hi,
my 8 month old grandson had his posterior type 3-4 tongue tie  clipped in the 
doctors office by dr betty corylos. the most difficult part was  restraining 
an 8 month old. 
we all knew there was something going on with his tongue, but  after seeing 
an md/lactation consultant and 2 other lc...it wasn't until   linda smith & 
betty coryllos saw photos of his mouth, that his tongue tie  was picked up.
 
it was a  quick cut, dad held a gauze there for 5 minutes  to be sure the 
minimal bleeding stopped and they went home. it took mom/dad  about 4 months of 
working with him to get him to finally stick out his tongue.  now at 22 
months....he sticks his tongue out a lot.
 
when my daughter had her second baby,  5 months ago, we  all knew right away 
that he had the same thing. within 4 days, betty clipped his  tongue. the 
nursing is so much easier, less painful for my daughter and still  going well. 
neither one had or needed any kind of anesthesia. 
 
a friend just had her 4 month old son's posterior tongue tie  clipped by 
laser. done by oral surgeon/dentist who works with betty coryllos.  done in his 
office, nursing has improved drastically..
 
i am not sure why you think a swallow study is  indicated....have you 
contacted betty coryllos or catherine genna about  this?  might be worth a trip to 
long island....where are you located?   feel free to email me directly if you 
have any questions. 
 
roni chastain
 
Roni M. Chastain, RN, LCCE, FACCE
_www.nursingbabies.com_ (http://www.nursingbabies.com/) 
_www.customphotonotes.com_ (http://www.customphotonotes.com/) 

 
 
 
 
Date:    Wed, 4 Jun 2008 14:55:16 -0400
From:     Sarah Reece-Stremtan <[log in to unmask]>
Subject: Re: clipping  posterior tongue-tie

Am investigating this myself for my nearly  7-month-old.  The peds ENT we =
saw
does not want to clip what  Catherine called a type 3 in my son -- she is
willing to do it for us but  also said that he would need general anesthes=
ia.
She felt that what  she would need to do to get a sufficient release woul=
d
require it, and  as an anesthesiologist myself, I guess I can understand
that.  If it  were a straightforward, thin frenulum, she would of course c=
lip
it in  the office, but she does not know of anyone in our metropolitan  are=
a
who would do something like this without general  anesthesia.=20=20

We're getting a swallow study first to see if there  is radiographic evide=
nce
of dysphagia and aspiration, and depending on  the results, will consider
clipping then.  Though the thought of  general anesthesia and a possible
overnight hospital stay afterwards makes  me *very* hesitant regardless.

So yes, I too wonder how this can be  done under local anesthesia!

-Sarah Reece-Stremtan M.D.

 (http://www.customphotonotes.com/) 





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