What does this research mean for the field?

A microscopically guided, anatomically comprehensive approach to infant lingual frenulum release achieves high success rates (98.97%) and low revision rates (0.85%) with minimal complications in an office setting. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.SUPPORTS_CONSENSUS.

What question did this study set out to answer?

To evaluate the efficacy, complication profile, and revision rates of an in-office frenulotomy protocol tailored to the three-dimensional anatomy of the infant lingual frenulum.

September 3, 2026Ear Nose & Throat JournalOpen Access

A Protocol for In-Office Management of Infant Ankyloglossia

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Authors

RDRobert DuncheskieTemple University GIGlenn IsaacsonTemple University Hospital

Discussion

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Implication

Retrospective case series demonstrates high success and low revision rates with in-office frenulotomy in infants with ankyloglossia, suggesting comprehensive release optimizes feeding outcomes.

Key Points

To evaluate the efficacy, complication profile, and revision rates of an in-office frenulotomy protocol tailored to the three-dimensional anatomy of the infant lingual frenulum.
Retrospective case series of infants with ankyloglossia evaluated between 2002 and 2023 at a single academic pediatric otolaryngology practice (N=585 treated of 1,367 evaluated).
Infants underwent in-office frenulotomy with complete division to the sublingual fold, followed by central dissection of floor-of-mouth fascia and genioglossus fibers if functional release remained incomplete.
Successful release with improved tongue mobility or feeding occurred in 98.97% of treated infants (anterior division alone in 91.45%; posterior release in 8.55%).
Surgical revision was required in 5 infants (0.85%), and procedural complications were limited to 1 child requiring silver nitrate cautery for bleeding.

Cite This Study

Duncheskie et al. (2026) studied this question.

synapsesocial.com/papers/6a993592636c6408cfa7ddcb https://doi.org/10.1177/01455613261486890

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Implication

Retrospective case series demonstrates high success and low revision rates with in-office frenulotomy in infants with ankyloglossia, suggesting comprehensive release optimizes feeding outcomes.

A Protocol for In-Office Management of Infant Ankyloglossia

Discussion

Member takes

Implication

Key Points

Cite This Study

A Protocol for In-Office Management of Infant Ankyloglossia

Discussion

Member takes

Implication

Key Points

Cite This Study

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