Pedipedia - Enciclopédia Pediátrica Online

Alterações benignas da pele no RN

Destacam-se:

• mancha mongólica;
• eritema tóxico;
• millium/milia;
• hemangioma plano, comum na nuca;
• https://www.youtube.com/watch?v=jQ4mq2PnrrE

Anquiloglossia — relacionada com o frénulo/freio da língua

Oral issues like tongue and lip ties develop in the womb as a result of a gene mutation passed on as a dominant trait.

A baby born with a tongue-tie, or ankyloglossia, will have an overly short or thick frenulum that restricts the tongue’s movement. The frenulum is a small band of tissue that extends from the floor of the mouth to the bottom of the tongue.

While the exact prevalence of tongue-tie is unknown, current evidence suggests a 3 percent to 5 percent occurrence, with a range of 0.1 percent to 10 percent, depending on the criteria used to evaluate the frenulum. Some healthcare providers have given anecdotal estimates of up to 25 percent prevalence.

Treatment of a short lingual frenulum can be controversial. If no feeding or developmental difficulties are seen, your doctor may prefer a watchful waiting approach. This is because the lingual frenulum may naturally lengthen with age.

If treatment is necessary, there are two possible approaches:

• Frenotomy/ Frenectomy. This approach is typically used in infants and involves quickly cutting or clipping the lingual frenulum with sterile scissors. While a frenotomy is usually a fairly simple procedure, parents or caregivers have to physically stretch the tissue that’s been cut or lasered every day for at least 3 to 4 weeks afterward. This prevents the tissue from regrowing too tightly during the healing process. The stretches are not complicated, but most babies don’t like them, and it can be difficult for parents.