The thought of a second release has become sort of taboo in the tongue tie community. Unfortunately, second releases are not entirely uncommon. Reattachment is not solely the result of the actions by family or patient nor is it the results of actions by the release provider. Causes of reattachment range for lack of team approach (including the IBCLC/SLP and bodyworker), lack of proper aftercare, and incorrect timing of release. Assessment and care provided by the IBCLC/SLP, bodyworker, and release provider are imperative to positive outcomes for families. This presentation addresses the multitude of causes for reattachment, considerations for initial and secondary release, importance of team approach, and collegial dialogue to advance patient care. Case studies are presented from the perspective of the IBCLC and release provider.
Learning Objectives:
1. Define TOTs reattachment related to functional assessment
2. List types and reasons for reattachment
3. Discuss methodology and timing for addressing reattachment: bodywork, functional therapy, re-release
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