Infant, Adolescent and Adult Tongue Tie Service by Consultant Maxillofacial Surgeon Mr P.D. Grime
In my NHS life I am a Consultant Maxillofacial, Head and Neck Surgeon. My role includes surgical support for the neonatal / infant feeding team.
With a personal series approaching 1500 neonatal / infant ‘tongue tie’ surgical divisions and a not inconsiderable number of older children and adult treatments, I consider myself to be a leading authority on the subject. Audit of my cases illustrates a small number of consistent findings and a high success rate of surgical division defined by return to breastfeeding; continued breast feeding; reduction in reflux; improved satisfaction with feeding for mother; reduced feed times; elimination of cluster feeding. The procedure as carried out by myself is simple, effective with no recorded complications. Not a single baby has returned to clinic for assistance.
I try to operate within a few days of birth although the majority of treatments take place between 2-6 weeks. I will carry out an ‘office based’ procedure at the time of consultation providing it is safe to do so ( the babies are held by two of my nurses - the rate limiting step is adverse movement and the presence of teeth - most babies can be accommodated up until 6 months of age when wrapped in a blanket). I inject a small quantity of Local Anaesthetic into the surgical site, before division, to control pain and bleeding. A retractor of my own design and make is used to lift the tongue and facilitate visual identification of the correct anatomical release point before division. Bleeding is minimal and stops quickly. Only 4 babies of 1463 have required cautery of bleeding at the time of surgery. Not a single baby has returned with bleeding after discharge or required measures elsewhere to stop bleeding having left the clinic. The resulting, small diamond shaped wound in the floor of the mouth heals very quickly. There is no necessity for tongue exercises. I ask Mothers to feed straight away. Over 80% claim instant, significant improvement. It may however take a feed or two for the babies to adjust to their newly found freedom!
It is my experience that the mums and babies need no further help with latching! ‘Win Win’ and one of the most satisfying and rewarding procedures of all that I do!!
Peter D Grime FRCS FDSRCS MScSEM
Doctor Led Clinics
- Consultation and treatment – 200.00