Ann:  We have a wonderful oral and maxillofacial surgeon in the area who uses 
a cold laser technique that he developed.  He does an eval in the office and, if 
indicated, the procedure also.  He has the parents bring the baby in in a car 
seat, sets the seat with the baby in it on his exam table, wheels his machine 
over and does the procedure right there in the office.  He does not usually use 
anesthesia (says there is no pain involved - parents say the baby does not 
appear in discomfort), and there is no bleeding because the laser cauterizes as 
it cuts.  He cuts just until he feels the tongue release, then stops. He says 
this is a good way to get to those posterior tongue ties.
Most tonsillectomies are now performed using laser - much less bloody and an 
easier recovery than the old-fashioned way.  I used to hate to scrub on a T&A 
when I worked in the OR.
He has spoken several times at our local lactation meetings.  We have all 
encouraged him to write up his procedure and hopefully one day he will.
His contact information is:
George Kotsakis, DMD
Diplomate, American Board of Oral and Maxillofacial Surgery
St. Alexius Medical Center
Doctors Building Two
1585 N. Barrington Road, Suite 506
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   USA

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