When might surgery for tongue-tie be needed?

Written in association with: Mr Kiran Varad
Published:
Edited by: Conor Lynch

In this article below, we speak to highly experienced and qualified consultant ENT surgeon, Mr Kiran Varad to find out what tongue-tie is, and whether the condition always necessarily needs to be treated. 

What is tongue-tie? 

Tongue-tie, also known as ankyloglossia, is a condition in which the frenulum (the band of tissue that connects the tongue to the floor of the mouth) is abnormally short, thick, or tight, causing restricted movement of the tongue. This can interfere with normal oral functions such as eating, speaking, and breastfeeding.

 

Does it need to be corrected? 

Whether tongue-tie requires correction or not depends entirely on the severity of the condition and the impact it has on the person’s daily activities and quality of life. 

 

How can tongue-tie affect a person’s life?

In some cases, it may not cause any significant problems, while in others, it can lead to difficulties with speech, eating, and oral hygiene.

 

In infants, a tongue-tie can interfere with breastfeeding, causing discomfort and reduced milk transfer to the baby. In these cases, correction of the tongue-tie may be necessary. 

 

At what age can tongue-tie be corrected?

Tongue-tie can be corrected at any age, from infancy to adulthood. In older children and adults, tongue-tie correction may be recommended if it is causing speech difficulties, dental problems, or difficulties with eating and oral hygiene.

 

Is surgery for tongue-tie risky?

Tongue-tie correction surgery, also known as frenectomy, is generally considered a safe and low-risk procedure. Babies can have the procedure awake with no anaesthesia (it is important to start breastfeeding straight away after the procedure). 

 

To book an appointment with Mr Kiran Varad, visit his Top Doctors profile today. 

 

By Mr Kiran Varad
Otolaryngology / ENT

Mr Kiran Varad is a highly respected consultant paediatric and general ENT surgeon who is based in London and Surrey.

He has expertise in paediatric ENT, General Adult ENT, Rhinology and Skin Cancer. He provides regional support for complex neonatal and paediatric ENT problems in Surrey. Within paediatric ENT his areas of expertise include: snoring, obstructive sleep apnoea, tonsillectomy, adenoidectomy, children’s hearing problems, grommet insertion and allergic rhinitis. He is accomplished at Coblation intracapsular tonsillectomy, a newer gentler technique that minimises discomfort in children. He has sub-specialist interests in children’s airway problems, voice issues and neck lumps.

Mr Varad is an expert in all areas of General Adult ENT with particular interests in Rhinology, Sinus Surgery, Polypectomy and Excision and Reconstruction of Skin Cancers of the Head and Neck. He is a core member of the skin cancer multidisciplinary team at Ashford and St. Peter’s Hospital Hospitals. Currently, he is the clinical lead for Children’s ENT services across South London, Kent, Surrey and Sussex (South Thames Paediatric Network). In this role he hopes to improve quality and accessibility of children’s ENT care in the South East of England.

Mr Varad graduated from King’s College London, and went onto complete his surgical training in London and Surrey. He attained a Master of Surgery in ENT with distinction at Anglia Ruskin University in 2015 and became a Fellow of the Royal College of Surgeons of England in 2020. He completed an advanced Paediatric ENT Fellowship at Great Ormond Street Hospital for Children in 2021, gaining expertise in the management of all aspects of paediatric ENT. In 2021 he was appointed as a Consultant at Ashford and St. Peter’s Hospital and The Royal Surrey County Hospital

Additional to his extensive clinical experience, Mr Varad has a well-established background in research and is an author of more than twenty academic publications. He additionally acts as a reviewer for the Clinical Otolaryngology Journal and has presented his work at key conferences both nationally and internationally. Formerly, Mr Varad served as an honorary clinical lecturer and anatomy demonstrator at the University of London. Throughout his training period, the excellence of his work was recognised with several awards, including the Leslie Michael’s prize awarded for best oral presentation at the 142nd meeting of the Semon Club in 2011. He is a member of the British Association of Paediatric Otolaryngology.

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