Q: What is Tongue Tie?
A: Tongue tie, or ankyloglossia is a medical diagnosis of the anatomy of the tissue under the tongue that restricts movement and function of the tongue. The frenum is the band of tissue that connects the bottom of the tongue to the floor of the mouth.
Q: What kind of problems are caused by a tongue tie?
A: Tongue tie can cause structural and/or functional issues in people of all ages. Feeding difficulties, sucking/swallowing, airway, speech, and dental issues are just a few of the challenges that may be seen.
Q: How is a tongue tie identified?
A: Restriction that leads to limitation in tongue mobility may not be obvious. Suspected tongue tie or limited function must be examined properly. A knowledgeable practitioner is skilled in both evaluating the anatomy and the function of the tissue under the tongue.
Q: How is a tongue tie treated?
A: If the provider evaluating the tongue tie suggests a procedure to improve function, this procedure is called a frenotomy. Sometimes this procedure is called a frenectomy or frenuloplasty. You can discuss with your provider which type of procedure they use.
Frenotomy is a simple surgical procedure that involves releasing the band of tissue that restricts the movement of the tongue. The procedure can be completed using a variety of tools, often with a scissors or with a laser. Appropriate anesthetic for pain control can be used.
Outcomes are optimized with pre-procedure preparation and follow-up care supported by a multidisciplinary team. Depending on the age of the person having the frenectomy, different types of providers can be utilized to guide functional improvements.
Q: What are the risks of the procedure?
A: A frenectomy is typically safe and side effects are rare. Complications from bleeding, infection, and reattachment are not common but are among the risk factors for the procedure and can be decreased by following the aftercare recommendations by the release provider and the multidisciplinary team. Challenges due to discomfort are common in the early days after the procedure, but support and preparation can help improve or alleviate these challenges.