A lingual frenulectomy is a simple procedure used to treat ankyloglossia (also known as tongue tie). This is a condition where the band of tissue under the tongue is too tight or short. This can limit how the tongue moves. In infants, tongue-tie may cause difficulty with breastfeeding, including poor latch, prolonged feeding times, clicking sounds, or discomfort for during nursin. In older children, tongue tie may contribute to speech articulation challenges or, less commonly, dental and oral hygiene concerns. When these issues are significant and do not improve with supportive measures such as lactation consultation or feeding therapy, a frenulectomy may be recommended.

In infants, a lingual frenulectomy is typically performed in the office setting. The procedure is very quick—often just a few minutes—and may be done with topical numbing medicine or sometimes no anesthesia at all. The tight frenulum is carefully released, allowing the tongue to move more freely. Babies are usually able to feed immediately afterward. Families notice improvement in latch and comfort right away or over the following days as feeding patterns adjust.

For older children, the procedure is usually performed in the operating room under general anesthesia. This allows the surgeon to perform a more controlled and precise release and dissolvable stitches may be placed. Performing the procedure under anesthesia helps ensure the child is comfortable and still during the surgery, which is important for safety and optimal results.

As with any procedure, there are risks and benefits to consider. The benefits often include improved feeding in infants, clearer speech in children when tongue mobility has been a contributing factor. Risks are generally low but can include minor bleeding, infection, scarring, or reattachment of the tissue if healing occurs tightly. In older children, there may also be temporary soreness or reluctance to move the tongue during the initial healing period.

Recovery is usually straightforward. Infants may be fussy for a short time but can typically resume normal feeding right away.  Older children may experience mild discomfort for a few days, which can usually be managed with over-the-counter pain medication. Softer foods and good oral hygiene are encouraged during the healing period. Follow-up visits help ensure proper healing and that your child is getting the full benefit of improved tongue movement.

If you have concerns your child has a tongue tie, please reach out to our team to arrange a consult.

Content created with assistance from Open AI, ChatGPT