In this episode of The Feeding Pod, Bri and Tovah are joined by Kara Larson, MS, CCC-SLP, CLC to tackle the hot, controversial, and oftentimes confusing, topic of tongue ties! We come at this from an evidence-based angle - and no we aren’t using that as just a buzzword. We tackle the research, our clinical experiences, and considerations for family values and viewpoints to help bridge the gaps on evaluation and treatment of tongue ties for feeding therapists. If tongue ties come up in your practice (and let’s be honest, when do they not anymore), then you do not want to miss out on listening to this episode! We hope you enjoy! References/Resources (shortened citations due to text limits) NYT Articles: Inside the Booming Business of Cutting Babies' Tongues What Parents Should Know About Tongue-Tie Releases National Trends Joseph, K. S., et al. (2016). Temporal trends in ankyloglossia and frenotomy in British Columbia, Canada, 2004-2013: A population-based study. https://doi.org/10.9778/cmajo.20150063 Kapoor, V., et al. (2018). Frenotomy for tongue‐tie in Australian children, 2006–2016: An increasing problem. https://doi.org/10.5694/mja17.00438 Walsh, J., et al. (2017). Ankyloglossia and lingual frenotomy: National trends in inpatient diagnosis and management in the United States, 1997‐2012. https://doi.org/10.1177/0194599817690135 Wei, E. X., et al. (2020). Ankyloglossia: Update on trends in diagnosis and management in the United States, 2012‐2016. https://doi.org/10.1177/0194599820925415 Systematic Reviews Carnino, J. M., et al. (2023). The effect of frenectomy for tongue-tie, lip-tie, or cheek-tie on breastfeeding outcomes: A systematic review of articles over time and suggestions for management. https://doi.org/10.1016/j.ijporl.2023.111638 Cordray, H., et al. (2023). Severity and prevalence of ankyloglossia‐associated breastfeeding symptoms: A systematic review and meta‐analysis. https://doi.org/10.1111/apa.16609 Hatami, A., et al. (2022). Effectiveness of tongue‐tie assessment tools in diagnosing and fulfilling lingual frenectomy criteria: A systematic review. https://doi.org/10.1111/adj.12921 Hill, R. R., et al. (2021). The prevalence of ankyloglossia in children aged 1 year: A systematic review and meta-analysis. https://doi.org/10.1038/s41390-020-01239-y O’Shea, J. E., et al. (2017). Frenotomy for tongue-tie in newborn infants. Cochrane Database of Systematic Reviews, 2021(6). https://doi.org/10.1002/14651858.CD011065.pub2 Solis-Pazmino, P., et al. (2020). Major complications after tongue-tie release: A case report and systematic review. https://doi.org/10.1016/j.ijporl.2020.110356 Visconti, A., et al. (2021). A systematic review: The effects of frenotomy on breastfeeding and speech in children with ankyloglossia. https://doi.org/10.1080/17549507.2020.1849399 Webb, A. N., et al. (2013). The effect of tongue-tie division on breastfeeding and speech articulation: A systematic review. https://doi.org/10.1016/j.ijporl.2013.03.008 Clinical/Expert Consensus Reports LeFort, Y., et al. (2021). Academy of Breastfeeding Medicine Position Statement on ankyloglossia in breastfeeding dyads. https://doi.org/10.1089/bfm.2021.29179.ylf Messner, A. H., et al. (2020). Clinical consensus statement: Ankyloglossia in children. https://doi.org/10.1177/0194599820915457 Rowan-Legg, A. & Canadian Pediatric Society. (2024). Position statement: Ankyloglossia and breastfeeding. https://cps.ca/documents/position/ankyloglossia-breastfeeding Silva, M., et al. (2020). Anyloglossia and oral frena consensus statement. https://www.ada.org.au/Ankyloglossia-Statement-Doc.aspx Thomas, J., et al. (2024). Identification and management of ankyloglossia and its effect on breastfeeding in infants: Clinical report. https://doi.org/10.1542/peds.2024-067605 Other: Caloway, C., et al. (2019). Association of feeding evaluation with frenotomy rates in infants with breastfeeding difficulties. https://doi.org/10.1001/jamaoto.2019.1696