This is a very common condition where the tongue is tethered to the floor of the mouth by a cord or frenulum.
It is important to note that many babies with a tongue tie have no problems with breast feeding, and many babies without a tongue tie have problems with breast feeding. We therefore recommend a full assessment and assistance from experienced midwives or lactation specialists prior to referral for tongue tie division
The only strong indication for dividing a tongue tie is when there is significant difficulty breast feeding such as very painful nipples and difficulty with latching on. There is very little evidence that a tongue tie limits speech development in later years although some children with persistent tight frenulum may have difficulty pronouncing certain letters.
There is no obvious cause for this condition
The vast majority of these require no treatment and may stretch over time. If treatment is indicated then the tongue i.e. can be divided by a very simple procedure called a lingual frenotomy. This is simply a division of the tongue tie. It is a simple procedure and takes only a few minutes. The baby is able to feed immediately afterwards. We would usually perform this as a daycase procedure without an anaesthetic. However, in children above the age of 3 months, a general anaesthetic will be required.
Post operative care is simple. We usually recommend that the baby is fed immediately after the procedure.