Abstract：
BACKGROUND: The study aims to describe the lingual laser frenotomy perioperative protocol for newborns with ankyloglossia with or without breastfeeding difficulties developed by Odontostomatology and Neonatology and Neonatal Intensive Care Units of the Aldo Moro University of Bari.
METHODS: Authors carried out a prospective observational cohort study. Newborns with ankyloglossia (classified by using both Coryllos\' and Hazelbaker\'s criteria) with or without difficult breastfeeding (according to Infant Breastfeeding Assessment Tool) underwent diode laser frenotomy (800 ± 10 nm; 5 W; continuous wave mode; contact technique; under topical anesthesia) and follow-up visits after seven and thirty days postoperatively. The authors analyzed as main outcomes the perioperative pain intensity measured by the C.R.I.E.S. scale, the occurrence of complications and quality of healing, the quality of breastfeeding, newborn\'s postoperative weight gain, maternal nipple pain, and the presence of lesions as secondary outcomes.
RESULTS: Fifty-six newborns were included in the current study. Intraoperative mean pain intensity was 5.7 ± 0.5 points, resolved within thirty postoperative minutes. Observed complications were mild punctuating bleeding, carbonization of the irradiated site, and transitory restlessness. All wounds were completely healed within the thirtieth postoperative day. During follow-up, a significant breastfeeding improvement was evident with satisfactory newborns\' weight gain and a significant reduction of nipple pain and lesions (p < .05).
CONCLUSIONS: Our lingual laser frenotomy protocol provided significant breastfeeding improvement in the mother-newborn dyads with low intraoperative pain and no significant complications.
METHODS: Authors carried out a prospective observational cohort study. Newborns with ankyloglossia (classified by using both Coryllos\' and Hazelbaker\'s criteria) with or without difficult breastfeeding (according to Infant Breastfeeding Assessment Tool) underwent diode laser frenotomy (800 ± 10 nm; 5 W; continuous wave mode; contact technique; under topical anesthesia) and follow-up visits after seven and thirty days postoperatively. The authors analyzed as main outcomes the perioperative pain intensity measured by the C.R.I.E.S. scale, the occurrence of complications and quality of healing, the quality of breastfeeding, newborn\'s postoperative weight gain, maternal nipple pain, and the presence of lesions as secondary outcomes.
RESULTS: Fifty-six newborns were included in the current study. Intraoperative mean pain intensity was 5.7 ± 0.5 points, resolved within thirty postoperative minutes. Observed complications were mild punctuating bleeding, carbonization of the irradiated site, and transitory restlessness. All wounds were completely healed within the thirtieth postoperative day. During follow-up, a significant breastfeeding improvement was evident with satisfactory newborns\' weight gain and a significant reduction of nipple pain and lesions (p < .05).
CONCLUSIONS: Our lingual laser frenotomy protocol provided significant breastfeeding improvement in the mother-newborn dyads with low intraoperative pain and no significant complications.
摘要：
背景：该研究旨在描述由巴里的奥尔多莫罗大学的齿科口腔医学和新生儿科和新生儿重症监护病房开发的有或没有母乳喂养困难的新生儿舌下激光切开手术围手术期方案。
方法：作者进行了一项前瞻性观察性队列研究。有或没有困难的母乳喂养（根据婴儿母乳喂养评估工具）的新生儿进行了二极管激光肾切开术（800±10nm；5W；连续波模式；接触技术；局部麻醉），并在术后7天和30天后进行随访。作者分析了通过C.R.I.E.S.量表测量的围手术期疼痛强度作为主要结果，并发症的发生和愈合质量，母乳喂养的质量，新生儿术后体重增加，产妇乳头疼痛,和病变的存在作为次要结果。
结果：本研究纳入了56名新生儿。术中平均疼痛强度为5.7±0.5分,在术后30分钟内解决。观察到的并发症有轻度的点状出血，辐照部位的碳化，和短暂的不安。所有伤口在术后第30天内完全愈合。随访期间,母乳喂养明显改善,新生儿体重增长满意,乳头疼痛和病变显著减少(p<.05).
结论：我们的舌侧激光神经环切开术方案显著改善了母亲-新生儿的母乳喂养，术中疼痛低，无明显并发症。
方法：作者进行了一项前瞻性观察性队列研究。有或没有困难的母乳喂养（根据婴儿母乳喂养评估工具）的新生儿进行了二极管激光肾切开术（800±10nm；5W；连续波模式；接触技术；局部麻醉），并在术后7天和30天后进行随访。作者分析了通过C.R.I.E.S.量表测量的围手术期疼痛强度作为主要结果，并发症的发生和愈合质量，母乳喂养的质量，新生儿术后体重增加，产妇乳头疼痛,和病变的存在作为次要结果。
结果：本研究纳入了56名新生儿。术中平均疼痛强度为5.7±0.5分,在术后30分钟内解决。观察到的并发症有轻度的点状出血，辐照部位的碳化，和短暂的不安。所有伤口在术后第30天内完全愈合。随访期间,母乳喂养明显改善,新生儿体重增长满意,乳头疼痛和病变显著减少(p<.05).
结论：我们的舌侧激光神经环切开术方案显著改善了母亲-新生儿的母乳喂养，术中疼痛低，无明显并发症。
