Ellen M Carlin
Miami University, USA
Posters & Accepted Abstracts: Gynecol Obstet
Tongue tie and oral dysfunction: when is the lingual frenulum considered altered, impacting the lingual range of motion and function? Evidence-based tongue tie research supports a multidisciplinary approach and early intervention as best to reduce the onset of alterations correlated with Ankyloglossia. Difficulties with Ankyloglossia are cited as yielding mechanical limitations and functional challenges. Research reports collaboration with orthodontist, physiotherapist and speech therapist as recommended to better problem solve and facilitate improved lingual function needed for feeding and speech development. Early feeding difficulties associated with Ankyloglossia may be identified during breastfeeding, puree introduction and/or table food progression. Behavioral adaptations adopted by the infant are viewed as functional. Inability to successfully manipulate new textures, secondary to reduced tongue function, may progress into maladaptive feeding disorders. Early feeding interventions used to improve tongue function following frenotomies have shown positive outcomes in feeding abilities. (Survey 2014) The evidence-based research will cite poor tongue function related to tongue tie, and the need for the speech pathologist to collaborate as part of the feeding team to strengthen and retrain infant swallow. Therapy techniques used for pre and post frenotomy care will be demonstrated. Baby-friendly exercise techniques for developing oral motor strength and breath control for improvement of sucking skills and feeding stamina, safe nursing strategies for infants with Laryngomalacia, and implementing successful nursing positions for infants with asymmetrical alignment will be presented. Addressing oral motor needs, improving sucking synchronization, strengthening and building breath support is crucial for success at the breast to extend exclusive breastfeeding.
E-mail: emcarlin@att.net
