Document Detail


Outpatient division of tongue-tie without anesthesia in infants and children.
MedLine Citation:
PMID:  18661764     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Tongue-tie is a common but often neglected condition. The indications and the techniques for its division are still controversial. In this report, I will present my personal experience and advocate early and aggressive treatment. METHODS: Two different techniques are used to divide the tongue-tie at the outpatient clinic without anesthesia. For small infants, a parent sits opposite the doctor, with their knees in contact, the infant lies supine with his/her head towards the doctor. The tongue is lifted superiorly with the doctor's middle finger or middle and index fingers. The doctor uses the other hand to divide the tongue-tie with a pair of blunt-tipped scissors. In a cooperative child with teeth and relatively thin membrane, a sitting position is used. The tongue is elevated upward with a tongue depressor and the tongue-tie is released by a quick cut. RESULTS: From 1980 to 2006, about 2800 cases of tongue-tie were treated. Post-division minor bleeding in most of the cases was self-limited and always stopped spontaneously very quickly. Three patients who had recurrent tongue-tie underwent repeated division in the operating room under general anesthesia. CONCLUSIONS: Division of tongue-tie is a simple, easy and safe procedure. It can be done as an outpatient procedure without anesthesia in almost all infants and some older children.
Authors:
Ming-Lun Yeh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of pediatrics : WJP     Volume:  4     ISSN:  1708-8569     ISO Abbreviation:  -     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-07-29     Completed Date:  2008-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101278599     Medline TA:  World J Pediatr     Country:  China    
Other Details:
Languages:  eng     Pagination:  106-8     Citation Subset:  IM    
Affiliation:
Division of Pediatric Surgery, Department of Surgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan, China. ed103434@edah.org.tw
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Surgical Procedures / methods*
Anesthesia
Child
Hemostasis, Surgical
Humans
Infant
Lingual Frenum / abnormalities*,  surgery*
Treatment Outcome

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