocacy\/bf\/8-27newsletter.pdf"},{"key":"bibr3-0890334418775624","doi-asserted-by":"publisher","DOI":"10.1177\/0884217503258459"},{"key":"bibr4-0890334418775624","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.05.024"},{"key":"bibr5-0890334418775624","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1319798111"},{"key":"bibr6-0890334418775624","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2553"},{"key":"bibr7-0890334418775624","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26306"},{"key":"bibr8-0890334418775624","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2006.02.016"},{"issue":"4","key":"bibr9-0890334418775624","first-page":"259","volume":"30","author":"Kotlow L. A.","year":"1999","journal-title":"Quintessence International"},{"key":"bibr10-0890334418775624","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0129698"},{"key":"bibr11-0890334418775624","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2016.157"},{"key":"bibr12-0890334418775624","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.02.022"},{"key":"bibr13-0890334418775624","unstructured":"Office of Disease Prevention and Health Promotion. (2017). Healthy People 2020. Retrieved from the Department of Health & Human Services website: https:\/\/www.healthypeople.gov\/"},{"key":"bibr14-0890334418775624","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13103"},{"key":"bibr15-0890334418775624","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2014-306232"},{"key":"bibr16-0890334418775624","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.18.1.1"},{"key":"bibr17-0890334418775624","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-0999-4"},{"key":"bibr18-0890334418775624","doi-asserted-by":"publisher","DOI":"10.14740\/ijcp246w"},{"issue":"1","key":"bibr19-0890334418775624","first-page":"11","volume":"23","author":"Todd D. 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