Getting Ready for a Tongue-Tie Release

How is the procedure done?

• Tongue-tie (ankyloglossia) is when the thin band of tissue under the tongue, the frenulum, is too short or tight and limits how the tongue moves. In newborns, it can make feeding difficult.
• It can usually be treated with a simple procedure in our office, without anesthesia.
• The tongue is lifted toward the roof of the mouth to show the frenulum, which is briefly clamped to control bleeding and then cut with small scissors. The whole procedure takes less than 1 minute.
• Any bleeding is usually very minimal and stops quickly.
• The frenulum has few nerve endings, so pain is minimal.

Our pediatric ENT page describes the care we offer for children.

What are the risks?

Every procedure has risks. We will go over them with you, and you can ask about any of them.

• Pain, bleeding and infection are risks of any procedure.
• More bleeding is a small risk and may need cautery to stop.
• Injury to the saliva ducts. The ducts that drain saliva sit near the base of the frenulum. We find them and avoid them, but there is a small risk of injury that could affect how saliva drains.
• Feeding may not improve enough. Newborn feeding problems have many possible causes, and more evaluation or treatment may be needed.

How do I get ready?

• Before the visit

  • Write down how feeding is going and any questions you have.
  • Tell us if anyone in the family has a bleeding problem.

• The day of the procedure

  • Be ready to breast or bottle feed your baby right after the procedure. Feeding helps with any bleeding and pain.
  • Bring your baby’s insurance card and your photo ID.

What happens after the procedure?

• You will be asked to breast or bottle feed your baby right after the procedure. This helps with any bleeding and pain.
• There are no restrictions after the procedure.
• Usually no follow-up visit is needed unless you have concerns.

When should I call?