The studies below are the research and citations supporting our work in infant tongue tie. Each title links to its source publication. This collection includes 35 studies.

Review of tongue-tie release at a tertiary maternity hospital
Amir LH, James JP, Beatty J — J Paediatr Child Health, 2005.
Frenotomy is a safe and easy procedure that shows improvement in breastfeeding for infants with significant tongue-tie.

Ankyloglossia in the Breastfeeding Infant
Messner AH, Lalakea ML, Aby J, et al.
Ankyloglossia can adversely affect breastfeeding in some cases, making latching difficult and causing maternal nipple pain.

Ankyloglossia: assessment, incidence, and effect of frenuloplasty on the breastfeeding dyad
Ballard JL, Auer CE, Khoury JC — Pediatrics, 2002.
Ankyloglossia is common in newborns and significantly impacts breastfeeding. Frenuloplasty shows success in facilitating breastfeeding.

A double-blind, randomized, controlled trial of tongue-tie division
Berry J, Griffiths M, Westcott C — Breastfeed Med, 2012.
78% of mothers reported immediate improvement in feeding following intervention, with sustained benefits at 3-month follow-up.

Efficacy of neonatal release of ankyloglossia: a randomized trial
Buryk M, Bloom D, Shope T — Pediatrics, 2011.
Demonstrated immediate improvement in nipple-pain and breastfeeding scores after frenotomy.

Neonatal Frenotomy May be Necessary to Correct Breastfeeding Problems
Marmet C, Shell E, Marmet R
Frenotomy successfully established breastfeeding in healthy babies with short frenulum.

Immediate nipple pain relief after frenotomy
Dollberg S, Botzer E, Grunis E, Mimouni FB
Frenotomy provides immediate nipple pain relief in breast-fed infants with ankyloglossia.

Tongue-tie and breastfeeding: a review of the literature
Edmunds J, Miles SC, Fulbrook P — Breastfeed Rev, 2011.
Frenotomy offers the best chance of improved and continued breastfeeding for most infants.

Biomechanics of milk extraction during breastfeeding
Elad D, et al. — Proc Natl Acad Sci USA, 2014.
First demonstration that successful breastfeeding requires development of time-varying subatmospheric pressures within the infant’s oral cavity.

Evidence of improved milk intake after frenotomy
Garbin CP, et al. — Pediatrics, 2013.
Frenotomy significantly improved breastfeeding milk transfer from 190 to 810 mL/24 hours.

Frenulotomy for breastfeeding infants with ankyloglossia
Geddes DT, et al. — Pediatrics, 2008.
Post-frenulotomy improvements showed less compression of the nipple and increased milk transfer.

Breastfeeding improvement following tongue-tie and lip-tie release
Ghaheri BA, Cole M, Fausel SC, et al.
Surgical release results in significant improvement in breastfeeding outcomes, with benefits continuing through 1 month post-operation.

The Importance of the Identification of Ankyloglossia
Notestine GE
Short lingual frenulum can cause breastfeeding problems and requires proper recognition for treatment.

Do tongue ties affect breastfeeding?
Griffiths DM — J Hum Lact, 2004.
80% showed improved feeding within 24 hours of division.

Randomized, controlled trial of division of tongue-tie in infants with feeding problems
Hogan M, Westcott C, Griffiths M — J Paediatr Child Health, 2005.
Division is safe and significantly improved feeding compared to lactation support alone.

Tongue Growth during Prenatal Development
Hong SJ, et al. — J Pathol Transl Med, 2015.
Early tongue development affects oral-craniofacial structure growth.

Does frenotomy improve breast-feeding difficulties in infants with ankyloglossia?
Ito Y — Pediatr Int, 2014.
Moderate evidence supports frenotomy’s effectiveness for breastfeeding difficulties.

Revision Lingual Frenotomy Improves Patient-Reported Breastfeeding Outcomes
Ghaheri BA, Cole M, Mace JC — J Hum Lact, 2018.
Full release of lingual frenulum improves infant reflux symptoms and maternal breastfeeding confidence.

Surgical techniques for the treatment of ankyloglossia in children
Junqueira MA, et al. — J Appl Oral Sci, 2014.
Various surgical techniques are successful, with laser offering reduced complications.

Ankyloglossia and effects on breast-feeding, speech problems and mechanical/social issues in children
Karabulut R, et al. — B-ENT, 2008.
Early correction reduces risk of later complications.

Tongue-tie, breastfeeding difficulties and the role of Frenotomy
Kumar M, Kalke E — Acta Paediatr, 2012.
Early recognition and prompt referral important for successful treatment.

Newborn Tongue-tie: Prevalence and Effect on Breast-Feeding
Ricke LA, et al. — J Am Board Fam Pract, 2005.
Tongue-tied infants more likely to be exclusively bottle-fed by 1 week.

The effects of frenotomy on breastfeeding
Martinelli RL, et al. — J Appl Oral Sci, 2015.
Significant improvements in breastfeeding patterns after frenotomy.

The effect of ankyloglossia on speech in children
Messner AH, Lalakea ML — Otolaryngol Head Neck Surg, 2002.
Significant improvement in tongue mobility and speech after frenuloplasty.

A quick snip – Impact of outpatient tongue tie release
Miranda BH, Milroy CJ — J Plast Reconstr Aesthet Surg, 2010.
Significant improvements in weight and breastfeeding at 2 weeks post-frenulotomy.

The effects of office-based frenotomy for anterior and posterior ankyloglossia on breastfeeding
O’Callahan C, et al. — Int J Pediatr Otorhinolaryngol, 2013.
92% achieved exclusive breastfeeding post-intervention.

Problematic breastfeeding due to a short frenulum
Post ED, et al. — Ned Tijdschr Geneeskd, 2010.
95% of breastfeeding problems resolve after frenotomy.

Speech and Feeding Improvements in Children After Posterior Tongue-Tie Release
Baxter R, Hughes L — Int J Clin Pediatr, 2018.
Improved speech and feeding skills after CO2 laser frenectomy.

Tongue-tie and breastfeeding in newborns-mothers’ perspective
Riskin A, et al.
Early diagnosis and lactation consultation significantly help mother-infant dyads.

Aerophagia Induced Reflux in Breastfeeding Infants With Ankyloglossia and Shortened Maxillary Labial Frenula
Siegel SA
Relationship found between lip tie and aerophagia induced reflux.

Ankyloglossia in breastfeeding infants: the effect of frenotomy on maternal nipple pain and latch
Srinivasan A, et al.
Timely frenotomy improves latch and decreases nipple pain.

The outcomes of a frenulotomy on breastfeeding infants
Wakhanrittee J, et al. — Pediatr Surg Int, 2016.
Frenulotomy significantly reduces nipple pain and increases LATCH scores.

Diagnosis and management of ankyloglossia in young children
Veyssiere A, et al. — Rev Stomatol Chir Maxillofac Chir Orale, 2015.
Different surgical techniques recommended based on age and presentation.

Parental perception of speech and tongue mobility after frenotomy
Walls A, et al. — Int J Pediatr Otorhinolaryngol, 2014.
Long-term speech benefits when frenotomy performed in newborns.

Ankyloglossia as a risk factor for maxillary hypoplasia and soft palate elongation
Yoon AJ, et al. — Orthod Craniofac Res, 2017.
Restricted tongue mobility associated with maxillary arch narrowing.