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FWIW, there's a lot of disagreement over how efficacious a tongue-tie release is, how it should be done, and who should do it, with a bit of a turf battle betwe
by nostrademons 2y ago
FWIW, there's a lot of disagreement over how efficacious a tongue-tie release is, how it should be done, and who should do it, with a bit of a turf battle between pediatricians, ENTs (ear/nose/throat specialists), and dentists, and lactation consultants throwing fuel and misinformation onto the pile. Dentists tend to favor a laser tongue-tie release, while ENTs and pediatricians do it the old fashion way with scissors. Supposedly pediatricians often do a shallower cut that doesn't fully release the webbing. The practice in general has been relatively controversial. [1][2]
Personally, all 3 of my kids had tongue ties, as do I (one common type of tongue-tie is an autosomal dominant trait, meaning you have a 50% chance of passing it down to your kids with one copy, 100% with two). When I was a kid, tongue-tie surgeries were not really a thing, and my mom was never informed about it. But then, I have a speech impediment that might be related to it. My oldest kid had his released by an ENT at ~1 month (no anesthetic), my middle kid by a pediatrician at 2 days (sugar water, and possibly an incomplete release), and my youngest had to have his released by two different ENTs because the first didn't fully release the tongue (first was no anesthetic, the second used lidocaine).
We noticed an immediate improvement in breastfeeding with the first and he has no speech problems, the second never had any breastfeeding difficulties but has a slight speech impediment, and the third has seen zero improvement in breastfeeding (according to my wife at least...personally I think he's a bit less gassy) but at least has full range of motion with the tongue after the second procedure. Recovery was quick with the first 3 procedures but sucked with the 4th - he didn't want to eat for a good 12 hours afterwards.
All the ENTs and pediatricians we talked to said there's no special care required and you don't need to massage the mouth. Many of the lactation consultants we've met with say you do. Both groups are fond of throwing shade on each other. Personally we didn't do any special exercises and got good results with 2 out of the 3 kids.
I think it's really one of those cases where a parent needs to read all the evidence for and against and make a judgment call, and then it may or may not work. But then, many things in life are like that as well.
[1] https://archive.is/4WDww https://archive.is/4WDww
[2] https://archive.is/TuBg2 https://archive.is/TuBg2
- Fire-Dragon-DoL 2y agoI had only one experience and it was positive. My daughter (oldest) had both tongue and lip tie, we went with the dentist and laser. Our lactation consultant spotted the lip/tongue tie, but she was able to get occasional proper breastfeeding position. My wife's breasts were destroyed by day 3 though, she couldn't breastfeed anymore, so at roughly 1 month after trying many alternatives we went with the release. It was incredibly painful to do and it was devastating for me to rub over the wounds for 15 days, but the results were great, there was immediate improvement in breastfeeding, no pain anymore. After 1 week my wife's breasts were recovering and my daughter has no speech impediment and was breastfed for 2 years on demand. Still, I would have punched the dentist in the face when he said "she won't remember". The only person with empathy was the lactation consultant. For what is worth, our lactation consultant provided high quality information and was the only person who was able to consistently get my wife to breastfeed properly while the tie was up. At the hospital they did a check as if it was a checkmark on a piece of paper (which probably was).
- giantg2 2y ago"she won't remember" This can be empathy - reassuring you that the procedure won't have any memorable negative impact. If you say you know that they don't use anesthesia dusnto the risks, then the fact that the pain isn't memorable is the best possible outcome.
- Fire-Dragon-DoL 2y agoI have no doubt that was the best possible outcome, that's why we committed to it. But I don't agree on using "she won't remember" as a sign of empathy. That's an excuse. You could do horrible things to babies based on that. There are various resources for parents to help children deal with vaccination and one of the common thing is to never mention the pain, so using the won't remember excuse won't fly. And the parents do remember