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 anesthesia.
 She felt that what she would need to do to get a sufficient release would
require it, and as an anesthesiologist myself, I guess I can understand
that.  If it were a straightforward, thin frenulum, she would of course clip
it in the office, but she does not know of anyone in our metropolitan area
who would do something like this without general anesthesia.  

We're getting a swallow study first to see if there is radiographic evidence
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.

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