{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T17:59:57Z","timestamp":1789495197495,"version":"build-2803163510"},"reference-count":27,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: This study aimed to evaluate the effects of frenulotomy in mother\u2013infant pairs with problematic tongue-tie. Methods: A 2-year prospective observational cohort study was performed. Mother\u2013infant pairs were divided into frenulotomy and non-frenulotomy groups by maternal choice. Four breastfeeding practice outcomes were evaluated: reduced latching pain scores, improved LATCH scores, regained birth weight within 2 weeks post-partum, and successful exclusive breastfeeding (EBF) at 3 months of age. The comparison between groups was performed using multivariable risk regression with propensity score analysis. Results: A total of 350 mother\u2013infant pairs were included. There were 226 mother\u2013infant pairs who underwent frenulotomy and 124 pairs in the non-frenulotomy group. The median latching pain scores significantly decreased from 6 to 3 at 24 h post-operatively and from 6 to 0 at 1 week post-operatively (p &lt; 0.001). The median LATCH scores increased significantly from 5 to 9 at 1 week post-operatively (p &lt; 0.001). LATCH scores within 2 weeks were improved in the frenolotomy group (risk ratio = 1.31, p = 0.017). The success rate of EBF at 3 months was 72.12% in the frenulotomy group and 76.61% in the non-frenulotomy group, with no statistically significance. Conclusions: Short-term breastfeeding outcomes and LATCH scores in mother\u2013infant pairs with tongue-tie improved faster in those who underwent the procedure, with no complications.<\/jats:p>","DOI":"10.3390\/jcm15020464","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T11:46:43Z","timestamp":1767786403000},"page":"464","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Effects of Frenulotomy on Outcomes Associated with Breastfeeding Practice"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0550-1321","authenticated-orcid":false,"given":"Junsujee","family":"Wakhanrittee","sequence":"first","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Thammasat University Hospital, Pathumthani 12120, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9023-0923","authenticated-orcid":false,"given":"Jiraporn","family":"Khorana","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Chiang Mai University Hospital, Chiang Mai 50200, Thailand"},{"name":"Center of Clinical Epidemiology and Clinical Statistic, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand"},{"name":"Clinical Surgical Research Center, Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand"},{"name":"Department of Biomedical Informatics and Clinical Epidemiology, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siriphut","family":"Kiatipunsodsai","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery, Faculty of Medicine, Thammasat University Hospital, Pathumthani 12120, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1111\/j.1651-2227.2012.02661.x","article-title":"Tongue-tie, breastfeeding difficulties and the role of Frenotomy","volume":"101","author":"Kumar","year":"2012","journal-title":"Acta Paediatr."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1179\/2046905512Y.0000000023","article-title":"Lingual frenulum and effect on breastfeeding in Thai newborn infants","volume":"33","author":"Ngerncham","year":"2013","journal-title":"Paediatr. 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