Protocolos para avaliação de frênulo lingual em recém-nascidos.

Abstract

Ankyloglossia is a clinical condition identified as one of the factors that can interfere with the quality of breastfeeding, reducing the newborn's ability to latch and suck, making it difficult to correctly stimulate milk production and emptying the breast, and consequently causing reports of pain in mothers during their important breastfeeding processes. The prevalence of the ankyloglossia condition listed in the literature varies between 3 and 16% and the main reason for this wide variation is the lack of standardization or even accepted clinical criteria for making a correct diagnosis. The prevalence is higher in studies investigating newborns (1.7% to 10.7%) than in studies investigating children, adolescents or adults (0.1% to 2.08%). Therefore, the present work aims to carry out a literature review on ankyloglossia, proposing a standard multidisciplinary protocol, with the purpose of personalized assessment assessment of the tongue frenulum in newborns in the country. Furthermore, know which areas of health are involved in the proposals and/or elaboration of existing protocols; about the 2014 Law, which makes it mandatory to carry out the Tongue Frenulum Assessment Protocol in babies in all hospitals and maternity wards in Brazil; analyze and compare existing protocols between 2010 and 2023. The study showed that there are a variety of language assessment tools available, but between 2010 and 2023 there are few new creations on the subject, reinforcing the fact that none are applied universally. After analyzing the tools created during this period, the protocol with the most positive points for indicating a standard protocol would be based on the didactics of the BTAT protocol by Ingram et. al, as it is objective for application by any professional, but with the indication of adding breastfeeding issues, thus promoting greater control over the process of diagnosing the lingual frenulum in all its interference topics trained to date, avoiding restrictions mistaken interventions and professional conduct.