Definition of Tongue-tie
Based on current data (Haham A1, Marom R, Mangel L, Botzer E, Dollberg S. Prevalence of breastfeeding difficulties in newborns with a lingual frenulum: a prospective cohort series. Breastfeed Med. 2014;9:438-41.) we recommend the following terminology:
- Infants and mothers dyads who have breastfeeding difficulties not solved by a lactation consultation and judged as being due to the infant’s lingual frenulum should be clinically diagnosed as having ‘‘symptomatic tongue-tie’’ or ‘‘symptomatic ankyloglossia.’’
- Infants with no breastfeeding difficulties and those with breastfeeding difficulties that are corrected after a lactation consultation should be considered as having an asymptomatic ‘‘sublingual frenulum.’’
- The term ‘‘short frenulum’’ should be abandoned, given that clinical measurement of the length of the lingual frenulum is impossible and can be based solely on subjective assessment.
Definition of Lip Tie
Definition of lip tie: An attachment of the upper lip to the maxillary gingival (gum) tissue. (AKA superior labial frenulum, median labial frenulum, or maxillary labial frenulum)
Sandra Holtzman, MS, CCC-SPL.
- Slide presentation: Ankyloglossia:The Orofacial Myology Perspective.
- Article: Orofacial Myology – Relationship to Ankyloglossia and Restricted Labial Frena