Tongue ties
Ankyloglossia, also known as tongue-tie, is a condition present at birth where a tight band of tissue under the tongue (the lingual frenulum) limits tongue movement. This can sometimes make breastfeeding difficult for both the baby and the mother, causing problems like poor latch or nipple pain.
Why consider a tongue-tie procedure?
The main reason for a tongue-tie release in infants is to help with breastfeeding difficulties that have not improved with other support, such as working with a lactation consultant. Not all tongue-ties need treatment, and many babies with tongue-tie breastfeed without problems. In infants tongue-tie only affects speech in severe cases – it does not affect speech development but can affect certain sounds. In older children it can affect oral hygiene by limiting tongue movement.
What is the procedure?
A frenotomy is a quick procedure where the tight tissue under the tongue is clipped and divided. Any bleeding is controlled. with sterile scissors. The procedure can be done in young children without anesthesia, but a small amount of oral sucrose (sugar water) may be given to help with comfort. Older patients generally have a light general anaesthetic.
What are the benefits?
Many parents notice improved breastfeeding, better latch, and less nipple pain after the procedure. However, not all babies will have improvement, and some feeding problems may have other causes.
Aftercare
Feeding (breast or bottle) can be started right away, which also helps with comfort and healing. No special aftercare is needed.