TRIAL DESIGN A randomised, parallel group, pragmatic trial. SETTING A large UK maternity hospital. PARTICIPANTS Term infants <2 weeks old with a mild or moderate degree of tongue-tie, and their mothers who were having difficulties breastfeeding. OBJECTIVES To determine if immediate frenotomy was better than standard breastfeeding support. INTERVENTIONS Participants were randomised to an...

BACKGROUND Persistent nipple pain is one of the most common reasons given by mothers for ceasing exclusive breastfeeding. We aimed to determine the frequency of nipple pain as a reason for consultation, the most common attributed aetiologies, and the effectiveness of the advice and treatment given. METHODS All consultations at the Breast Feeding Centre of Western Australia (WA) were audited o...

Background: The tongue is one of the most important organs in oral cavity, and its lesions are a health concern for healthcare providers patients. Limited epidemiological studies have evaluated children. present study aimed to evaluate prevalence various on population Iranian students. Methods: A total 2051 students, aged 7–12 years, were randomly selected from elementary schools Kerman using r...

Objective. To determine the fecal incontinence and recurrence rate in patients with complex fistula in ano managed with cable tie seton at a tertiary care teaching hospital. Methods. This is a prospective case series of patients with complex anal fistula i.e. recurrent fistula or encircling >30% of external anal sphincter, managed with cable tie seton from March 2003 to March 2009. Patients wer...

AIMS Currently there is debate on how best to manage young infants with tongue-tie who have breastfeeding problems. One of the challenges is the subjectivity of the outcome variables used to assess efficacy of tongue-tie division. This structured review documents how the argument has evolved. It proposes how best to assess, inform and manage mothers and their babies who present with tongue-tie ...