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Dr. Coryllos does them for children of all ages, as long as the child is
able to hold still or be held still.
She has done simple frenotomies on 5 and 6 year olds with their
cooperation in the office (faculty practice building next door to the
hospital, set up for minor surgeries). She tells the story of one little
guy who told her "I'd be able to talk better if they just cut this
string under my tongue!" and then held still for her while she did it.
She uses flavored benzocaine gel or oil of clove to numb the frenulum
before snipping it.
Things get more difficult when there is a blood vessel in the frenulum,
then suturing the vessel and cutting between the sutures might be
necessary, and so might cauterization. Some doctors use a laser, which
might help to reduce bleeding too.
Catherine Watson Genna, IBCLC NYC
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