Tongue Tie (Ankyloglossia)

In this episode, Paediatrician and Breastfeeding Specialist Abby Baskett discusses tongue tie (ankyloglossia) and its impact on breastfeeding. We cover the prevalence, definitions, assessment tools, and management options, including the intricate details of the frenotomy procedure.

Topics

Intro
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The prevalence of tongue tie.
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A definition of tongue tie.
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How a neonate/infant presents with tongue tie.
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Assessing tongue tie
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intervention or conservative management?
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If referring, what expertise are required to both assess and manage?
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Criteria for frenotomy.
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Frenotomy procedure explained.
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Any contraindications?
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Manage bleeding post the frenotomy.
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Post-operative care
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Take-home messages
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Take home messages

Not all tongue ties need dividing.
Assess the whole issue (feeding/other adjustments)
if referring, refer to someone who can offer broader support.

Resources

Ankyloglossia (Tongue-Tie) Starship Children's Hospital
Frenotomy for tongue‐tie in newborn infants Chochrane Library
National Guidance for the Assessment, Diagnosis and Surgical Treatment of Tongue-tie in Breastfeeding Neonates Te Whatu Ora - Health New Zealand

Presenter

Dr Abby Baskett

Paediatrician and Breastfeeding Specialist

find out more...

Abby works as a Paediatric emergency specialist at Starship Children's Emergency Department and in private through Milk & Honey Paediatrics in Auckland. Abby has a special interest in infant feeding and breastfeeding problems, is a qualified International Board Certified Lactation Consultant, and is trained to assess and release tongue-ties. Abby is NDC (Neuroprotective Developmental Care) accredited. Her aim is to work with families to provide the best possible start in life for their babies.