The functional impact of tongue tie releases - Case presentations from a speech pathology perspective
Tracks
3
Ankylglossia
Articulation
Down Syndrome
Feeding
Orofacial myofunctional disorders
Saliva control
Speech
Swallowing
Tongue-tie
| Sunday, June 15, 2025 |
| 11:30 AM - 11:40 AM |
Overview
Dr Nada Makki-Karnib
Details
⏫ Fireside chat
⏲️ 11.30am - 12.30pm
⌛60-minutes
📚 Assumed knowledge of attendees: Foundational (new/casual familiarity with the topic e.g. treated a single case)
⏲️ 11.30am - 12.30pm
⌛60-minutes
📚 Assumed knowledge of attendees: Foundational (new/casual familiarity with the topic e.g. treated a single case)
Presenter
Dr Nada Makki-Karnib
Q Speech Hub
The functional impact of tongue tie releases - Case presentations from a speech pathology perspective
11:30 AM - 12:30 PMPresentation summary
This presentation explores the functional impacts tethered oral tissues can have on individuals and the crucial role the speech pathologist can play in optimising outcomes. Understanding the functional deficits associated with tethered oral tissues continues to pose a challenge amongst many health care professionals. Collaboration and improved consensus between medical, dental and allied health care professionals is crucial for accurately diagnosing, treating and monitoring associated dysfunctions, ensuring better outcomes for patients.
A comprehensive case history and functional assessment allows for a differential diagnosis of any underlying dysfunctions with which a patient may present. Tethered oral tissues have been associated with orofacial myofunctional disorders, speech distortions, breastfeeding difficulties, swallowing and feeding impairments, underdevelopment of the maxillofacial skeleton, predisposition to sleep and breathing disorders and postural imbalances. Increased awareness of the potential dysfunctions related to tethered oral tissues allows for a more robust decision-making process when coupled with structural assessment of the oral frenula in determining the appropriateness of a release.
This presentation details several case presentations showcasing the speech pathologist's role in pre and post frenuloplasty treatment and outcomes.
A comprehensive case history and functional assessment allows for a differential diagnosis of any underlying dysfunctions with which a patient may present. Tethered oral tissues have been associated with orofacial myofunctional disorders, speech distortions, breastfeeding difficulties, swallowing and feeding impairments, underdevelopment of the maxillofacial skeleton, predisposition to sleep and breathing disorders and postural imbalances. Increased awareness of the potential dysfunctions related to tethered oral tissues allows for a more robust decision-making process when coupled with structural assessment of the oral frenula in determining the appropriateness of a release.
This presentation details several case presentations showcasing the speech pathologist's role in pre and post frenuloplasty treatment and outcomes.
Refrences
REFERENCES
Baxter, R., & Hughes, L. (2018). Speech and feeding improvements in children after posterior tongue-tie release: A case series. International Journal of Clinical Pediatrics, 7(3), 29-35. doi: https://doi.org/10.14740/ijcp295w
Daggumati, S., Cohn, J. E., Brennan, M. J., Evarts, M., McKinnon, B. J., & Terk, A. R. (2019). Speech and language outcomes in patients with ankyloglossia undergoing frenulectomy: A retrospective pilot study. OTO Open, 3(1), 2473974X19826943. https://doi.org/10.1177/2473974X19826943
Ghaheri, B. A., Cole, M., Fausel, S. C., Chuop, M., & Mace, J. C. (2017). Breastfeeding improvement following tongue‐tie and lip‐tie release: A prospective cohort study. The Laryngoscope, 127(5), 1217-1223. https://doi.org/10.1002/lary.26306
Ghaheri, B. A., Lincoln, D., Mai, T. N. T., & Mace, J. C. (2022). Objective improvement after frenotomy for posterior tongue-tie: a prospective randomized trial. Otolaryngology–Head and Neck Surgery, 166(5), 976-984. https://doi.org/10.1177/01945998211039784
Makki-Karnib, N. (2024). Unearthing the Hidden Functional Implications of Tethered Oral Tissues - Case Presentations. ICAP Conference, Cleveland, OH.
Messner, A. H., & Lalakea, M. L. (2002). The effect of ankyloglossia on speech in children. Otolaryngology-Head and Neck Surgery, 127(6), 539-545. https://doi.org/10.1067/mhn.2002.129731
Salt, H., Claessen, M., Johnston, T., & Smart, S. (2020). Speech production in young children with tongue-tie. International Journal of Pediatric Otorhinolaryngology, 134, 110035. https://doi.org/10.1016/j.ijporl.2020.110035
Tecco, S., Baldini, A., Mummolo, S., Marchetti, E., Giuca, M. R., Marzo, G., & Gherlone, E. F. (2015). Frenulectomy of the tongue and the influence of rehabilitation exercises on the sEMG activity of masticatory muscles. Journal of Electromyography and Kinesiology, 25(4), 619-628. https://doi.org/10.1016/j.jelekin.2015.04.003
Van der Merwe, A. (1997). A theoretical framework for the characterization of pathological speech sensorimotor control. Clinical Management of Sensorimotor Speech Disorders, 2, 3-18.
Visconti, A., Hayes, E., Ealy, K., & Scarborough, D. R. (2021). A systematic review: The effects of frenotomy on breastfeeding and speech in children with ankyloglossia. International Journal of Speech-Language Pathology, 23(4), 349-358. https://doi.org/10.1080/17549507.2020.1849399
Wang, J., Yang, X., Hao, S., & Wang, Y. (2022). The effect of ankyloglossia and tongue‐tie division on speech articulation: A systematic review. International Journal of Pediatric Dentistry, 32(2), 144-156. https://doi.org/10.1111/ipd.12802
Baxter, R., & Hughes, L. (2018). Speech and feeding improvements in children after posterior tongue-tie release: A case series. International Journal of Clinical Pediatrics, 7(3), 29-35. doi: https://doi.org/10.14740/ijcp295w
Daggumati, S., Cohn, J. E., Brennan, M. J., Evarts, M., McKinnon, B. J., & Terk, A. R. (2019). Speech and language outcomes in patients with ankyloglossia undergoing frenulectomy: A retrospective pilot study. OTO Open, 3(1), 2473974X19826943. https://doi.org/10.1177/2473974X19826943
Ghaheri, B. A., Cole, M., Fausel, S. C., Chuop, M., & Mace, J. C. (2017). Breastfeeding improvement following tongue‐tie and lip‐tie release: A prospective cohort study. The Laryngoscope, 127(5), 1217-1223. https://doi.org/10.1002/lary.26306
Ghaheri, B. A., Lincoln, D., Mai, T. N. T., & Mace, J. C. (2022). Objective improvement after frenotomy for posterior tongue-tie: a prospective randomized trial. Otolaryngology–Head and Neck Surgery, 166(5), 976-984. https://doi.org/10.1177/01945998211039784
Makki-Karnib, N. (2024). Unearthing the Hidden Functional Implications of Tethered Oral Tissues - Case Presentations. ICAP Conference, Cleveland, OH.
Messner, A. H., & Lalakea, M. L. (2002). The effect of ankyloglossia on speech in children. Otolaryngology-Head and Neck Surgery, 127(6), 539-545. https://doi.org/10.1067/mhn.2002.129731
Salt, H., Claessen, M., Johnston, T., & Smart, S. (2020). Speech production in young children with tongue-tie. International Journal of Pediatric Otorhinolaryngology, 134, 110035. https://doi.org/10.1016/j.ijporl.2020.110035
Tecco, S., Baldini, A., Mummolo, S., Marchetti, E., Giuca, M. R., Marzo, G., & Gherlone, E. F. (2015). Frenulectomy of the tongue and the influence of rehabilitation exercises on the sEMG activity of masticatory muscles. Journal of Electromyography and Kinesiology, 25(4), 619-628. https://doi.org/10.1016/j.jelekin.2015.04.003
Van der Merwe, A. (1997). A theoretical framework for the characterization of pathological speech sensorimotor control. Clinical Management of Sensorimotor Speech Disorders, 2, 3-18.
Visconti, A., Hayes, E., Ealy, K., & Scarborough, D. R. (2021). A systematic review: The effects of frenotomy on breastfeeding and speech in children with ankyloglossia. International Journal of Speech-Language Pathology, 23(4), 349-358. https://doi.org/10.1080/17549507.2020.1849399
Wang, J., Yang, X., Hao, S., & Wang, Y. (2022). The effect of ankyloglossia and tongue‐tie division on speech articulation: A systematic review. International Journal of Pediatric Dentistry, 32(2), 144-156. https://doi.org/10.1111/ipd.12802
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Nada Makki-Karnib is the founder and principal speech pathologist at Q Speech Hub, a private practice dedicated to treating infants, children and adults with speech, feeding and language difficulties. With over 20 years of combined experience as a hospital biomedical scientist and speech pathologist, she spends much of her professional time on learning, treating and teaching about the underlying cause of oral dysfunction. Nada’s special interest in Oromyofunctional Disorders has led to her involvement in research, with her current doctorate exploring the effectiveness of oromyofunctional therapy on treating lisps in school-aged children. Nada has spoken nationally and internationally on topics relating to tethered oral tissues, sleep, dentofacial development and early orthopaedic intervention with oromyofunctional therapy.
The information contained in this program is current at of the time of publishing but is subject to changes made without notice.
Disclaimer: © (2024) The Speech Pathology Association of Australia Limited. All rights reserved.
Important Notice, please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited ("the Association"). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this presentation. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this presentation including in any of the materials referred to or otherwise incorporated into this presentation.
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