Objectives: Upper lip tie, without concomitant tongue tie, can prevent proper flanging of the upper lip during breastfeeding, resulting in a poor seal and suck for the infant with nipple pain and maternal dissatisfaction. Due to the lack of published studies on this subject, we report our technique and outcomes for in-office release of isolated upper lip tie. Methods: Using CPT Code 40,806 for 'incision of labial frenulum', 22 mother-infant dyads with infant age under 60 days with breastfeeding problems and a restrictive upper lip frenum were identified. These infants underwent in-office release of upper lip tie as detailed below. Outcomes of the procedure were assessed by a telephone survey to mothers within the 4-week period post-procedure. Results: 82% of mothers reported an improved latch and 73% noted increased satisfaction with breastfeeding. Lip pain, if present, resolved within 24 h for most children. Recurrence was reported by 9% of mothers; no infection or other complications occurred. Conclusion: Upper lip frenotomy, in properly selected infants, has favorable short-term outcomes with mild transient discomfort and a low rate of recurrence. Since our study was short-term and did not include a control group, we are unable to comment on procedure efficacy or long-term impact.
机构:
Oregon Clin, Div Otolaryngol Head & Neck Surg, Portland, OR USAOregon Clin, Div Otolaryngol Head & Neck Surg, Portland, OR USA
Ghaheri, Bobak A.
Cole, Melissa
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Luna Lactat, Portland, OR USAOregon Clin, Div Otolaryngol Head & Neck Surg, Portland, OR USA
Cole, Melissa
Fausel, Sarah C.
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h-index: 0
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Oregon Hlth & Sci Univ, Sch Med, Portland, OR 97201 USAOregon Clin, Div Otolaryngol Head & Neck Surg, Portland, OR USA
Fausel, Sarah C.
Chuop, Maria
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h-index: 0
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Oregon Hlth & Sci Univ, Sch Med, Portland, OR 97201 USAOregon Clin, Div Otolaryngol Head & Neck Surg, Portland, OR USA
Chuop, Maria
Mace, Jess C.
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h-index: 0
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Oregon Hlth & Sci Univ, Dept Otolaryngol Head & Neck Surg, Div Rhinol & Skull Base Surg, Portland, OR 97201 USAOregon Clin, Div Otolaryngol Head & Neck Surg, Portland, OR USA
机构:
Shaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, IsraelShaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Nakhash, Rizeq
Wasserteil, Natanel
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Shaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, IsraelShaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Wasserteil, Natanel
Mimouni, Francis B.
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h-index: 0
机构:
Shaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Tel Aviv Univ, Sackler Sch Med, Dept Pediat, Tel Aviv, IsraelShaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Mimouni, Francis B.
Kasirer, Yair M.
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Shaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, IsraelShaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Kasirer, Yair M.
Hammerman, Cathy
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h-index: 0
机构:
Shaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Hebrew Univ Jerusalem, Dept Pediat, Fac Med, Jerusalem, IsraelShaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Hammerman, Cathy
Bin-Nun, Alona
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Shaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Hebrew Univ Jerusalem, Dept Pediat, Fac Med, Jerusalem, IsraelShaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
机构:
Rady Childrens Hosp, San Diego, CA USA
Univ Calif San Diego, Div Otolaryngol Head & Neck Surg, San Diego, CA 92103 USARady Childrens Hosp, San Diego, CA USA
Pransky, Seth M.
Lago, Denise
论文数: 0引用数: 0
h-index: 0
机构:
Rady Childrens Hosp, San Diego, CA USARady Childrens Hosp, San Diego, CA USA
Lago, Denise
Hong, Paul
论文数: 0引用数: 0
h-index: 0
机构:
Dalhousie Univ, Div Otolaryngol Head & Neck Surg, Halifax, NS B3K 6R8, CanadaRady Childrens Hosp, San Diego, CA USA
机构:
Oregon Clin, Div Otolaryngol Head & Neck Surg, Portland, OR USAOregon Clin, Div Otolaryngol Head & Neck Surg, Portland, OR USA
Ghaheri, Bobak A.
Cole, Melissa
论文数: 0引用数: 0
h-index: 0
机构:
Luna Lactat, Portland, OR USAOregon Clin, Div Otolaryngol Head & Neck Surg, Portland, OR USA
Cole, Melissa
Fausel, Sarah C.
论文数: 0引用数: 0
h-index: 0
机构:
Oregon Hlth & Sci Univ, Sch Med, Portland, OR 97201 USAOregon Clin, Div Otolaryngol Head & Neck Surg, Portland, OR USA
Fausel, Sarah C.
Chuop, Maria
论文数: 0引用数: 0
h-index: 0
机构:
Oregon Hlth & Sci Univ, Sch Med, Portland, OR 97201 USAOregon Clin, Div Otolaryngol Head & Neck Surg, Portland, OR USA
Chuop, Maria
Mace, Jess C.
论文数: 0引用数: 0
h-index: 0
机构:
Oregon Hlth & Sci Univ, Dept Otolaryngol Head & Neck Surg, Div Rhinol & Skull Base Surg, Portland, OR 97201 USAOregon Clin, Div Otolaryngol Head & Neck Surg, Portland, OR USA
机构:
Shaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, IsraelShaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Nakhash, Rizeq
Wasserteil, Natanel
论文数: 0引用数: 0
h-index: 0
机构:
Shaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, IsraelShaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Wasserteil, Natanel
Mimouni, Francis B.
论文数: 0引用数: 0
h-index: 0
机构:
Shaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Tel Aviv Univ, Sackler Sch Med, Dept Pediat, Tel Aviv, IsraelShaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Mimouni, Francis B.
Kasirer, Yair M.
论文数: 0引用数: 0
h-index: 0
机构:
Shaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, IsraelShaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Kasirer, Yair M.
Hammerman, Cathy
论文数: 0引用数: 0
h-index: 0
机构:
Shaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Hebrew Univ Jerusalem, Dept Pediat, Fac Med, Jerusalem, IsraelShaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Hammerman, Cathy
Bin-Nun, Alona
论文数: 0引用数: 0
h-index: 0
机构:
Shaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
Hebrew Univ Jerusalem, Dept Pediat, Fac Med, Jerusalem, IsraelShaare Zedek Med Ctr, Dept Neonatol, POB 3235, IL-91031 Jerusalem, Israel
机构:
Rady Childrens Hosp, San Diego, CA USA
Univ Calif San Diego, Div Otolaryngol Head & Neck Surg, San Diego, CA 92103 USARady Childrens Hosp, San Diego, CA USA
Pransky, Seth M.
Lago, Denise
论文数: 0引用数: 0
h-index: 0
机构:
Rady Childrens Hosp, San Diego, CA USARady Childrens Hosp, San Diego, CA USA
Lago, Denise
Hong, Paul
论文数: 0引用数: 0
h-index: 0
机构:
Dalhousie Univ, Div Otolaryngol Head & Neck Surg, Halifax, NS B3K 6R8, CanadaRady Childrens Hosp, San Diego, CA USA