History of Frenotomy for Ankyloglossia

Frenotomy is known to have been performed as far back as the early 20th century. The procedures often had complications such as bleeding and infection. As a result the procedure fell out of popularity for some time.

Popularity of casual frenotomy in the early 20th century

Procedure fraught with complications: bleeding, infection, scarring, "regenerating"

Fell into disrepute in the mid 20th century

Concurrent popularity of formula feeding

Older and recent text books claimed frenotomy unnecessary

Current resurgence of breastfeeding demands revisit of topic

Video Chapter 2: Performing Frenuloplasty

Video Chapter 2: Performing Frenuloplasty

Frenotomy Procedure

Frenotomy is a procedure that requires sterile instruments and should be performed in a doctor's office or neonatal clinic.

A surgical procedure involving clipping of the lingual frenulum parallel to the tongue

Must be familiar with oral anatomy

Requires aseptic technique and sterile instruments

Neonatal, outpatient or office procedure

No anesthesia if performed under 3-4 months

Minimal blood loss

Infant may breastfeed immediately after procedure