Frenotomy for tongue-tie in newborn infants (Protocol)

This is the protocol for a review and there is no abstract. The objectives are as follows: To determine whether frenotomy is safe and effective in improving ability to feed orally in infants younger than three months of age with tongue-tie (and problems feeding). Subgroup analysis • Severity of tongue-tie before frenotomy as measured by a validated tool (e.g. ATLFF (scores < 11; scores ≥ 11)) (Hazelbaker 1993). • Gestational age at birth (< 37 weeks’ gestation; 37 weeks’ gestation and above). • Method of feeding (breast or bottle). • Age at frenotomy (≤ 10 days of age; > 10 days to three months of age). • Severity of feeding difficulty (infants with feeding difficulty affecting weight gain (as assessed by the infant’s not regaining birth weight by day 14 or falling off centiles); infants with symptomatic feeding difficulty but thriving (greater than birth weight by day 14 and tracking centiles)).