This study aims to show a correlation between aerophagia in infants with tethered oral tissues (TOT’s) consisting of ankyloglossia and shortened maxillary labial frenula (tongue and lip-tie) and reflux. Currently there is little to no data on aerophagia as a possible cause of reflux in infants. Infants with tongue and possibly lip tie often have a poor latch in which there is often an inadequate seal around the breast and inefficient transfer of milk. As a result many of these infants swallow air during breastfeeding. Many of these infants suffer from symptoms of reflux. This study and results to demonstrate a correlation of ankyloglossia and shortened maxillary labial frenula with aerophagia and reflux.Treatment of these infants with a relatively simple frentomy procedure may reduce or eliminate reflux in this population.
Learning Objectives:
Objective 1: Discuss pathophysiology of infantile reflux vs Aerophagia Induced Reflux (AIR)
Objective 2:Describe role of lip/tongue tie in aerophagia induced reflux (AIR)
Objective 3: Explain treatment with frenotomy/frenectomy for AIR.
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