Re: Strengthening the evidence base on frenulotomy

Alan Emond, ,

Other Contributors:

March 19, 2014

Dear Editors:

We read Val Finigan's letter with interest, and agree with her experience that most mothers do report an improvement in the comfort and efficacy of breastfeeding after their baby has had a frenotomy. The difficulty is in showing objective improvement in breastfeeding after division of less severe degrees of tongue tie.

In the Bristol Tongue Tie Trial, the median age of the babies at recruitment was 5 days, and the median age at follow-up for the primary outcome was 11 days. We are now planning a larger trial of frenotomy, involving all degrees of tongue tie, with a primary outcome 2 weeks after recruitment, using a more detailed tool to assess breastfeeding. For more information on the proposed trial design, please contact

Yours sincerely,

Alan Emond

Jenny Ingram

Centre for Child and Adolescent Health, University of Bristol

Conflict of Interest:

None declared

Conflict of Interest

None declared