More cautiousness for lingual frenotomy in newborns and infants!

More cautiousness for lingual frenotomy in newborns and infants! Press release of the French National Academy of Medicine (*) April 26, 2022 Section (frenotomy) or excision (frenectomy) of the tongue frenulum in newborns or infants involves surgically cutting (with scissors or laser) a short and/or thick tongue frenulum to restore the amplitude of movement of the mobile tongue, in particular its p. [...] One can only wonder before the spectacular increase, in France and throughout the world, of lingual frenotomy which, performed very soon after the stay in maternity, would then facilitate breastfeeding that is both effective for the newborn and the infant, and make it painless for the mother: more than 420% in Australia in about ten years [1,2,3]. [...] Thus, a very anterior location of tongue-tie attached to the tip of the tongue and/or its thickness is not an indication for surgery if this does not interfere with sucking, - the lack of scientific evidence, due to a lack of rigorous methodology, as to: - the usefulness of surgically cutting the tongue frenulum to improve milk transfer and/or relieve nipple pain, - the assessment of the optimal a. [...] - despite the simplicity of the surgical procedure, the possible occurrence of complications of which the parents must be informed, even if they remain rare: hemorrhages, collateral tissue damage, obstruction of the respiratory tract, breastfeeding refusal, oral aversion, infection, increased post-surgery breastfeeding duration. [...] In the absence of breastfeeding difficulties, the presence of a short and/or thick tongue frenulum is not in itself an indication for frenotomy, which is an aggressive and potentially dangerous procedure for newborns or infants and should not be performed.