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Efficacy of Neonatal Release of Ankyloglossia

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ClinicalTrials.gov Identifier: NCT00967915
Recruitment Status : Completed
First Posted : August 28, 2009
Last Update Posted : August 28, 2009
Sponsor:
Information provided by:
United States Naval Medical Center, Portsmouth

Brief Summary:
The purpose of this study is to determine if frenotomy for ankyloglossia will improve infant breastfeeding, decrease maternal nipple pain and increase duration of breastfeeding with the hypothesis that frenotomy will do all of the above.

Condition or disease Intervention/treatment Phase
Ankyloglossia Procedure: Frentomy Other: Sham procedure Not Applicable

Detailed Description:
The primary objective of our study is to determine if frenotomy (or release of tongue tie) for ankyloglossia (tongue tie) will decrease maternal nipple pain with breast feeding and improve infant's ability to breast feed. Our secondary objective is to determine if frenotomy for ankyloglossia will improve the length of time a mother breast feeds. Our hypothesis is that frenotomy will decrease maternal nipple pain, improve infant's breast feeding and prolong the duration of breast feeding.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 58 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single
Primary Purpose: Treatment
Official Title: Efficacy of Neonatal Release of Ankyloglossia
Study Start Date : November 2007
Actual Primary Completion Date : July 2009

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Breastfeeding

Arm Intervention/treatment
Experimental: Frenotomy
Group of neonates that will receive frenotomy for tongue-tie
Procedure: Frentomy
Frenotomy will be performed. This procedure involves crushing frenulum tissue with straight hemostat for hemostasis and anesthesia while tongue is elevated with elevator. Frenulum then cut to desired length with iris scissors. Patient then returned to parents and immediately breastfeeds without parent observing infant's mouth.

Sham Comparator: No frenotomy
Group of infants that will undergo sham procedure (no frenotomy performed)
Other: Sham procedure
Infant taken into room away from parents and no frenotomy performed. Infant's mouth is examined but no interventions made.




Primary Outcome Measures :
  1. Maternal nipple pain as judged by R. Melzack's short form pain scale and infant breast feeding as judged by IBFAT scale [ Time Frame: immediately following 1st breast feed, and at 2 week, 2,4,6 12 month follow ups ]

Secondary Outcome Measures :
  1. Length of breast feeding [ Time Frame: 1 year follow up ]


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Ages Eligible for Study:   up to 14 Days   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Significant ankyloglossia as judged by Hazelbaker scale (HATLFF)
  • Report of maternal nipple pain with feeding
  • Report of difficulty with infant breast feeding

Exclusion Criteria:

  • Significant craniofacial defects
  • Age >14 days at enrollment
  • Any maternal contraindication to breastfeeding
  • Neurologic defects that would impair breast feeding

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00967915


Locations
United States, Virginia
Naval Medical Center Portsmouth
Portsmouth, Virginia, United States, 23708
Sponsors and Collaborators
United States Naval Medical Center, Portsmouth

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: NCT00967915     History of Changes
Other Study ID Numbers: 2007.0077
First Posted: August 28, 2009    Key Record Dates
Last Update Posted: August 28, 2009
Last Verified: August 2009

Keywords provided by United States Naval Medical Center, Portsmouth:
Ankyloglossia
Tongue tie
Frenotomy
Frenulectomy
Breast feeding
HATLFF
IBFAT

Additional relevant MeSH terms:
Ankyloglossia
Stomatognathic Diseases