Course Outline:
Introduction to Ankyloglossia (Enoch Ng)
What is tongue tie?
How does tongue tie form; where does it start (embryology)?
How to identify and classify tongue ties (Coryllos, Kotlow, and TRMR classification systems)
Tongue tie in infancy and toddlerhood (Kelly MacGregor)
Clinical diagnosis of tongue ties in infancy
Normal and abnormal breastfeeding
Impact of tongue ties on breastfeeding
Therapy to improve breast feeding latch and suckle
Transition from breast feeding to solids
When to refer for frenuloplasty
Manual therapy for infants and toddlers (Laura Vandertogt)
Body tension from birth and its effect on feeding and growth
Effects of tongue ties on body tension
Manual therapy techniques for infants and toddlers
When to refer for frenuloplasty
Tongue ties on speech and development (Karen Pollock)
The effects of tongue ties on oral development
The effect of tongue ties on articulation/phonation
Compensations for tongue ties on speech development and swallowing in childhood
Surgical complications from tongue tie release (Kevin Lung)
When surgery goes wrong; how bad can it be?
Life-threatening complications and permanent disability from tongue tie release
When surgery is contraindicated
Orofacial myofunctional therapy (Kristin Weaver)
Non-surgical therapy for tongue muscle coordination and strengthening
Preparing a patient for surgery
When surgery isn’t necessary; therapy for non-surgical improvement
Differential diagnosis (Manisha Witmans)
Not all airway problems are tongue tie-related
When symptoms don’t match tongue tie; differential diagnosis
Frenuloplasty is not the first treatment option
Medical contraindications for surgery