Links on Tongue Tie Solutions - from mybreastfeeding.com

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Tongue Tie Solutions

This is Sylvia’s special page of links related to solving breastfeeding issues resulting from ankyloglossia, a birth defect more commonly known as “tongue tie.”

Is My Baby Tongue-tied? - Excellent photos of posterior tongue-tie in this article by internationally renown speaker and lactation consultant, Catherine Watson Genna.
Breastfeeding and Frenulums - More excellent pictures and tongue tie information on an 84-page pdf presentation by Dr Brian Palmer, dated Dec. 2003.
(Note: It starts with a 28-page introduction which includes photos of cadavers for anatomy purposes. You may want to skip that section and go straight to the pictures of tongue tied infants and children, and the slides that talk about the consequences of tongue tie.)
Tongue Tie – from Confusion to Clarity - Links to many helpful sites addressing this common birth defect, listed under three headings:
         General Information on Tongue Tie
         Breastfeeding and Tongue Tie
         Surgery for Tongue Tie
Congential Tongue-Tie and Its Impact on Breastfeeding
American Academy of Pediatrics Summer 2004.
This article is the best source for more information about type I, II, III, IV tongue tie.
Tongue-tie Videos prepared by the respected Jeanne Ballard MD.
“There are two YouTube (yes, YouTube) videos here, each about 4 minutes in length.
The first one shows an assessment being done, using the Hazelbaker Assessment Tool (and showing Mom's ouchy nipple); the second shows the actual clipping procedure, and baby's immediate post-procedure feed. They are fabulous.” - Liz Brooks, JD, IBCLC
Ankyloglossia in Breastfeeding Infants: The Effect of Frenotomy on Maternal Nipple Pain and Latch - a study published in Breastfeeding Medicine, vol. 1, issue 4, 2006.
"Frenulotomy for Breastfeeding Infants With Ankyloglossia: Effect on Milk Removal and Sucking Mechanism as Imaged by Ultrasound" - An Australian research study conducted by Dr. Donna T. Geddes and others. The evidence shows that for infants with ankyloglossia, the surgical treatment (frenulotomy) changes the tongue movement of breastfeeding infants and improves feeding evidenced by increased milk-transfer and feeding efficiency and decreased maternal perception of pain. (Published in Pediatrics, vol. 122, no. 1, July 2008.)
Breastfeeding should be fun and enjoyable: Why does it hurt when I breastfeed?
A dentist’s pictorial description of tongue tie, including the benefits for releasing tongue tie, and the procedure for tongue tie release. Slide show by Lawrence Kotlow DDS, 2010.

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