Treating Tongue-Tie

In this episode, Dr. Felicity Lenes-Voit joins our hosts Dr. Gopi Shah and Dr. Ashley Again to speak about Tongue-Tie, or Ankyloglossia, and its comprehensive management.

Dr. Lenes-Voit starts the discussion by describing what Tongue-Tie is and how to conduct an initial evaluation and workup. She describes the importance of lactation consultation and the effects tongue-tie can have on both mother and baby. The discussion then continues to discuss physical examination as an important aspect of the workup and how best to determine the extent of the ankyloglossia, while also factoring in the weight of the child as a key aspect of workup.

Next, Dr. Lenes-Voit and our hosts discuss points to keep in mind when considering frenectomy as a correcting procedure, which include conducting a thorough lactation evaluation prior to making that decision. Speech impairments are also a potential worry from parents and, as a controversial topic in frenectomy evaluations, should be clarified with families. Other risks and benefits are further discussed such as timing of intervention and the use of general anesthesia at certain ages. This portion of the discussion ends with Dr. Lenes-Voit talking about the different operative techniques that can be employed as well as tips for smooth procedures.

Lastly, the discussion concludes with Dr. Lenes-Voit speaking to the importance of counseling and a multidisciplinary approach with mothers of tongue-tie patients. The team effort between ENT’s, pediatricians, and lactation and breastfeeding consultants is key in the comprehensive management for both mother and baby. Setting realistic goals and expectations, especially for new mothers, will be beneficial and something to incorporate with each patient.