Management of Ankyloglossia and Breastfeeding Difficulties in the Newborn: Breastfeeding Sessions, Myofunctional Therapy, and Frenotomy.
The problems of suction in newborns give rise to multiple consequences for both the mother and the newborn. The objective of this paper is to present a case of ankyloglossia ("tongue-tie") and the suction problems that were treated by a multidisciplinary team. The subject is a 17-day-old male patient, with ankyloglossia and suction problems during breastfeeding (pain in the breastfeeding mother, poor weight gain, and long breastfeeds). The patient followed the circuit established in our centre between the services of Oral and Maxillofacial Surgery and Breastfeeding and Speech Therapy and Orofacial Rehabilitation (CELERE). The evolution following the breastfeeding sessions, the myofunctional stimulation, and the lingual frenotomy was very favourable, thereby solving the suction problems that the newborn presented. All our patients receive breastfeeding sessions and myofunctional therapy as treatment. We know that a frenotomy is not always necessary and we believe that the stimulation of sucking before and after the surgical intervention is important in order to improve the final result.
Service of Oral and Maxillofacial Surgery, Hospital de Nens de Barcelona, Barcelona, Spain; Service of Pediatric Dentistry, Hospital de Nens de Barcelona, Barcelona, Spain; Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
Elvira
0000-0003-1156-0743
E
Ferrés-Amat
Service of Speech and Orofacial Myofunctional Therapy, Hospital de Nens de Barcelona, Barcelona, Spain.
Tomasa
0000-0002-9704-5533
T
Pastor-Vera
Service of Pediatrics and Service of Human Lactation, Hospital de Nens de Barcelona, Barcelona, Spain.
Paula
0000-0002-4063-8872
P
Rodríguez-Alessi
Service of Oral and Maxillofacial Surgery, Hospital de Nens de Barcelona, Barcelona, Spain.
Eduard
0000-0002-3742-9770
E
Ferrés-Amat
Service of Oral and Maxillofacial Surgery, Hospital de Nens de Barcelona, Barcelona, Spain; Department of Oral and Maxillofacial Medicine and Oral Public Health, Faculty of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
Javier
0000-0003-4440-4114
J
Mareque-Bueno
Service of Oral and Maxillofacial Surgery, Hospital de Nens de Barcelona, Barcelona, Spain.
Eduard
0000-0002-9710-3131
E
Ferrés-Padró
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