Frenotomy in a newborn: Clinical case report
DOI:
https://doi.org/10.33448/rsd-v13i3.44318Keywords:
Ankyloglossia; Infant, newborn; Lingual frenum; Surgery, oral.Abstract
Ankyloglossia, or alteration of the lingual frenulum, is a congenital anomaly in which a small portion of tissue that should have undergone apoptosis during embryonic development remains present on the sublingual surface. The aim of this study was to report a clinical case of the diagnosis and treatment of ankyloglossia in a newborn who underwent frenotomy. The methodology used was the Clinical Case Report, supported by a review of the literature related to the case to provide the theoretical basis. Case report: A newborn female patient, seen by the multidisciplinary team in the maternity ward, was referred to the pediatric dentist 30 days after birth, for evaluation of the lingual frenulum "tongue test", and was diagnosed with ankyloglossia, submitted to lingual frenotomy and then breastfed. He responded well to post-surgery and gained weight as a result of being able to breastfeed properly. We conclude that the importance of diagnosing and treating these newborns is essential, since ankyloglossia can cause various problems, such as difficulties in breastfeeding, speech disorders, poor oral hygiene and bullying during childhood and adolescence.
References
Almeida, K. R. D., Leal, T. P., Kubo, H., Castro, T. E. S., & Ortolani, C. L. F. (2018). Lingual frenotomy in a newborn, from diagnosis to surgery: a case report. Revista CEFAC, 20, 258-262.
Andrade, E. D. (2014). Terapêutica medicamentosa em odontologia. Artes Médicas Editora.
Azeredo, M. S., Moreira, K. M., & Imparato, J. C. P. (2021). Frenotomia lingual em bebê como coadjuvante da amamentação: relato de caso clínico. Brazilian Oral Research, 35, 456.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Nota técnica nº 35/2018. (2018). Orientar profissionais e estabelecimentos de saúde sobre a identificação precoce da anquiloglossia em recém-nascidos, como também estabelecer o fluxo de acompanhamento dos lactentes diagnosticados com anquiloglossia na rede de atenção à saúde no âmbito do Sistema Único de Saúde – SUS. http://bvsms.saude.gov.br/bvs/publicacoes/anquiloglossia_ministerio_saude_26_11_2018_nota_tecnica_35.pdf"
Brzęcka, D., Garbacz, M., Micał, M., Zych, B., & Lewandowski, B. (2019). Diagnosis, classification and management of ankyloglossia including its influence on breastfeeding. Journal of Mother and Child, 23(1), 79-85.
Campanha, S. M. A., Martinelli, R. L. D. C., & Palhares, D. B. (2019). Association between ankyloglossia and breastfeeding. In Codas. 31, e20170264. Sociedade Brasileira de Fonoaudiologia.
Canadian Agency for Drugs and Technologies in Health. (2016). Frenectomy for the correction of ankyloglossia: a review of clinical effectiveness and guidelines. Ottawa: CADTH.
Capelario, E. D. F. S., da Silveira, R. E., de Albuquerque Silva, J. M. X., Fachini, M., Oliveira, A. C. S. R., Guedes, E. V. B., & Zanoni, R. D. (2023). Benefícios da cirurgia de frenectomia lingual e labial na qualidade de vida do paciente odontológico. Revista Eletrônica Acervo Saúde, 23(3), e12167-e12167.
Cassimiro, I. G. V., de Souza, P. G., Rodrigues, M. C., & Carneiro, G. K. M. (2019). A importância da amamentação natural para o sistema estomatognático. Revista uningá, 56(S5), 54-66.
CFO (2019). RESOLUÇÃO CFO-196, de 29 de janeiro de 2019. Disponível em: https://website.cfo.org.br/resolucao-cfo-196-2019/.
Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. Editora Artes Médicas. 6.3) Yin, R.K. (2015). O estudo de caso. Bookman.
Ganesan, K., Girgis, S., & Mitchell, S. (2019). Lingual frenotomy in neonates: past, present, and future. British Journal of Oral and Maxillofacial Surgery, 57(3), 207–213.
Ingram, J., Copeland, M., Johnson, D., & Emond, A. (2019). The development and evaluation of a picture tongue assessment tool for tongue-tie in breastfed babies (TABBY). International breastfeeding journal, 14(1), 1-5.
Martinelli, R. L. D. C., Marchesan, I. Q., Lauris, J. R., Honório, H. M., Gusmão, R. J., & Berretin-Felix, G. (2016). Validade e confiabilidade da triagem:" teste da linguinha". Revista CEFAC, 18, 1323-1331.
Martinelli, R. L. D. C. (2015). Validação do protocolo de avaliação do frênulo da língua em bebês (Doctoral dissertation, Universidade de São Paulo).
Martinelli, V. L. D. C., Martinelli, R. L. D. C., Marchesan, I. Q., Berretin-Felix, G., & Souza, S. D. R. S. D. (2017). Elaboração e desenvolvimento de um website sobre o teste da linguinha. Revista CEFAC, 19, 260-264.
O'Shea, J. E., Foster, J. P., O'Donnell, C. P., Breathnach, D., Jacobs, S. E., Todd, D. A., & Davis, P. G. (2017). Frenotomy for tongue-tie in newborn infants. Cochrane Database of Systematic Reviews.
Palmeira, P., & Carneiro-Sampaio, M. (2016). Immunology of breast milk. Revista da Associação Médica Brasileira, 62, 584-593.
Pompéia, L. E., Ilinsky, R. S., Ortolani, C. L. F., & Faltin, K. (2017). A influência da anquiloglossia no crescimento e desenvolvimento do sistema estomatognático. Revista Paulista de Pediatria, 35, 216-221.
da Silva Bonatti, É. Q. B., Ferreira, G. P., Ditzel, A. S., Fatturi, A. L., & Bettega, P. V. C. (2023). Anquiloglossia e Frenotomia Lingual em Bebês. Revista Gestão & Saúde, 1(25).
dos Santos Silva, R. R., Duarte, L. L. S., dos Santos Silva, S. J. R., Mendes, A. F. G., Marinho, J. N., Monteiro, Í. F., & da Silva Araújo, A. C. (2020). Frenotomia lingual em recém nascidos gemelares univitelinos: relato de caso. Research, Society and Development, 9(11), e1909119759-e1909119759.
Srinivasan, A., Al Khoury, A., Puzhko, S., Dobrich, C., Stern, M., Mitnick, H., & Goldfarb, L. (2018). Frenotomy in Infants with Tongue-Tie and Breastfeeding Problems. Journal of Human Lactation, 35(4), 706–712.
Susanibar, F., Santos, R., & Marchesan, I. (2017). Dia mundial da motricidade orofacial “Língua presa, funções orofaciais prejudicadas”. Revista CEFAC, 19, 3-6.
Walsh, J., & Tunkel, D. (2017). Diagnosis and treatment of ankyloglossia in newborns and infants: a review. JAMA Otolaryngology–Head & Neck Surgery, 143(10), 1032-1039.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Amina Kadja Martins Cahú; Janaína de Castro Vieira; Marina Rosa Barbosa; Laís Azevedo Lins de Holanda; Tiago José do Nascimento de Souza
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.