Jaye,
You're talking about a submucosal frenulum. The lingual frenulum is
hidden behind a thin fold of the mucous membrane of the floor of the
mouth. It's easy to snip them, the doc just stretches the tongue with a
grooved director, and snips through both the mucous membrane and the
frenulum in one or more snips. Doc can use a topical anesthetic (like
benzocaine gel). There is more bleeding when the oral mucosa needs to be
snipped. Dr. Coryllos uses 2 minutes of direct pressure with sterile
gauze to the site to stop the bleeding, then the baby goes to breast.
Catherine Watson Genna, IBCLC NYC
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