Comparison of Frenotomy Techniques On LATCH Score in Infants with Ankyloglossia at Phangnga Hospital : A Randomized Controlled Trial
Keywords:
Ankyloglossia, Frenotomy, LATCH scoreAbstract
Background: Ankyloglossia affected infant breastfeeding. Several surgical techniques were used to treat ankyloglossia, with scissor frenotomy and electrocautery frenotomy being the most commonly used methods. However, there was no clear consensus regarding the effects of these two surgical techniques on maternal breastfeeding.
Objectives: To compare the effects of scissor frenotomy and electrocautery frenotomy on LATCH scores, wound healing, and postoperative complications.
Materials and Methods: This randomized controlled trial was conducted among newborn infants diagnosed with ankyloglossia associated with breastfeeding difficulties at Phang Nga Hospital between June 2024 and January 2025. Eligible infants underwent lingual frenotomy and were randomly assigned to either the scissor group or the electrocautery group.
Results: Thirty newborns underwent scissor frenotomy and thirty underwent electrocautery frenotomy. There were no statistically significant differences in LATCH scores between the two groups before surgery and on postoperative days 1 and 7. Evaluation of wound healing on postoperative day 7 demonstrated that the healing index was significantly higher in the scissor group than in the electrocautery group (p < 0.05). No postoperative complications were observed in either group.
Conclusion: Both scissor and electrocautery frenotomy effectively treated newborns with ankyloglossia and breastfeeding difficulties. LATCH scores did not differ significantly between the two techniques. However, scissor frenotomy resulted in better wound healing, and no postoperative complications were identified in either group.
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นลิขสิทธิ์ของมหาราชนครศรีธรรมราชเวชสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากวารสารมหาราชนครศรีธรรมราชเวชสาร ก่อนเท่านั้น
