{"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":1778221265052,"version":"3.51.4"},"reference-count":11,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,6,1]]},"abstract":"<jats:p>A 6-month-old term boy was hospitalized to evaluate the cause of his failure to thrive, mandated as part of an investigation by the Department of Children and Families after an allegation of medical neglect was made. On admission the patient was below birth weight, and a medical workup for failure to thrive was pursued; however, he was noted to have severe ankyloglossia and was an exclusively breastfed infant. The only interventions during his hospitalization were frenotomy and assistance to the mother to increase her milk supply. The infant immediately experienced weight gain and has continued to show slow, but steady, weight gain as an outpatient. We illustrate here many of the controversies concerning ankyloglossia.<\/jats:p>","DOI":"10.1542\/peds.2009-2101","type":"journal-article","created":{"date-parts":[[2010,5,25]],"date-time":"2010-05-25T03:29:21Z","timestamp":1274758161000},"page":"e1500-e1504","source":"Crossref","is-referenced-by-count":25,"title":["Ankyloglossia, Exclusive Breastfeeding, and Failure to Thrive"],"prefix":"10.1542","volume":"125","author":[{"given":"Gregory P.","family":"Forlenza","sequence":"first","affiliation":[{"name":"Department of Pediatrics, University of Florida, Gainesville, Florida; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole M.","family":"Paradise Black","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Florida, Gainesville, Florida; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elayne G.","family":"McNamara","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Shands Hospital at University of Florida, Gainesville, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra E.","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of Florida, Gainesville, Florida; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2010,6,1]]},"reference":[{"issue":"2\u20133","key":"2021120905362474000_B1","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/S0165-5876(00)00359-1","article-title":"Ankyloglossia: controversies in management","volume":"54","author":"Messner","year":"2000","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"1","key":"2021120905362474000_B2","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2007-2553","article-title":"Frenulotomy for breastfeeding infants with ankyloglossia: effect on milk removal and sucking mechanism as imaged by ultrasound","volume":"122","author":"Geddes","year":"2008","journal-title":"Pediatrics"},{"issue":"1","key":"2021120905362474000_B3","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1001\/archotol.126.1.36","article-title":"Ankyloglossia: incidence and associated feeding difficulties","volume":"126","author":"Messner","year":"2000","journal-title":"Arch Otolaryngol Head Neck Surg"},{"issue":"4","key":"2021120905362474000_B4","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1089\/bfm.2006.1.216","article-title":"Ankyloglossia in breastfeeding infants: the effect of frenotomy on maternal nipple pain and latch","volume":"1","author":"Srinivasan","year":"2006","journal-title":"Breastfeed Med"},{"issue":"5\u20136","key":"2021120905362474000_B5","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1111\/j.1440-1754.2005.00604.x","article-title":"Randomized, controlled trial of division of tongue-tie in infants with feeding problems","volume":"41","author":"Hogan","year":"2005","journal-title":"J Paediatr Child Health"},{"key":"2021120905362474000_B6","unstructured":"Academy of Breastfeeding Medicine. ABM clinical protocol 11: guidelines for the evaluation and management of neonatal ankyloglossia and its complications in the breastfeeding dyad. Available at: www.bfmed.org\/Resources\/Protocols.aspx. Accessed July 31, 2008"},{"issue":"5","key":"2021120905362474000_B7","doi-asserted-by":"crossref","DOI":"10.1542\/peds.110.5.e63","article-title":"Ankyloglossia: assessment, incidence, and effect of frenuloplasty on the breastfeeding dyad","volume":"110","author":"Ballard","year":"2002","journal-title":"Pediatrics"},{"key":"2021120905362474000_B8","unstructured":"Hazelbaker\u2008AK\n          . The Assessment Tool for Lingual Frenulum Function (ATLFF): Use in a Lactation Consultant Private Practice [master's thesis]. Pasadena, CA: Pacific Oaks College; 1993"},{"issue":"9","key":"2021120905362474000_B9","doi-asserted-by":"crossref","first-page":"1598","DOI":"10.1016\/j.jpedsurg.2006.05.024","article-title":"Immediate nipple pain relief after frenotomy in breastfed infants with ankyloglossia: a randomized, prospective study","volume":"41","author":"Dollberg","year":"2006","journal-title":"J Pediatr Surg"},{"issue":"6","key":"2021120905362474000_B10","first-page":"1027","article-title":"Prevalence, diagnosis, and treatment of ankyloglossia","volume":"53","author":"Segal","year":"2007","journal-title":"Can Fam Physician"},{"issue":"2","key":"2021120905362474000_B11","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1542\/peds.2004-2491","article-title":"Breastfeeding and the use of human milk","volume":"115","author":"American Academy of Pediatrics, Section on Breastfeeding","year":"2005","journal-title":"Pediatrics"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/125\/6\/e1500\/1088991\/zpe006100e1500.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/125\/6\/e1500\/1088991\/zpe006100e1500.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T23:12:53Z","timestamp":1639091573000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/125\/6\/e1500\/72538\/Ankyloglossia-Exclusive-Breastfeeding-and-Failure"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,6,1]]},"references-count":11,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2010,6,1]]},"published-print":{"date-parts":[[2010,6,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2009-2101","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"value":"0031-4005","type":"print"},{"value":"1098-4275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,6,1]]}}}