Presentation Information

Dr. Wai Han Amy FUNG

Finding Balance in Tongue-Tie Treatment

Abstract:

Tongue-tie management in breastfed infants can create controversy because there is no uniform acceptable diagnostic criteria and there's a lack of consensus for treatment. The prevalence of tongue-tie and the frequency of performing frenotomy has been increasing significantly worldwide in the last twenty years. Some medical practitioners and researchers are concerned that infants and children are being overdiagnoses and overtreated with tongue-tie.

The findings of anatomical dissection studies of human lingual frenulum has drawn our attention to rethink the definition of tongue-tie and potential risks of frenotomy. A comprehensive approach to managing breastfed tongue-tie infants could protect against premature termination of lactation and hence safeguard infant and maternal health. It includes thorough assessment of the mother-child dyad, provision of non-surgical treatment options and helping parents make informed decision about frenotomy. Healthcare professionals should achieve a balance, avoid over- and underdiagnosis so as to prevent over- and undertreatment.