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BackTable / ENT / Podcast / Episode #251

with Dr. Brennan Dodson and Allegra Bereszniewicz M.S., CCC-SLP, QOM

Clinical Evaluation and Treatment of Tongue Tie in Pediatric OSA

Does tongue tie impact pediatric sleep disordered breathing? In this episode of the Back Table ENT Podcast, otolaryngologist Dr. Brennan Dodson and speech language pathologist Allegra Bereszniewicz discuss tongue-tie and the pediatric airway with hosts Dr Ashley Agan and Dr. Gopi Shah.

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Ep 251 with Dr. Brennan Dodson and Allegra Bereszniewicz M.S., CCC-SLP, QOM Clinical Evaluation and Treatment of Tongue Tie in Pediatric OSA
00:00 / 01:04

BackTable, LLC (Producer). (2025, December 9). Ep. 251 – with Dr. Brennan Dodson and Allegra Bereszniewicz M.S., CCC-SLP, QOM [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Ashley Agan on the BackTable ENT Podcast

Dr. Ashley Agan is an otolaryngologist in Dallas, TX.

Allegra Bereszniewicz on the BackTable ENT Podcast

Allegra Bereszniewicz MS, CCC-SLP is a speech language pathologist at Gro Speech in Bozeman Montana.

Dr. Brennan Dodson on the BackTable ENT Podcast

Dr. Brennan Dodson is an otolaryngologist at Bridger ENT in Bozeman, Montana.

Dr. Gopi Shah on the BackTable ENT Podcast

Dr. Gopi Shah is a pediatric otolaryngologist and the co-host of BackTable ENT.

Synopsis

The discussion covers the anatomy and pathophysiology of tongue tie, surgical techniques for its release, and the importance of pre- and post-operative myofunctional therapy. They delve into patient selection, the impact of tongue tie on sleep-disordered breathing, and contrasting surgical methodologies, including frenuloplasty. The episode also features an insightful case study with visuals, examining Dr. Dodson's surgical approach in detail. Additionally, they touch on insurance considerations and the challenges within current medical practice regarding tongue tie diagnosis and treatment. Check out detailed surgical techniques at the end with case presentations!

Timestamps

00:00 - Introduction
01:29 - Understanding Tongue Tie and Pediatric Airway
06:17 - The Role of Myofunctional Therapy
10:37 - Scientific Evidence and Research on Tongue Tie
15:52 - Clinical Approaches and Patient Evaluations
35:00 - Pre-Op and Post-Op Procedures
39:02 - Post-Surgery Recovery and Exercises
40:32 - Surgical Techniques and Tools
44:31 - Post-Operative Care and Pain Management
48:59 - Patient Selection and Considerations
01:02:41 - Sleep Studies and Outcome Measures
01:12:30 - Incision Techniques and Dissection Tools
01:17:24 - Closure and Post-Operative Care
01:23:51 - Innovations and Techniques in Surgery
01:28:09 - Final Thoughts

Resources

Dr. Brennan Dodson
https://www.bridgerent.com/

Allegra Bereszniewicz MS, CCC-SLP
https://grospeech.com/about/

The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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