a review has been undertaken to review the presenting features of tongue-tie in childhood and indications for frenulotomy, drawing conclusions from a retrospective study of patients encountered in paediatric surgical practice and from the literature
the review concluded that there is no place for division of tongue-tie without anaesthesia in the newborn. Speech difficulties related to tongue-tie are over-rated and mechanical problems are underestimated
the indications for frenulotomy include articulation difficulties confirmed by a speech pathologist, mechanical limitations such as inability to lick the lips, to perform internal oral toilet or play a wind instrument
there may be rare instances in infancy where problems with feeding and suction can be helped by frenulotomy but evidence for this is anecdotal
operation requires general anaesthesia except in older, co-operative teenagers in whom local anaesthetic is appropriate
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