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Posterior Tongue Tie Release: Laser or Scissors?



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Kangeroo




 
 
    
 

Post Mon, Mar 23 2015, 5:14 pm
Hello, my baby has a posterior tongue tie and I would like to know what experience anyone has had with having it released by a laser or with scissors. Any issues with burning or scarring? Was any topical anesthetic or injected local anesthetic used? Any excessive crying? If laser was used, what type was it? Was it a Waterlace type laser? How was the baby positioned for the procedure? Was it effective for improving nursing or bottle feeding?

Any recommendations for doctors - NY/NJ area?

Thanks so much in advance for your input and advice.
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smss




 
 
    
 

Post Mon, Mar 23 2015, 5:23 pm
I don't have personal experience, but you might find this helpful:
http://www.mommypotamus.com/a-.....ties/

(she recommends a dr. kotlow in NY)
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raro




 
 
    
 

Post Mon, Mar 23 2015, 6:05 pm
Hi, I had that with my baby. I used Dr. Goldsmiths office (ent) in Boro park. Snip with scissors at 10 days old! I was breast feeding. Before the snip, feedings were hell (I used a nipple shield till after snipping). It tock 2-3 day to recover. It was a great relief!
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forever21




 
 
    
 

Post Mon, Mar 23 2015, 6:49 pm
I went to dr Dahl in the city. It didn't improve breastfreeding at all. A lactation told me afterwards that tongue tie revision almost never works for posterior tongue tie.
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Miri1




 
 
    
 

Post Mon, Mar 23 2015, 8:12 pm
It doesn't end with the procedure, the baby might need to be "retrained". Dr. Kotlow recommends cranial sacral therapy, or at least consulting with the LC again. Laser probably wouldn't require anesthesia, and it there is a lower chance of infection (though not sure what the infection rates are in the first place - I expect pretty low).
Dr. Kotlow in Albany is the big guru. I've also heard of Dr. Dahl, but was told she is more conservative, and may not cut enough. People I've spoken with are happy with her however.

How old is the baby? Is there a lip tie as well?
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amother
Bronze


 

Post Mon, Mar 23 2015, 9:15 pm
As an SLP and a mother of 3 children with various tongue ties, I do not think anyone needs to shlep to Albany nor pay out of pocket to see Dr. Kotlow. If your child is less than 6 months, and has no teeth, Dr. Dahl is great. She did one dc and we were very happy. Any revision before 6 months will not require.

After 6 months, when anesthesia would be required, laser would be beneficial. There is a Dr. in Manhattan and Long Island who performs the laser procedure. I think the cost is around 1000 and he does not take insurance. His name is Dr. Siegel.

I thInk a large part of the decision also depends on what area of the baby's life is being impacted and how much feeding is being affected. My recommendation both personal and professional would be to only have a revision if there was a need though (one dc has a lip tie and was feeding fine so I did not have the procedure done)
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imamazing




 
 
    
 

Post Mon, Mar 23 2015, 10:18 pm
Had this with our baby a few months ago. Our dr recommended dr Samuel engel in Neptune nj. Was a quick painless snip and done. Now when I see my baby stick his tongue out, lick his spoon etc I feel so good. Of course our main concern was the impact tongue tie would have on his speech .... Don't delay. The quicker you take care of it the better
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forever21




 
 
    
 

Post Mon, Mar 23 2015, 10:55 pm
Imamazing, posterior tongue tie does not effect speech. If not breastfeeding, there would be no reason to snip it.
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mandr




 
 
    
 

Post Tue, Mar 24 2015, 12:08 am
forever21 wrote:
Imamazing, posterior tongue tie does not effect speech. If not breastfeeding, there would be no reason to snip it.

Untrue. It can affect speech, feeding, dental health, etc. I read an article once written by an LC who only learned about tongue ties in the past few years when she started seeing them more and more often. Then it finally occurred to her that she was suffering from a tongue-tie herself, though undiagnosed. This LC had many cavities and decay and root canal treatments and just assumed she had "bad teeth". But what was it really? A tongue tie. She couldn't move her tongue in every direction so she was never able to internally clean stuff from between her teeth. You know how you use your tongue to release leftover food between the teeth after a meal? Well she never was able to do that. See what your tongue does? It's important that it has free range of movement.

We used Dr. Tali Lando (Westchester and Monsey area) and were very pleased BH. Baby had it done at 5 months old, quick snip in the office, no major crying, ate fine afterwards and life resumed.
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LibbyV




 
 
    
 

Post Tue, Mar 24 2015, 8:04 am
One of my sons had tongue-tie and it was laser-ed by a surgeon. I think that both the well-baby clinic and my pediatrician recommended it.

It was done when he was ~3 months old. The procedure was done under general anesthesia in an outpatient clinic in Jerusalem (Misgav Ledach). It took a couple of minutes. I found the general anesthesia to be the most frightening part of it (for me).

I braced myself to expect a cranky baby while it healed, but from what I recall (this was over 10 yrs ago) - he was really OK afterwards (and B"H since!). Very Happy
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imamazing




 
 
    
 

Post Tue, Mar 24 2015, 10:27 am
True mandr. We discussed this with numerous Drs and specialists. It seems like the older Drs suggested not to do it because why cut? But those that were more with the times and up to date really pushed for it as it will help avoid speech and nursing issues. My baby's tongue would not go out passed his lip.
It's really painless . Dr assured us the Bris caused more pain. My baby cried for a minute and since then no issues bh. He had a hard time latching on and keeping on when nursing and that's all disappeared. If you see issues please help your child if that's what your dr recommends. So many speech impediments can be avoided....
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c.c.cookie




 
 
    
 

Post Tue, Mar 24 2015, 12:10 pm
forever21 wrote:
I went to dr Dahl in the city. It didn't improve breastfreeding at all. A lactation told me afterwards that tongue tie revision almost never works for posterior tongue tie.

I had similar experiences with two of my kids. It actually helped at first, but the tongue tie came back. Scissors by both BTW, maybe laser is different. But my lactation consultant told me posterior tongue ties are very hard to cut.
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Miri1




 
 
    
 

Post Tue, Mar 24 2015, 2:50 pm
A tongue tie "comes back" if the proper exercises weren't performed. Dr. Kotlow instructs patients to "stretch" the wound open, 3 times a day for two weeks, so that it doesn't heal back into it's original state.

Not worth ignoring a lip tie. It can be a factor in tooth decay, and will often cause a gap between the front two teeth. Most lip ties, by the way, are accompanied by a tongue tie.
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Scrabble123




 
 
    
 

Post Tue, Mar 24 2015, 5:52 pm
mandr wrote:
Untrue. It can affect speech, feeding, dental health, etc. I read an article once written by an LC who only learned about tongue ties in the past few years when she started seeing them more and more often. Then it finally occurred to her that she was suffering from a tongue-tie herself, though undiagnosed. This LC had many cavities and decay and root canal treatments and just assumed she had "bad teeth". But what was it really? A tongue tie. She couldn't move her tongue in every direction so she was never able to internally clean stuff from between her teeth. You know how you use your tongue to release leftover food between the teeth after a meal? Well she never was able to do that. See what your tongue does? It's important that it has free range of movement.

We used Dr. Tali Lando (Westchester and Monsey area) and were very pleased BH. Baby had it done at 5 months old, quick snip in the office, no major crying, ate fine afterwards and life resumed.


My cousin just had a tongue tie clipped at age 14 or 15... No one had mentioned it to him before and finally his dentist told him to remove it. His speech was not affected, but he is much happier now that it has been clipped..
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Miri1




 
 
    
 

Post Tue, Mar 24 2015, 7:09 pm
I'm told that a posterior tongue tie could also make you a "mouth breather", but I haven't read anything on that.

Clipping tongue tie went out of fashion with breast feeding - it wasn't a big deal to have a tongue tie when bottle feeding. Now that there's more breastfeeding, there's more awareness / focus on tongue ties.
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