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CompletedNCT00967915Updated May 10, 2024

Efficacy of Neonatal Release of Ankyloglossia

An interventional study of Frentomy and Sham procedure in Ankyloglossia, sponsored by United States Naval Medical Center, Portsmouth. Completed at 1 site in United States. Open to participants aged 0 Days to 14 Days, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-05-10.

Sponsored by United States Naval Medical Center, Portsmouth · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
58
Allocation
Randomized
Ages
0 Days to 14 Days
Sex
All
01

Study summary

The purpose of this study is to determine if frenotomy for ankyloglossia will improve infant breastfeeding, decrease maternal nipple pain and increase duration of breastfeeding with the hypothesis that frenotomy will do all of the above.

Read the detailed description

The primary objective of our study is to determine if frenotomy (or release of tongue tie) for ankyloglossia (tongue tie) will decrease maternal nipple pain with breast feeding and improve infant's ability to breast feed. Our secondary objective is to determine if frenotomy for ankyloglossia will improve the length of time a mother breast feeds. Our hypothesis is that frenotomy will decrease maternal nipple pain, improve infant's breast feeding and prolong the duration of breast feeding.

02

Conditions studied

  • Ankyloglossia

Keywords

  • Ankyloglossia
  • Tongue tie
  • Frenotomy
  • Frenulectomy
  • Breast feeding
  • HATLFF
  • IBFAT
03

In context

Ankyloglossia

29 studies on the registry are indexed under Ankyloglossia; 8 are open to participants now.

This study's enrollment of 58 is below the median of 110 across 21 interventional studies indexed under Ankyloglossia.

Browse Ankyloglossia studies →

Lead sponsor

United States Naval Medical Center, Portsmouth is the lead sponsor of 19 studies on the registry; 4 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
0 Days to 14 Days
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Significant ankyloglossia as judged by Hazelbaker scale (HATLFF)
  • Report of maternal nipple pain with feeding
  • Report of difficulty with infant breast feeding

Exclusion criteria

Exclusion Criteria:

  • Significant craniofacial defects
  • Age >14 days at enrollment
  • Any maternal contraindication to breastfeeding
  • Neurologic defects that would impair breast feeding
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single
Enrollment
58 participants (actual)

Study arms

  • Experimental
    Frenotomy

    Group of neonates that will receive frenotomy for tongue-tie

    Procedure: Frentomy

  • Sham comparator
    No frenotomy

    Group of infants that will undergo sham procedure (no frenotomy performed)

    Other: Sham procedure

Interventions

  • ProcedureFrentomy

    Frenotomy will be performed. This procedure involves crushing frenulum tissue with straight hemostat for hemostasis and anesthesia while tongue is elevated with elevator. Frenulum then cut to desired length with iris scissors. Patient then returned to parents and immediately breastfeeds without parent observing infant's mouth.

  • OtherSham procedure

    Infant taken into room away from parents and no frenotomy performed. Infant's mouth is examined but no interventions made.

06

What researchers measure

Primary outcomes

  1. Maternal nipple pain as judged by R. Melzack's short form pain scale and infant breast feeding as judged by IBFAT scale

    Time frame: immediately following 1st breast feed, and at 2 week, 2,4,6 12 month follow ups

Secondary outcomes

  1. Length of breast feeding

    Time frame: 1 year follow up

07

Study locations

1 site
  • Naval Medical Center Portsmouth
    Portsmouth, Virginia 23708, United States
08

References and documents

Publications

  • Buryk M, Bloom D, Shope T. Efficacy of neonatal release of ankyloglossia: a randomized trial. Pediatrics. 2011 Aug;128(2):280-8. doi: 10.1542/peds.2011-0077. Epub 2011 Jul 18. PubMed 21768318 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 10, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00967915
Lead sponsor
United States Naval Medical Center, Portsmouth
Responsible party
Sponsor
First posted
Aug 28, 2009
Start date
Nov 2007
Primary completion
Jul 2009
Completion
Jul 2009
Last update
May 10, 2024

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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