A tongue-tie release, also known as a frenotomy, is a procedure best performed by a trained healthcare professional. It involves carefully cutting the lingual frenulum, the band of tissue connecting the bottom of the tongue to the floor of the mouth. Attempting this procedure yourself is strongly discouraged due to the risk of complications like bleeding, infection, and improper healing.
Here's a breakdown of what happens during a professional tongue-tie release:
1. Consultation and Assessment:
- A qualified healthcare provider (pediatrician, ENT physician, or a specialist in Breastfeeding Medicine) will assess the severity of the tongue-tie.
- They'll evaluate the baby's feeding difficulties, tongue mobility, and overall oral anatomy.
- A diagnosis of tongue-tie (ankyloglossia) will be confirmed based on established criteria.
2. Procedure Options:
- Frenotomy (Simple Snipping): This involves using sterile scissors or a scalpel to make a small incision in the lingual frenulum. It's a quick procedure, often done in the office.
- Frenectomy (Frenulum Removal): Involves surgically removing the frenulum. This may be necessary for thicker or more complex tongue-ties.
- Frenuloplasty (Frenulum Repair): This involves reshaping or reconstructing the frenulum. This is a more complex procedure and may be necessary for severe cases. May require sutures.
3. The Frenotomy Procedure (Most Common):
- The baby is typically swaddled or held securely.
- The healthcare provider uses a sterile instrument (scissors or scalpel) to carefully cut the frenulum.
- The procedure usually takes only a few seconds.
- There may be minimal bleeding.
- Often, no anesthesia is required, as the frenulum has few nerve endings. Some clinicians use topical anesthetic.
4. Post-Procedure Care:
- The healthcare provider will provide specific instructions for aftercare, which may include:
- Wound care: Gentle cleaning of the area with a clean, damp cloth.
- Exercises: Specific tongue exercises (stretches) to prevent the frenulum from reattaching. These exercises are crucial for optimal outcomes and should be demonstrated and explained by the provider. The frequency and duration vary among providers.
- Pain management: While discomfort is usually minimal, the provider may recommend infant Tylenol or Motrin if needed.
- Feeding support: Guidance on improving latch and feeding techniques.
- Follow-up appointments are typically scheduled to monitor healing and ensure proper tongue function.
Why You Shouldn't Do It Yourself:
- Risk of Bleeding: The tongue and surrounding tissues are highly vascular. Cutting without proper knowledge can lead to significant bleeding.
- Risk of Infection: Non-sterile instruments and environments increase the risk of infection.
- Incomplete Release: You may not release the tongue-tie completely, leading to continued feeding problems.
- Scarring: Improper technique can lead to scarring, which can restrict tongue movement further.
- Pain and Trauma: The procedure can be painful and traumatic for the baby if not done correctly.
In summary, a tongue-tie release should only be performed by a trained healthcare professional to ensure safety and effectiveness. They will assess the situation, perform the procedure correctly, and provide appropriate aftercare instructions.
