Eficacia del tratamiento del frenillo lingual

Efficacy of Neonatal Release of Ankyloglossia: A Randomized Trial

Melissa Buryk, MD,
David Bloom, MD,
Timothy Shope, MD, MPH

Pediatrics Vol. 128, No. 2, August 1, 2011, pp. 280 -288

BACKGROUND: Ankyloglossia has been associated with a variety of infant-feeding problems. Frenotomy commonly is performed for relief of ankyloglossia, but there has been a lack of convincing data to support this practice.


OBJECTIVES: Our primary objective was to determine whether frenotomy for infants with ankyloglossia improved maternal nipple pain and ability to breastfeed. A secondary objective was to determine whether frenotomy improved the length of breastfeeding.


METHODS: Over a 12-month period, neonates who had difficulty breastfeeding and significant ankyloglossia were enrolled in this randomized, single-blinded, controlled trial and assigned to either a frenotomy (30 infants) or a sham procedure (28 infants). Breastfeeding was assessed by a preintervention and postintervention nipple-pain scale and the Infant Breastfeeding Assessment Tool. The same tools were used at the 2-week follow-up and regularly scheduled follow-ups over a 1-year period. The infants in the sham group were given a frenotomy before or at the 2-week follow-up if it was desired.


RESULTS: Both groups demonstrated statistically significantly decreased pain scores after the intervention. The frenotomy group improved significantly more than the sham group (P < .001). Breastfeeding scores significantly improved in the frenotomy group (P = .029) without a significant change in the control group. All but 1 parent in the sham group elected to have the procedure performed when their infant reached 2 weeks of age, which prevented additional comparisons between the 2 groups.


CONCLUSIONS: We demonstrated immediate improvement in nipple-pain and breastfeeding scores, despite a placebo effect on nipple pain. This should provide convincing evidence for those seeking a frenotomy for infants with signficant ankyloglossia.

Conferencia "Prematuros extremos" en el Colegio de Médicos de Castellón

El Ilustre Colegio Oficial de Médicos de Castellón y la Real Academia de Medicina de la Comunitat Valenciana, han organizado para el próximo jueves, día 14 de abril, una conferencia sobre “Prematuros Extremos". ¿Es posible establecer un límite de viabilidad?”

Lugar: Salón de Actos del Colegio de Médicos de Castellón. Hora: 19.00 horas

Disertación de la conferencia a cargo de:

Sr. Dr. D. Ricardo Tosca Segura: Jefe de Sección de la Unidad de Cuidados Intensivos Neonatales y Pediátricos del Hospital General de Castellón

Acto presentado por: Sr. Dr. D. Luis Lizán Tudela: Académico Correspondiente

Asamblea de socios del GEN-CS - 2011

El 10 de marzo de 2011 se celebró en el Hospital General de Castellón la Asamblea ordinaria de socios del GEN-CS. En ella se procedió a la lectura y aprobación del acta anterior, se aprobaron los presupuestos y se comentaron las actividades de las diversas vocalías.