Tongue tie Division
This can be performed in a clinic setting or in your own home.
After a full assessment in which the practitioner will take a detailed birth and feeding history, assess oral/tongue function fully discuss findings and recommendations, if division is decided upon then the procedure can go ahead (after some paperwork and consent forms have been signed).
The tongue tie practitioner will perform a small surgical procedure where they cut the lingual frenulum with a pair of scissors specifically designed for this purpose. This is called a Frenotomy (also known as Frenulotomy or tongue-tie division)
Tongue tie surgery causes minimal discomfort for infants and is done without the need for anaesthesia. Some parents may choose to give paracetamol prior to the procedure if the baby is old enough for over-the counter medication > 8 weeks of age.
As with any surgical procedure, a tongue-tie procedure carries risks of complications including:
1 in 3-5000
will bleed longer than we expect requiring further measures.
Risk of bleeding following Frenulotomy is low. We cannot predict which babies might bleed more than others but we do ask questions to highlight those at higher risk.
1 in 10’000
Divisions result in infection.
Infection risk is small. The mouth is one of the quickest healing locations
very rare
Injury to the saliva ducts is very rare.
Tongue tie practitioners have received training and know the anatomy of the mouth to avoid this occurring. However there is still a risk involved with the procedure.
2-4%
Of babies will develop a new tongue- tie during healing.
Usually noticed around 4-6 weeks when symptoms may start to return. If you feel your baby may have a re-attachment review is recommended. Re-division may be offered if this has occurred.
this is why exercises are important in the healing stage
Aftercare
After the procedure is performed the practitioner will talk through the exercises that will help optimise the chances of a successful division which hopefully leads to a better feeding journey. Feeding positions and latch can also be discussed/observed. You will have access to the practitioner for 2 weeks after the division for support if required. A follow up appointment can be requested between 4-6 weeks if concerns of re-attachment.
After 10 weeks if assessment is requested a new payable appointment will need to be booked.
