Author: David O. Francis
Publisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
OBJECTIVES: We systematically reviewed the literature on surgical and nonsurgical treatments for infants and children with ankyloglossia and ankyloglossia with concomitant lip-tie. DATA SOURCES: We searched MEDLINE(r) (PubMed(r)), PsycINFO(r), Cumulative Index of Nursing and Allied Health Literature (CINAHL(r)) and Embase (Excerpta Medica Database), as well as the reference lists of included studies and recent systematic reviews. We conducted the searches between September 2013 and August 2014. REVIEW METHODS: We included studies of interventions for ankyloglossia published in English. Two investigators independently screened studies against predetermined inclusion criteria and independently rated the quality of included studies. We extracted data into evidence tables and summarized them qualitatively. RESULTS: We included 58 unique studies comprising 6 randomized controlled trials (RCTs) (3 good, 1 fair, 2 poor quality), 3 cohort studies (all poor quality), 33 case series, 15 case reports, and 1 unpublished thesis. Most studies assessed the effects of frenotomy (a procedure in which the lingual frenulum is divided) on breastfeeding-related outcomes. Four RCTs reported improvements in breastfeeding efficacy using either maternally reported or observer ratings, while two RCTs using observer ratings found no improvement. Mothers consistently reported improved breastfeeding effectiveness after frenotomy, but outcome measures were heterogeneous and short term. Future studies could provide additional data to confirm or change the measure of effectiveness; thus, we consider the strength of evidence (SOE; confidence in the estimate of effect) to be low at this time. Furthermore, this literature is characterized by (1) a lack of details about the surgical procedure, (2) cointerventions allowed variably in control groups, and (3) diversity of provider settings. Pain outcomes improved for mothers of frenotomized infants compared with control in one study of 6-day old infants but not in studies of infants a few weeks older. Given these inconsistencies and the small number of comparative studies and participants, the SOE is low for an immediate reduction in nipple pain. Three studies with significant limitations reported improvements in other feeding outcomes with frenotomy, and four poor-quality studies reported some improvements in speech articulation but mixed results related to overall speech sound production. Three poor-quality comparative studies noted some improvements in social concerns and gains in tongue mobility in treated participants. SOE for all of these outcomes is insufficient. SOE is moderate for minor and short-term bleeding following surgery and insufficient for other harms (reoperation, pain). CONCLUSIONS: A small body of evidence suggests that frenotomy may be associated with improvements in breastfeeding as reported by mothers, and potentially in nipple pain, but with small short-term studies, inconsistently conducted, SOE is generally low to insufficient. Comparative studies reported improvements in some measures of speech, but assessment of outcomes was inconsistent. Few studies addressed tongue mobility and self-esteem issues. Research is lacking on nonsurgical interventions, as well as on outcomes other than breastfeeding.
Treatments for Ankyloglossia and Ankyloglossia with Concomitant Lip-tie
Author: David O. Francis
Publisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
OBJECTIVES: We systematically reviewed the literature on surgical and nonsurgical treatments for infants and children with ankyloglossia and ankyloglossia with concomitant lip-tie. DATA SOURCES: We searched MEDLINE(r) (PubMed(r)), PsycINFO(r), Cumulative Index of Nursing and Allied Health Literature (CINAHL(r)) and Embase (Excerpta Medica Database), as well as the reference lists of included studies and recent systematic reviews. We conducted the searches between September 2013 and August 2014. REVIEW METHODS: We included studies of interventions for ankyloglossia published in English. Two investigators independently screened studies against predetermined inclusion criteria and independently rated the quality of included studies. We extracted data into evidence tables and summarized them qualitatively. RESULTS: We included 58 unique studies comprising 6 randomized controlled trials (RCTs) (3 good, 1 fair, 2 poor quality), 3 cohort studies (all poor quality), 33 case series, 15 case reports, and 1 unpublished thesis. Most studies assessed the effects of frenotomy (a procedure in which the lingual frenulum is divided) on breastfeeding-related outcomes. Four RCTs reported improvements in breastfeeding efficacy using either maternally reported or observer ratings, while two RCTs using observer ratings found no improvement. Mothers consistently reported improved breastfeeding effectiveness after frenotomy, but outcome measures were heterogeneous and short term. Future studies could provide additional data to confirm or change the measure of effectiveness; thus, we consider the strength of evidence (SOE; confidence in the estimate of effect) to be low at this time. Furthermore, this literature is characterized by (1) a lack of details about the surgical procedure, (2) cointerventions allowed variably in control groups, and (3) diversity of provider settings. Pain outcomes improved for mothers of frenotomized infants compared with control in one study of 6-day old infants but not in studies of infants a few weeks older. Given these inconsistencies and the small number of comparative studies and participants, the SOE is low for an immediate reduction in nipple pain. Three studies with significant limitations reported improvements in other feeding outcomes with frenotomy, and four poor-quality studies reported some improvements in speech articulation but mixed results related to overall speech sound production. Three poor-quality comparative studies noted some improvements in social concerns and gains in tongue mobility in treated participants. SOE for all of these outcomes is insufficient. SOE is moderate for minor and short-term bleeding following surgery and insufficient for other harms (reoperation, pain). CONCLUSIONS: A small body of evidence suggests that frenotomy may be associated with improvements in breastfeeding as reported by mothers, and potentially in nipple pain, but with small short-term studies, inconsistently conducted, SOE is generally low to insufficient. Comparative studies reported improvements in some measures of speech, but assessment of outcomes was inconsistent. Few studies addressed tongue mobility and self-esteem issues. Research is lacking on nonsurgical interventions, as well as on outcomes other than breastfeeding.
Publisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
OBJECTIVES: We systematically reviewed the literature on surgical and nonsurgical treatments for infants and children with ankyloglossia and ankyloglossia with concomitant lip-tie. DATA SOURCES: We searched MEDLINE(r) (PubMed(r)), PsycINFO(r), Cumulative Index of Nursing and Allied Health Literature (CINAHL(r)) and Embase (Excerpta Medica Database), as well as the reference lists of included studies and recent systematic reviews. We conducted the searches between September 2013 and August 2014. REVIEW METHODS: We included studies of interventions for ankyloglossia published in English. Two investigators independently screened studies against predetermined inclusion criteria and independently rated the quality of included studies. We extracted data into evidence tables and summarized them qualitatively. RESULTS: We included 58 unique studies comprising 6 randomized controlled trials (RCTs) (3 good, 1 fair, 2 poor quality), 3 cohort studies (all poor quality), 33 case series, 15 case reports, and 1 unpublished thesis. Most studies assessed the effects of frenotomy (a procedure in which the lingual frenulum is divided) on breastfeeding-related outcomes. Four RCTs reported improvements in breastfeeding efficacy using either maternally reported or observer ratings, while two RCTs using observer ratings found no improvement. Mothers consistently reported improved breastfeeding effectiveness after frenotomy, but outcome measures were heterogeneous and short term. Future studies could provide additional data to confirm or change the measure of effectiveness; thus, we consider the strength of evidence (SOE; confidence in the estimate of effect) to be low at this time. Furthermore, this literature is characterized by (1) a lack of details about the surgical procedure, (2) cointerventions allowed variably in control groups, and (3) diversity of provider settings. Pain outcomes improved for mothers of frenotomized infants compared with control in one study of 6-day old infants but not in studies of infants a few weeks older. Given these inconsistencies and the small number of comparative studies and participants, the SOE is low for an immediate reduction in nipple pain. Three studies with significant limitations reported improvements in other feeding outcomes with frenotomy, and four poor-quality studies reported some improvements in speech articulation but mixed results related to overall speech sound production. Three poor-quality comparative studies noted some improvements in social concerns and gains in tongue mobility in treated participants. SOE for all of these outcomes is insufficient. SOE is moderate for minor and short-term bleeding following surgery and insufficient for other harms (reoperation, pain). CONCLUSIONS: A small body of evidence suggests that frenotomy may be associated with improvements in breastfeeding as reported by mothers, and potentially in nipple pain, but with small short-term studies, inconsistently conducted, SOE is generally low to insufficient. Comparative studies reported improvements in some measures of speech, but assessment of outcomes was inconsistent. Few studies addressed tongue mobility and self-esteem issues. Research is lacking on nonsurgical interventions, as well as on outcomes other than breastfeeding.
Treatments for Ankyloglossia and Ankyloglossia With Concomitant Lip-Tie - Comparative Effectiveness Review (Number 149)
Author: Department Of Health And Human Services
Publisher:
ISBN: 9781329660021
Category : Science
Languages : en
Pages : 0
Book Description
A small body of evidence suggests that frenotomy may be associated with improvements in breastfeeding as reported by mothers, and potentially in nipple pain, but with small short-term studies, inconsistently conducted, SOE is generally low to insufficient. Comparative studies reported improvements in some measures of speech, but assessment of outcomes was inconsistent. Few studies addressed tongue mobility and self-esteem issues.
Publisher:
ISBN: 9781329660021
Category : Science
Languages : en
Pages : 0
Book Description
A small body of evidence suggests that frenotomy may be associated with improvements in breastfeeding as reported by mothers, and potentially in nipple pain, but with small short-term studies, inconsistently conducted, SOE is generally low to insufficient. Comparative studies reported improvements in some measures of speech, but assessment of outcomes was inconsistent. Few studies addressed tongue mobility and self-esteem issues.
Treatments for Ankyloglossia and Ankyloglossia With Concomitant Lip-Tie
Author:
Publisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
Publisher:
ISBN:
Category :
Languages : en
Pages :
Book Description
Essentials of Anesthesia for Infants and Neonates
Author: Mary Ellen McCann
Publisher: Cambridge University Press
ISBN: 1107069777
Category : Medical
Languages : en
Pages : 465
Book Description
A practical, comprehensive guide to the special needs of infants and neonates undergoing anesthesia.
Publisher: Cambridge University Press
ISBN: 1107069777
Category : Medical
Languages : en
Pages : 465
Book Description
A practical, comprehensive guide to the special needs of infants and neonates undergoing anesthesia.
Pediatric Board Study Guide
Author: Osama Naga
Publisher: Springer
ISBN: 3319101153
Category : Medical
Languages : en
Pages : 611
Book Description
Covers the most frequently asked and tested points on the pediatric board exam. Each chapter offers a quick review of specific diseases and conditions clinicians need to know during the patient encounter. Easy-to-use and comprehensive, clinicians will find this guide to be the ideal final resource needed before taking the pediatric board exam.
Publisher: Springer
ISBN: 3319101153
Category : Medical
Languages : en
Pages : 611
Book Description
Covers the most frequently asked and tested points on the pediatric board exam. Each chapter offers a quick review of specific diseases and conditions clinicians need to know during the patient encounter. Easy-to-use and comprehensive, clinicians will find this guide to be the ideal final resource needed before taking the pediatric board exam.
Tongue Tie-- from Confusion to Clarity
Author: Carmen Fernando
Publisher:
ISBN: 9780646352541
Category : Ankyloglossia
Languages : en
Pages : 88
Book Description
Bibliography: p. 83-86.
Publisher:
ISBN: 9780646352541
Category : Ankyloglossia
Languages : en
Pages : 88
Book Description
Bibliography: p. 83-86.
Illustrative Handbook of General Surgery
Author: Herbert Chen
Publisher: Springer
ISBN: 3319245570
Category : Medical
Languages : en
Pages : 801
Book Description
This practical surgical atlas focuses on a variety of surgical procedures in a portable format, allowing students, residents and even attending surgeons to carry it around with them throughout the day to check up on operations at any given time. The comprehensive illustrations help the reader to understand the procedures described, thanks to inter-operative photographs which provide accurate representations of the various techniques of the operations. The wide scope of this book ensures coverage of the most common general surgery procedures and the most common operations that faculty, residents and students encounter.
Publisher: Springer
ISBN: 3319245570
Category : Medical
Languages : en
Pages : 801
Book Description
This practical surgical atlas focuses on a variety of surgical procedures in a portable format, allowing students, residents and even attending surgeons to carry it around with them throughout the day to check up on operations at any given time. The comprehensive illustrations help the reader to understand the procedures described, thanks to inter-operative photographs which provide accurate representations of the various techniques of the operations. The wide scope of this book ensures coverage of the most common general surgery procedures and the most common operations that faculty, residents and students encounter.
Supporting Sucking Skills in Breastfeeding Infants
Author: Catherine Watson Genna
Publisher: Jones & Bartlett Publishers
ISBN: 1449647375
Category : Family & Relationships
Languages : en
Pages : 431
Book Description
Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition. Supporting Sucking Skills in Breastfeeding Infants, Second Edition is the essential resource for healthcare professionals working with new mothers and infants. Using a skills approach, it focuses on normal sucking function in addition to anatomical variations, developmental respiratory issues, prematurity, and mild neurological deficits. Completely updated and revised with new photos and images, this edition contains a new chapter, “Hands in Support of Breastfeeding: Manual Therapy.” Written by an internationally renowned IBCLC and deliberately multidisciplinary, it provides the entire team with both the research background and clinical strategies necessary to help infants with successful sucking and feeding.
Publisher: Jones & Bartlett Publishers
ISBN: 1449647375
Category : Family & Relationships
Languages : en
Pages : 431
Book Description
Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition. Supporting Sucking Skills in Breastfeeding Infants, Second Edition is the essential resource for healthcare professionals working with new mothers and infants. Using a skills approach, it focuses on normal sucking function in addition to anatomical variations, developmental respiratory issues, prematurity, and mild neurological deficits. Completely updated and revised with new photos and images, this edition contains a new chapter, “Hands in Support of Breastfeeding: Manual Therapy.” Written by an internationally renowned IBCLC and deliberately multidisciplinary, it provides the entire team with both the research background and clinical strategies necessary to help infants with successful sucking and feeding.
Guidelines for Perinatal Care
Author: American Academy of Pediatrics
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 436
Book Description
This guide has been developed jointly by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, and is designed for use by all personnel involved in the care of pregnant women, their foetuses, and their neonates.
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 436
Book Description
This guide has been developed jointly by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, and is designed for use by all personnel involved in the care of pregnant women, their foetuses, and their neonates.
Functional Assessment and Remediation of TOTs
Author: Robyn Merkel-Walsh
Publisher:
ISBN: 9781932460278
Category :
Languages : en
Pages :
Book Description
Publisher:
ISBN: 9781932460278
Category :
Languages : en
Pages :
Book Description