The management of ankyloglossia and implications for breastfeeding: A review of the literature

Abstract

Health professionals disagree on the effectiveness of frenulotomy to manage ankyloglossia in infants and support breastfeeding. More effort is needed to establish whether frenulotomy or healthcare support is more effective, so consistent, evidence-based information and support can be provided. This study aimed to establish whether frenulotomy or healthcare support is more effective for the sustainment of breastfeeding in infants with ankyloglossia. An online systematised literature review was conducted in January 2022 searching for primary research papers published from January 2017 onwards, discussing ankyloglossia and breastfeeding. Ankyloglossia may not affect breastfeeding, but when it does, performing a frenulotomy appears to improve feeding. However longitudinal studies suggest these improvements may not last. Further research is required to establish the most effective way to manage ankyloglossia and understand the effects on breastfeeding and on an infant's health and oral development. Health professionals need targeted education to provide care to families affected by ankyloglossia.