Ep. 251 Clinical Evaluation and Treatment of Tongue Tie in Pediatric OSA with Dr. Brennan Dodson and Allegra Bereszniewicz M.S., CCC-SLP, QOM

Does tongue tie impact pediatric sleep disordered breathing? In this episode of the Back Table ENT Podcast, otolaryngologist Dr. Brennan Dodson and speech language pathologist Allegra Bereszniewicz discuss tongue-tie and the pediatric airway with hosts Dr Ashley Agan and Dr. Gopi Shah. --- SYNPOSIS The discussion covers the anatomy and pathophysiology of tongue tie, surgical techniques for its release, and the importance of pre- and post-operative myofunctional therapy. They delve into patient selection, the impact of tongue tie on sleep-disordered breathing, and contrasting surgical methodologies, including frenuloplasty. The episode also features an insightful case study with visuals, examining Dr. Dodson's surgical approach in detail. Additionally, they touch on insurance considerations and the challenges within current medical practice regarding tongue tie diagnosis and treatment. Check out detailed surgical techniques at the end with case presentations! --- TIMESTAMPS 00:00 - Introduction01:29 - Understanding Tongue Tie and Pediatric Airway06:17 - The Role of Myofunctional Therapy10:37 - Scientific Evidence and Research on Tongue Tie15:52 - Clinical Approaches and Patient Evaluations35:00 - Pre-Op and Post-Op Procedures39:02 - Post-Surgery Recovery and Exercises40:32 - Surgical Techniques and Tools44:31 - Post-Operative Care and Pain Management48:59 - Patient Selection and Considerations01:02:41 - Sleep Studies and Outcome Measures01:12:30 - Incision Techniques and Dissection Tools01:17:24 - Closure and Post-Operative Care01:23:51 - Innovations and Techniques in Surgery01:28:09 - Final Thoughts --- RESOURCES Dr. Brennan Dodson https://www.bridgerent.com/ Allegra Bereszniewicz MS, CCC-SLPhttps://grospeech.com/about/