Hi, Martina and All:  I believe I may have posted this information before on 
Lactnet, but it may bear repeating.  There is a wonderful oral-maxillofacial 
surgeon in the Chicago area (NW suburbs) who willingly evaluates babies for 
possible tongue-tie on referral from us local LCs.  He does a cold laser 
procedure (eliminates all bleeding!) in the office with the baby in a car seat on 
the exam table with parents present.  His fee is very modest and covered by 
insurance.
He has talked to us on a number of occasions on how he determines the need 
for a frenulectomy and how he does the procedure.  He grasps the tip of the 
baby's tongue in his gloved hand and begins lasering the frenulum and 
underlying musculature until he feels the tongue "break free" from its 
restriction, then stops.  He says he can literally "feel" when he has released 
the tongue.  It is his opinion that most all breastfeeding problems related to a 
tongue tie involve a posterior tie and therefore it is important to cut until one 
feels the tongue release.
We have tried to talk him into publishing his technique, but so far he has not 
done so.
His contact information is:

George Kotsakis, D.M.D.
Diplomate, American Board of Oral and Maxillofacial Surgery
St. Alexius Medical Center
Doctors Building Two, Suite 506
1585 N. Barrington Rd.
Hoffman Estates, IL  60194-1018
Telephone:  (847) 884-7080
FAX:          (847) 884-8894


Pam Hirsch, BSN,RN,IBCLC
Clinical Lead, Lactation Services
Advocate Good Shepherd Hospital
Barrington, IL   60010

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