Cochrane Database Syst Rev March 2017 PMID 28284020

Frenotomy for tongue-tie in newborn infants.

Joyce E O'Shea, Jann P Foster, Colm Pf O'Donnell, Deirdre Breathnach, Susan E Jacobs, David A Todd, Peter G Davis

Mentions

48
Peak: 8 in Mar 2017
across 5 sources since Mar 2017

Extended reach

729,432
potential audience

Total likes

90

Video views

4,901

Mentions per month

Mar 2017 – Nov 2024

Where it's discussed

  • News19 articles
  • X / Twitter15 posts
  • Facebook10 posts
  • YouTube2 videos
  • Instagram2 posts

AI synopsis

What people are saying

The overall tone reflects high interest, as users discuss the limited and weak evidence supporting frenotomy's effectiveness, with some citing personal experiences and criticising the lack of conclusive results. Words like 'insufficient evidence,' 'weak studies,' and 'misleading information' demonstrate skepticism and concern, which reduce perceived agreement but foster active engagement and ongoing debate.

AgreementLow agreement

Most discussions express skepticism or critique the evidence, indicating mild disagreement with the publication's optimistic implications.

InterestHigh interest

Many posts show high curiosity about the subject, referencing ongoing debates, studies, and expert opinions.

EngagementModerate engagement

Posts actively discuss methodology, mention studies, and reference experts, demonstrating a moderate level of engagement.

ImpactNeutral impact

The discussions highlight ongoing scientific and clinical debates but do not suggest immediate widespread change, indicating a neutral impact.

Abstract in brief

  • This text discusses the condition called tongue-tie (ankyloglossia) in newborns, which is when the tissue under the tongue is tight and may hinder breastfeeding, causing nipple pain in mothers.
  • Frenotomy, a simple surgical procedure to cut the frenulum, is evaluated for safety and effectiveness in improving the infant's ability to feed, especially in those with feeding difficulties, and various factors such as severity, gestational age, and age at intervention are considered.
  • The research involved searching multiple medical databases for high-quality studies up to January 2017, focusing on trials comparing frenotomy to no procedure or sham, to determine whether the procedure better facilitates feeding in infants younger than three months.

Top posts

Most liked on X and Bluesky
Dr Ruth Ann Harpur
@drruthannharpur · X

Cochrane review: ➡️small, methodologically weak studies suggest a possible effect on nipple pain (I'm not convinced as studies are weak and pain ratings subjective) ➡️insufficient evidence that frenotomy (tongue tie surgery) improves breastfeeding https://t.co/5Kx8rnqet7

Nov 24, 2024 · 37 likes · 8,000 followers View post →
sho(歯科医師)
@sho_el · X

舌小帯についてはコクランレビューがあって、授乳時の痛みの短期的な軽減には効果がありそうだけど母乳育児に関するメリットは一貫せず、サンプル数が少ないことが課題とされていた。 https://t.co/s4kL31Ywr3

Jan 4, 2024 · 8 likes · 20,901 followers View post →
Dr Ruth Ann Harpur
@drruthannharpur · X

@kiityc @vk_wilde @RMatthewsPsyEdu But inconclusively they found some improvement in mother’s nipple pain and no clear evidence of improved breastfeeding so… why is the nhs providing misleading information here? https://t.co/5Kx8rnqet7

Sep 20, 2022 · 2 likes · 8,000 followers View post →
Infant Feeding Alliance
@FeedingAlliance · X

@sue_haddon @RMatthewsPsyEdu @NatMatVoicesorg But the evidence on frenotomy for tongue ties is fairly equivocal so another example of services putting the cart before the horse. We await the results of the FROSTTIE study with interest Cochrane review here: https://t.co/novXDLmKWv Commentary here: https://t.co/bBQtGFfeio

Feb 23, 2021 · 2 likes · 1,285 followers View post →
José M. Campos
@nanofilus · X

@ndanmontero @SEPEAP No he encontrado buena evidencia a favor de este procedimiento. Frenotomy for tongue-tie in newborn infants. Cochrane Database of Systematic Reviews 2017, Issue 3. Art. No.: CD011065. DOI: 10.1002/14651858.CD011065.pub2

Dec 27, 2019 · 2 likes · 1 share · 355 followers View post →
Renée Hoenderkamp
@DrHoenderkamp · X

This weeks VLOG covers the controversial issue of Tongue Tie division/cutting in newborns. Should we be doing it? Are there other ways to avoid this procedure. I discuss it here with Clare Byam-Cook, breastfeeding expert. https://t.co/0Jamt0eLMu #tonguetie #breastfeeding

May 19, 2019 · 1 like · 164,782 followers View post →

All mentions

Dr Ruth Ann Harpur
@drruthannharpur · X

Cochrane review: ➡️small, methodologically weak studies suggest a possible effect on nipple pain (I'm not convinced as studies are weak and pain ratings subjective) ➡️insufficient evidence that frenotomy (tongue tie surgery) improves breastfeeding https://t.co/5Kx8rnqet7

Nov 24, 2024 · 37 likes · 8,000 followers View post →
sho(歯科医師)
@sho_el · X

舌小帯についてはコクランレビューがあって、授乳時の痛みの短期的な軽減には効果がありそうだけど母乳育児に関するメリットは一貫せず、サンプル数が少ないことが課題とされていた。 https://t.co/s4kL31Ywr3

Jan 4, 2024 · 8 likes · 20,901 followers View post →
Maggie Mustaklem
@maggieselfie · X

From the study they linked to: "the total number of infants studied was small." NYT, you can do better. There is not one report of it positively helping BF and I know quite a few mothers / babies it did help personally. https://t.co/IQkPi0xvoh

Dec 18, 2023 · 414 followers View post →
Dr Ruth Ann Harpur
@drruthannharpur · X

@annacos1341 We shouldn't be asked to prove a negative! There should be rigorous justification before performing surgery on healthy newborns. This is a decent review https://t.co/5Kx8rnqet7

Aug 5, 2023 · 1 like · 8,000 followers View post →
Dr Ruth Ann Harpur
@drruthannharpur · X

@kiityc @vk_wilde @RMatthewsPsyEdu But inconclusively they found some improvement in mother’s nipple pain and no clear evidence of improved breastfeeding so… why is the nhs providing misleading information here? https://t.co/5Kx8rnqet7

Sep 20, 2022 · 2 likes · 8,000 followers View post →
Alison Stuebe
@astuebe · X

Cochrane review -> 5 RCTs https://t.co/u22vZAS1BY "Frenotomy reduced breastfeeding mothers’ nipple pain in the short term. Investigators did not find a consistent positive effect on infant breastfeeding... 1/

Sep 16, 2022 · 6,362 followers View post →
Dr Ruth Ann Harpur
@drruthannharpur · X

@NatashaMDay @dranniehickox @sue_haddon @dean_deanhough @TheStoicSailor @leahtova @FeedingAlliance Evidence for tongue tie surgery is very weak https://t.co/ovxjfRFGXF. https://t.co/5Kx8rnqet7

Mar 23, 2022 · 1 like · 8,000 followers View post →
Tom Marshall
@TomPMarshall · X

@citzgirl @alexanddelia "snip as soon as discovered, avoiding surgery and speech problems" I think the debate is about whether the operation works. - this review found evidence of reduced nipple pain but no consistent effect on breastfeeding https://t.co/YukTseD3WC

Jun 14, 2021 · 3,259 followers View post →
Infant Feeding Alliance
@FeedingAlliance · X

@sue_haddon @RMatthewsPsyEdu @NatMatVoicesorg But the evidence on frenotomy for tongue ties is fairly equivocal so another example of services putting the cart before the horse. We await the results of the FROSTTIE study with interest Cochrane review here: https://t.co/novXDLmKWv Commentary here: https://t.co/bBQtGFfeio

Feb 23, 2021 · 2 likes · 1,285 followers View post →
Rosa Romero
@rromeronline · X

RT @nanofilus: @ndanmontero @SEPEAP No he encontrado buena evidencia a favor de este procedimiento. Frenotomy for tongue-tie in newborn inf…

Dec 27, 2019 · 1 share · 510 followers View post →
José M. Campos
@nanofilus · X

@ndanmontero @SEPEAP No he encontrado buena evidencia a favor de este procedimiento. Frenotomy for tongue-tie in newborn infants. Cochrane Database of Systematic Reviews 2017, Issue 3. Art. No.: CD011065. DOI: 10.1002/14651858.CD011065.pub2

Dec 27, 2019 · 2 likes · 1 share · 355 followers View post →
Renée Hoenderkamp
@DrHoenderkamp · X

So sad that @staceysoloman has gone this route. My VLOG speaks to a lactation expert who says its all nonsense and all about latch. https://t.co/0Jamt0eLMu https://t.co/po6n3hq50N #tonguetie

Dec 15, 2019 · 164,782 followers View post →
Renée Hoenderkamp
@DrHoenderkamp · X

RT @DrHoenderkamp: Tongue Tie division/cutting - should we doing this to our babies? https://t.co/0Jamt0eLMu via @YouTube

May 27, 2019 · 1 share · 164,782 followers View post →
Renée Hoenderkamp
@DrHoenderkamp · X

Tongue Tie division/cutting - should we doing this to our babies? https://t.co/0Jamt0eLMu via @YouTube

May 23, 2019 · 1 share · 164,782 followers View post →
Renée Hoenderkamp
@DrHoenderkamp · X

This weeks VLOG covers the controversial issue of Tongue Tie division/cutting in newborns. Should we be doing it? Are there other ways to avoid this procedure. I discuss it here with Clare Byam-Cook, breastfeeding expert. https://t.co/0Jamt0eLMu #tonguetie #breastfeeding

May 19, 2019 · 1 like · 164,782 followers View post →
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