| Outpatient division of tongue-tie without anesthesia in infants and children. | |
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MedLine Citation:
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PMID: 18661764 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Ming-Lun Yeh |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: World journal of pediatrics : WJP Volume: 4 ISSN: 1708-8569 ISO Abbreviation: - Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-07-29 Completed Date: 2008-12-10 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101278599 Medline TA: World J Pediatr Country: China |
Other Details:
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Languages: eng Pagination: 106-8 Citation Subset: IM |
Affiliation:
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Division of Pediatric Surgery, Department of Surgery, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan, China. ed103434@edah.org.tw |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Surgical Procedures
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methods* Anesthesia Child Hemostasis, Surgical Humans Infant Lingual Frenum / abnormalities*, surgery* Treatment Outcome |
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