Tongue-tie & Structure

These presentations focus on the assessment, diagnosis and treatment of tongue-tie and other structural issues that have a negative impact on normal infant sucking skills and development.

Hours / Credits: 1 (details)
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USA Dr. Scott Siegel, MD, DDS, FACS, FICS, FAAP

Dr. Siegel is a pioneering Tongue Tie surgeon, mentored through medical school, residency and in private by practice by the late Elizabeth Coryllos, MD. He is a dual degree MD, DDS Oral and Maxillofacial Surgeon, lectures internationally and publishes on the topic of Reflux associated with Lip and Tongue Ties.

USA Dr. Scott Siegel, MD, DDS, FACS, FICS, FAAP
Abstract:

This study aims to show a correlation between aerophagia in infants with tethered oral tissues (TOT’s) consisting of ankyloglossia and shortened maxillary labial frenula (tongue and lip-tie) and reflux. Currently there is little to no data on aerophagia as a possible cause of reflux in infants. Infants with tongue and possibly lip tie often have a poor latch in which there is often an inadequate seal around the breast and inefficient transfer of milk. As a result many of these infants swallow air during breastfeeding. Many of these infants suffer from symptoms of reflux. This study and results to demonstrate a correlation of ankyloglossia and shortened maxillary labial frenula with aerophagia and reflux.Treatment of these infants with a relatively simple frentomy procedure may reduce or eliminate reflux in this population.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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U.S.A. Dr. James Murphy, MD, FAAP, FABM, IBCLC

James G. Murphy, MD, is a private practice pediatrician specializing in Breastfeeding Medicine. He was formerly an Assistant Professor of Pediatrics at the F. Edward Hérbert School of Medicine, Uniformed Services University of the Health Sciences. He served 25 years active duty as a physician with the US Navy, 12 years as a contract pediatrician with the US Navy and 6 years as a Government Service Medical Officer at the Naval Medical Center in San Diego, CA. He is a Fellow of the American Academy of Pediatrics, a Fellow of the Academy of Breastfeeding Medicine, Vice President of the San Diego County Breastfeeding Coalition, a member of ILCA and, since 2009, an IBCLC. Dr Murphy began performing lingual frenulotomies in Oct 2003 and has performed over 2800 of these procedures to date including posterior sub-mucosal fibrous bands and 300 Upper Lip Tie releases.

U.S.A. Dr. James Murphy, MD, FAAP, FABM, IBCLC
Abstract:

The concept of Tongue Tie has changed as expertise in the recognition and management of this entity has expanded. Also the consequences of not recognizing and effectively managing this entity and the “Faux Ties” which mimic it are many and expanding as data is collected to document the relationship. Breastfeeding is the most obvious and most severely affected function in infancy. Additional problems become apparent as the infant grows and develops into an ever more complicated organism. This presentation will discuss the many variations of tongue anatomy which present as a Tongue Tie, how to recognize each of these and the consequences of not managing this problem effectively in early infancy.

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Presentations: 6  |  Hours / CE Credits: 6.0  |  Viewing Time: 4 Weeks
Available in: Tongue-tie Lecture Pack
Hours / Credits: 1 (details)
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David Elad is a Professor of Biomedical Engineering at Tel Aviv University since 1985.  He received his B.Sc. in Mechanical Engineering on 1973, M.Sc. and D.Sc. in Biomedical Engineering on 1978 and 1982, all from the Technion, Haifa, Israel. He was then awarded the Rothschild and Bantrell post-doctoral fellowships at Imperial College London and M.I.T.     
David pioneered computational studies of biofluid transport phenomena in the nasal cavity in the late 80's. In the early 90's he established a comprehensive research program in bioengineering of human reproduction, both at Tel Aviv University. He developed his expertise in the fields of Respiratory Biomechanics and Reproductive Bioengineering, from complete organs all the way to the cellular levels. The respiratory studies included integrative assessment of respiratory muscles, transport phenomena in the human nose, objective noninvasive evaluation of nasal function and mechano-transduction of nasal epithelial cells cultured under air-liquid interface conditions, including effects of air-pollution. The reproductive studies included the role of uterine peristalsis in early human life, pre-implantation embryo transport after IVF, feto-maternal blood circulations in the placenta, transport of nutrition, pharmaceuticals and carcinogenic materials across a tissue engineered placental barrier, mechano-transduction of cultured ovarian cancer cells and biomechanics of infant breastfeeding. He published over 120 articles in peer-review journals and was the leading editor of 5 special journal issues in reproductive bioengineering, respiratory biomechanics and biofluid mechanics.
David has been a visiting scholar at Imperial College London, Massachusetts Institute of Technology, Northwestern University, Nagoya Institute of Technology, Drexel University, Georgia Institute of Technology, University of Toronto, City College New York and Columbia University. He is a member of the World Council for Biomechanics (2002-14) and a fellow of the American Institute for Medical and Biological Engineering (2004), the Biomedical Engineering Society, USA (2005) and the International Academy of Medical and Biological Engineering (2013). 
Dr. Elad is currently on sabbatical leave from Tel Aviv University and affiliated with the Department of Biomedical Engineering of Columbia University.

Abstract:

The physical mechanisms executed by the infant during breastfeeding have been intriguing topics that lead to a long scientific controversy; whether it is sucking of the milk or mouthing of the nipple/areola. We developed a dynamic analysis of ultrasound video clips acquired during breastfeeding in order to explore the kinematics of the tongue. Then, we have developed a three-dimensional biophysical model of the breast and lactiferous tubes that enabled mimicking latch-on and the dynamic characteristics of the tongue and nipple observed in ultrasound imaging during breastfeeding. Then, we simulated breastfeeding and explored the biomechanical aspects of breastfeeding. We demonstrated that latch-on to draw the nipple/areola into the infant mouth, as well as milk extraction during breastfeeding, require development of time varying sub-atmospheric pressures within the infant's oral cavity. Analysis of infant tongue motility was compared between breast and bottle feeding. The presentation will also include discussion of oral pressure measurements.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Available in: Infant Suck Lecture Pack
Hours / Credits: 1 (details)
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U.S.A. Dr. Bobby Ghaheri, MD, Otolaryngologist


Dr. Ghaheri’s clinical interest is helping babies with breastfeeding difficulties. This desire stems from personal experiences, where both of his daughters had significant problems breastfeeding. He is one of the only ENT surgeons in the US who uses an in-office laser treatment for assisting babies to latch on to the breast, in addition to treating older children and adults for certain dental and speech issues.

U.S.A. Dr. Bobby Ghaheri, MD, Otolaryngologist
Abstract:Numerous symptoms may arise which prevent mother-infant dyads from maintaining desired breastfeeding intervals. Investigations into treatments which positively influence breastfeeding outcomes allow for improved patient counseling for treatment decisions to optimize breastfeeding quality.

Surgical release of tongue/lip-tie results in significant improvement in breastfeeding outcomes. Improvements occur early (1-week postoperatively) and continue to improve through 1-month postoperatively. Improvements were demonstrated in both infants with classic anterior tongue-tie and less obvious posterior tongue-tie. This study identifies a previously under-recognized patient population that may benefit from surgical intervention if abnormal breastfeeding symptoms exist.
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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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U.S.A. Dr. Bobby Ghaheri, MD, Otolaryngologist


Dr. Ghaheri’s clinical interest is helping babies with breastfeeding difficulties. This desire stems from personal experiences, where both of his daughters had significant problems breastfeeding. He is one of the only ENT surgeons in the US who uses an in-office laser treatment for assisting babies to latch on to the breast, in addition to treating older children and adults for certain dental and speech issues.

U.S.A. Dr. Bobby Ghaheri, MD, Otolaryngologist
Abstract:

While most breastfeeding problems can be managed effectively by a lactation consultant, situations arise where conservative interventions are ineffective in improving symptoms of a poor latch. Infant symptoms (aerophagia, poor weight gain, falling asleep prematurely, or frustration at the breast) or mother's symptoms (pain, engorgement, nipple damage) can often be explained by tongue-tie or lip-tie. I will explain effective diagnostic strategies and surgical interventions (scissors vs laser) in addressing these problems.

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Presentations: 6  |  Hours / CE Credits: 6.0  |  Viewing Time: 4 Weeks
Available in: Tongue-tie Lecture Pack
Hours / Credits: 1 (details)
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U.S.A. Dr. Alison Hazelbaker, PhD, IBCLC, FILCA, RCST

Dr. Hazelbaker has 30 years of experience specializing in cross-disciplinary treatments using specialized training in several modalities to best assist her clients. She is a certified Craniosacral Therapist, a Lymph Drainage Therapy practitioner, and an International Board Certified Lactation Consultant. Earning her Master’s Degree in Human Development specializing in Human Lactation from Pacific Oaks College, Dr. Hazelbaker received her doctorate in Psychology from The Union Institute and University. Her original research on tongue-tie, in 1993, has changed clinical practice both in the USA and abroad. She authored the Assessment Tool for Lingual Frenulum Function (ATLFF) which remains the only research-based tongue-tie screening process in infants under 6 months. Recently, Dr. Hazelbaker revised her Master’s thesis on tongue-tie into a comprehensive book on the condition titled: Tongue-tie: Morphogenesis, Impact, Assessment and Treatment published by Aidan and Eva Press. More information can be found at www.aidanandevapress.com.

U.S.A. Dr. Alison Hazelbaker, PhD, IBCLC, FILCA, RCST
Abstract:This presentation examines several influential recent studies that will change the way we think about tongue-tie; the manner in which we examine, treat and perform therapy on babies. From the overall perspective of development, Dr. Hazelbaker looks at histology, speech development, posture, wound healing, lasers and airway integrity, citing the most exciting studies on these subjects, explaining how each will impact our philosophical, intellectual and clinical involvement with study findings. Further, Dr. Hazelbaker makes suggestions of how these various studies should guide our thinking about when and how to assess and treat tongue-tied infants.
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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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U.S.A. Renee Beebe, M.Ed., RLC, IBCLC

Renee is a board certified lactation consultant in private practice. She has been working in the field of lactation since the birth of her first child in 1990--as a La Leche League Leader, postpartum doula and IBCLC. She draws from her background in education and child development every time she works with a breastfeeding dyad. Since becoming certified in 1997, Renee has supported moms through home, hospital and clinic visits, drop-in groups in the Seattle area and phone and skype consultations internationally. She has the great fortune to work closely with several local Drs. who do excellent revisions. Renee is thankful to live breastfeeding-friendly Seattle, close to her 2 grown daughters

U.S.A. Renee Beebe, M.Ed., RLC, IBCLC
Abstract:

The diagnosis of tongue tie can send parents reeling. Especially true when they receive conflicting information from the pediatrician, various lactation consultants, nurses and other parents. In this age of instant information and social marketing, everyone seems to be an expert. What is a parent to do? Who does a mother trust? What is the right course of action? Using case studies from over 20 years in the field, Renee takes us through the tongue tie journey from the evaluation through the myriad possible steps to successful breastfeeding. Assessment, revision, body work, maintaining milk supply and keeping mothers “in the game” until baby can breastfeed all present challenges to the practitioner. This is especially true since each dyad needs it's own individualized plan that may morph frequently as treatment progresses. Join Renee as she takes you through the process of identification through resolution from the experience of her clients. She will also explore some cultural/regional differences and the challenges working with families through the tongue tie roller coaster.

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Presentations: 6  |  Hours / CE Credits: 6.0  |  Viewing Time: 4 Weeks
Available in: Tongue-tie Lecture Pack
Hours / Credits: 1 (details)
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Dr. Martin Kaplan was born in Chelsea, Ma. He completed his undergraduate degree at The University of Massachusetts and then attended Tufts University School of Dental Medicine. After earning his D.M.D. degree he completed a pediatric residency at Montefiore Hospital in New York.

Dr. Kaplan practices exclusively in Stoughton, MA. He continues to take update his laser education by regularly attending the Academy of Laser dentistry Annual meeting where is also contributes as a lecturer ans laser safety officer.  He is one of only a handful of pediatric laser dentists who utilizes lasers for the treatment of infants with breastfeeding issues related to frenum attachment problems.

He is a member of the:

•             American Academy of Pediatric Dentistry

•             Massachusetts Academy of Pediatric Dentistry

•             American Dental Association

•             Massachusetts Dental Society

•             Academy of Sports Dentistry

•             Academy of Laser Dentistry

Academy of Breastfeeding Medicine

When not practicing dentistry he enjoys Karate and has attained the level of 4th degree black belt.

Abstract:

My talk will review the proper intake of information of the mother and child dyad to determine and objective evaluation. Intake forms will be available for the attendees. The information will be discussed as it relates to the intake form and the doctor physical observation and digital exam. The decision tree for the proper surgical approach will be reviewed along with a discussion of laser safety and laser tissue response Post-op follow-up and oral physiotherapy will be reviewed and related to the reasons for the type recommended. Cases of lip and tongue ties will be presented by video slides and also a video of actual cases will be shown. Multiple heading of various clinical presentations will be shown and cases of co-morbidity and medical conditions for consideration will be presented. Time will be allotted to answer questions and contact for additional information will be provided for after seminar questions.

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Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Available in: Infant Suck Lecture Pack
Hours / Credits: 1 (details)
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CAN Dr. Valerie Lavigne, DC, chiropractor, MSc, I.B.C.L.C.

Dr. Valérie Lavigne graduated from the Canadian Memorial Chiropractic College  in 1998. In July 2005, she became an IBCLC, the first chiropractor in Quebec with the title. She has her fellowship in pediatrics from the International Chiropractic Pediatric Association and has graduated in November 2014 with a Master of Science  in Pediatric Musculoskeletal Health from the Anglo-European Chiropractic College. She is working in private practice in her chiropractic clinic in Kirkland, Quebec.

CAN Dr. Valerie Lavigne, DC, chiropractor, MSc, I.B.C.L.C.
Abstract:

How comfortable are you at identifying neuromusculoskeletal issues in babies. This lecture will explore the triad aspect of breastfeeding – neurological, muscular and skeletal. A review of the causes, main conditions combined with tips to help you recognize neuromusculoskeletal issues will provide you with a more astute eye during your evaluation. Treatment options will be reviewed in addition to a review of the chiropractic and lactation literature. This lecture should create awareness amongst health professionals about the importance of treating neuromusculoskeletal issues in baby to optimize breastfeeding!

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Presentations: 6  |  Hours / CE Credits: 6  |  Viewing Time: 4 Weeks
Hours / Credits: 1 (details)
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U.S.A. Melissa Cole, IBCLC, RLC

Melissa Cole, IBCLC, RLC is a board certified lactation consultant and neonatal oral-motor assessment professional in private practice. Melissa has been passionate about providing comprehensive, holistic lactation care and education to parents and healthcare professionals for over a decade. She is an adjunct professor at Birthingway College of Midwifery in Portland, OR where she teaches advanced clinical lactation skills. She is active with several lactation and health care professional associations. Melissa lives and works in the beautiful Pacific Northwest.

U.S.A. Melissa Cole, IBCLC, RLC
Abstract:

A hotly debated topic among tongue tie professionals is pre and post-frenotomy care. Infants may have varying degrees of suck dysfunction and lip/ tongue mobility issues before and even after release. In addition, wound care of the incision sites, structural support, emotional support for the dyad and optimal feeding care plan formation is vital. Melissa Cole, IBCLC, RLC will present some pre and post-frenotomy case studies and care basics from her own clinical practice that have proven to improve frenotomy healing outcomes. Parents are often exhausted from the physical and emotional roller coaster that feeding a tongue/lip tied infant presents and sensitive care for the whole family is needed. Melissa also recognizes that pre and post-frenotomy care ‘best practice’ is still in its infancy and she proposes a call to research this subject matter further

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Presentations: 6  |  Hours / CE Credits: 6.0  |  Viewing Time: 4 Weeks
Available in: Tongue-tie Lecture Pack
This presentation is currently available through a bundled series of lectures.