求助tongue tie removal, 做完以后需要特殊护理吗

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sleeping
楼主 (北美华人网)
娃五周大, 胸喂一直挺疼的,去看了医生,说是二度舌系带需要剪,这个医生用剪刀剪,要剪6-7毫米,剪完以后需要护理两个月,每天用手指伸到舌头下方做stretch。有三个问题: 1)6-7毫米是不是很多?我看很多娃剪舌系带都是只剪一点点? 2)我印象中这是个非常非常小的procedure,剪完就好,不需要护理。跟这个医生说的护理2个月不太一样 3)这个医生给成人和儿童都看,需要找儿童专科的好一点吗?

谢谢!
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Orz333
2 楼
不太了解小娃,我是10岁去剪的,缝了三针大的伤口。。。
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taotaoxq
3 楼
我家刚出生一个月,儿医说tongue tie会自己grow out,估计也挺疼的,我们没做 ---发自Huaren 官方 iOS APP
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Miaozihenfei
4 楼
我家出生5天剪的,就嚎了几嗓子,出点血,我看了下就是白白的一小块皮,可能不是很严重,大概有两三毫米,医生说剪了就啥事没了,我们没特殊护理过,后来娃吃奶我也不疼了
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life99f
5 楼
不用护理 ,很小的手术 ,找个五官科手术医生就可以了。 ---发自Huaren 官方 iOS APP
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chriskevin
6 楼
我们是满月后做的,没任何护理,更别提特殊护理了。就是当天有点fuzzy,不好好吃奶,没啥。这医生还要家长伸手去stretch,好奇怪 ---发自Huaren 官方 iOS APP
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weiyulu
7 楼
我们出生半个月做的,流了几滴血,护理了2周 ---发自Huaren 官方 iOS APP
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weiyulu
8 楼
回复7楼weiyulu的帖子
所谓护理,就是用橄榄油按摩伤口,一天按摩5次 ---发自Huaren 官方 iOS APP
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UltimateIcePeak
9 楼
我们就是5周大做的,当时胸喂娃latch不好,儿医推荐了ENT医生做的,过程很快,娃只哭了一下,流血也很少。不过做完手术的确要护理大概一周吧,就是喂奶之前帮娃把舌头下面扯一扯,避免剪完的地方创口又粘连。扯的时候娃还是会疼,不过一吃奶就好了。MM放心吧,做了还是很值得的,不然以后可能也影响娃说话,而且越早做痛苦越少,我当时只后悔没有生完娃直接在医院做了。
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xixipaopao
10 楼
二度其实就是average。舌头自由活动部分占口腔开度的50%到80%。不剪也问题不大。很大可能不会影响说话。疼应该最多再疼一两周就会好的。
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Kyvonne
11 楼
我家十天剪的,出生竟然儿医没提,前三天不知道一直没喝到奶饿到脱水没有尿才发现。。。剪了非常多,我眼看着估计有一厘米,哭了几分钟就好了,也完全没有护理
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sleeping
12 楼
我们是满月后做的,没任何护理,更别提特殊护理了。就是当天有点fuzzy,不好好吃奶,没啥。这医生还要家长伸手去stretch,好奇怪 ---发自Huaren 官方 iOS APP
chriskevin 发表于 9/25/2019 9:05:08 PM


我也从来没听说过需要特殊护理的,但是后来搜了一下确实有的地方要求这个stretch exercise https://parkschildrensdentistry.com/frenotomy-aftercare-instructions/你们家tongue tie的严重程度怎么样呢,剪了多少?有一个评级我们是2级tongue tie。
s
sleeping
13 楼
我们出生半个月做的,流了几滴血,护理了2周 ---发自Huaren 官方 iOS APP
weiyulu 发表于 9/25/2019 9:40:01 PM


也是手伸到舌头下面stretch吗?流血了娃能感觉到疼吗
s
sleeping
14 楼
我们就是5周大做的,当时胸喂娃latch不好,儿医推荐了ENT医生做的,过程很快,娃只哭了一下,流血也很少。不过做完手术的确要护理大概一周吧,就是喂奶之前帮娃把舌头下面扯一扯,避免剪完的地方创口又粘连。扯的时候娃还是会疼,不过一吃奶就好了。MM放心吧,做了还是很值得的,不然以后可能也影响娃说话,而且越早做痛苦越少,我当时只后悔没有生完娃直接在医院做了。
UltimateIcePeak 发表于 9/25/2019 9:41:58 PM

对,医生说的就是要去舌头下面扯,但是告诉我们要做两个月.... 娃会很疼吗?你娃疼的时候表现是什么呢?我家的特别aggressive,伤口没好又进去扯不知道会不会反应激烈弄得更糟。。。我现在也后悔没出生时做,出生时娃爹带去看了几次儿医,都撬不开娃的嘴然后放弃检查舌头了
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sleeping
15 楼
二度其实就是average。舌头自由活动部分占口腔开度的50%到80%。不剪也问题不大。很大可能不会影响说话。疼应该最多再疼一两周就会好的。
xixipaopao 发表于 9/25/2019 10:35:59 PM

对,我们看了几个医生,意见都不同。有的说要剪有的说不用。
MM的意思是大概到了七八周的时候即使有tongue tie胸喂也不会疼了吗?这样的话就太好了。可是为什么呢,tongue tie不除掉的话他的舌头活动不还是受限制没法很好的吮吸吗
s
sleeping
16 楼
我家十天剪的,出生竟然儿医没提,前三天不知道一直没喝到奶饿到脱水没有尿才发现。。。剪了非常多,我眼看着估计有一厘米,哭了几分钟就好了,也完全没有护理
Kyvonne 发表于 9/25/2019 11:35:47 PM

你们是不是挺严重的,舌系带连到舌尖了?如果是这样我们也不犹豫了,我们是属于可剪可不剪,反而不好做决定
不知名的植物
17 楼
回复 16楼sleeping的帖子

Sorry I don't have Chinese input.
Both my son and my daughter had tongue tie, and both of them are not 舌系带连到舌尖了. Actually my son's tongue tie didn't got diagnosed until 11 weeks old, albeit breastfeeding was SO painful and traumatic to me..

My son got released when he was 11 weeks old, we didn't do anything special, and he was breastfed --so he got a lot of exercise during nursing. However I noticed his tongue tie re-scared when he was around 7 month old. But at that age, he was too old to be snipped by a pair of scissors, and the ENT doctor said we could either ignore it or have it released in a operation room under general anesthesia. So we ignored it.. But my son is 4.5 now, and he cannot lick an Ice Cream, and his tongue cannot touch the back of his upper front teeth while keep his mouth open. We may have to do another surgery to release his tongue tie sometime soon.

For my daughter, she had her tongue tie released when she was 5 days old. Simple snip, released about 8mm-ish. We didn't do anything special, beside breastfeeding. She is 1.5yrs old now, and her tongue has much more mobility than my son.

So my suggestion is, do the release as early as possible, do the stretch if that is not too much of struggle. That will save you a lot of trouble in the future, and it definitely worth it.
不知名的植物
18 楼

对,我们看了几个医生,意见都不同。有的说要剪有的说不用。
MM的意思是大概到了七八周的时候即使有tongue tie胸喂也不会疼了吗?这样的话就太好了。可是为什么呢,tongue tie不除掉的话他的舌头活动不还是受限制没法很好的吮吸吗

sleeping 发表于 9/26/2019 8:24:06 AM

Your little one still could suck more and more efficiently even without release, since he/she gets older and more skilled, and tongue will be more powerful. Even after my son's tongue re-occurred, we still manage to breastfeed until he is 16-17 month old, without pain.

But you will need to be prepared that the pain will not completely go away immediately after tongue tie release, because your baby need to learn how to use the "new" tongue. He/she may still cannot suck very well because babies actually started to practice sucking months before being born. They already formed a sucking habit and that needs time to change.

Even for my daughter, it still took her almost 3 weeks to master the new skill.
不知名的植物
19 楼
娃五周大, 胸喂一直挺疼的,去看了医生,说是二度舌系带需要剪,这个医生用剪刀剪,要剪6-7毫米,剪完以后需要护理两个月,每天用手指伸到舌头下方做stretch。有三个问题: 1)6-7毫米是不是很多?我看很多娃剪舌系带都是只剪一点点? 2)我印象中这是个非常非常小的procedure,剪完就好,不需要护理。跟这个医生说的护理2个月不太一样 3)这个医生给成人和儿童都看,需要找儿童专科的好一点吗?

谢谢!

sleeping 发表于 9/25/2019 5:25:57 PM

This doesn't mean that the doctor will make a cut that is 6-7 mm long. They only make a small snip, like 1 mm-ish, and then they use their finger to push the frenulum all the way back to the root of tongue -- this could avoid over-cut, which may hurt the muscle.

The doctor will measure the place where of the frenulum is attached to the tongue before and after the procedure, and that distance is the 6-7mm they told you.

This is really a very very simple procedure, takes no more than 2 minutes starting from put your baby to the operation chair to finish. The special stretch is to prevent reoccur I believe.
h
hy2010
20 楼
回复 16楼sleeping的帖子

Sorry I don't have Chinese input.
Both my son and my daughter had tongue tie, and both of them are not 舌系带连到舌尖了. Actually my son's tongue tie didn't got diagnosed until 11 weeks old, albeit breastfeeding was SO painful and traumatic to me..

My son got released when he was 11 weeks old, we didn't do anything special, and he was breastfed --so he got a lot of exercise during nursing. However I noticed his tongue tie re-scared when he was around 7 month old. But at that age, he was too old to be snipped by a pair of scissors, and the ENT doctor said we could either ignore it or have it released in a operation room under general anesthesia. So we ignored it.. But my son is 4.5 now, and he cannot lick an Ice Cream, and his tongue cannot touch the back of his upper front teeth while keep his mouth open. We may have to do another surgery to release his tongue tie sometime soon.

For my daughter, she had her tongue tie released when she was 5 days old. Simple snip, released about 8mm-ish. We didn't do anything special, beside breastfeeding. She is 1.5yrs old now, and her tongue has much more mobility than my son.

So my suggestion is, do the release as early as possible, do the stretch if that is not too much of struggle. That will save you a lot of trouble in the future, and it definitely worth it.
不知名的植物 发表于 9/26/2019 11:03:37 AM


我孩子和你家老大类似情况,现在快5岁。考虑什么时候再release一下tougue tie。 给MM message了。 欢迎类似情况给稍大孩子要做系带的jm和我联系,交流一下。
现在可以用laser cut来做,不需要全麻的。
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weiyulu
21 楼
回复13楼sleeping的帖子
用激光做的,娃肯定不舒服,一直在哭,做完手术嘴唇一直颤抖,心疼啊!术后前两天stretch一直大哭,估计疼,点了麻药,就好多了……后面也哭,但我感觉是手伸进嘴里不舒服哭,而不是疼! ---发自Huaren 官方 iOS APP
s
sleeping
22 楼
回复 16楼sleeping的帖子

Sorry I don't have Chinese input.
Both my son and my daughter had tongue tie, and both of them are not 舌系带连到舌尖了. Actually my son's tongue tie didn't got diagnosed until 11 weeks old, albeit breastfeeding was SO painful and traumatic to me..

My son got released when he was 11 weeks old, we didn't do anything special, and he was breastfed --so he got a lot of exercise during nursing. However I noticed his tongue tie re-scared when he was around 7 month old. But at that age, he was too old to be snipped by a pair of scissors, and the ENT doctor said we could either ignore it or have it released in a operation room under general anesthesia. So we ignored it.. But my son is 4.5 now, and he cannot lick an Ice Cream, and his tongue cannot touch the back of his upper front teeth while keep his mouth open. We may have to do another surgery to release his tongue tie sometime soon.

For my daughter, she had her tongue tie released when she was 5 days old. Simple snip, released about 8mm-ish. We didn't do anything special, beside breastfeeding. She is 1.5yrs old now, and her tongue has much more mobility than my son.

So my suggestion is, do the release as early as possible, do the stretch if that is not too much of struggle. That will save you a lot of trouble in the future, and it definitely worth it.
不知名的植物 发表于 9/26/2019 11:03:37 AM

谢谢mm这么详细的回复。我们会慎重考虑的。我没想到除了胸喂和说话,还可能有其他方面的影响。看来下个星期得赶紧约医生再好好问问了。
s
sleeping
23 楼

Your little one still could suck more and more efficiently even without release, since he/she gets older and more skilled, and tongue will be more powerful. Even after my son's tongue re-occurred, we still manage to breastfeed until he is 16-17 month old, without pain.

But you will need to be prepared that the pain will not completely go away immediately after tongue tie release, because your baby need to learn how to use the "new" tongue. He/she may still cannot suck very well because babies actually started to practice sucking months before being born. They already formed a sucking habit and that needs time to change.

Even for my daughter, it still took her almost 3 weeks to master the new skill.

不知名的植物 发表于 9/26/2019 11:12:47 AM

谢谢mm提醒,我这两天也仔细再想了想,胸喂疼的问题我准备忍忍算了,我现在白天胸喂个4-5次,马上要上班了只会更少。所以不准备因为疼去剪了。但是对说话还有其他方面的影响是我比较担心的,目前几个lactation consultant,牙医和儿医都说对说话应该影响不大,但是看了你的回复我得再问问有没有可能对其他方面有影响。
s
sleeping
24 楼

This doesn't mean that the doctor will make a cut that is 6-7 mm long. They only make a small snip, like 1 mm-ish, and then they use their finger to push the frenulum all the way back to the root of tongue -- this could avoid over-cut, which may hurt the muscle.

The doctor will measure the place where of the frenulum is attached to the tongue before and after the procedure, and that distance is the 6-7mm they told you.

This is really a very very simple procedure, takes no more than 2 minutes starting from put your baby to the operation chair to finish. The special stretch is to prevent reoccur I believe.

不知名的植物 发表于 9/26/2019 11:22:26 AM

谢谢mm科普!
s
sleeping
25 楼
回复13楼sleeping的帖子
用激光做的,娃肯定不舒服,一直在哭,做完手术嘴唇一直颤抖,心疼啊!术后前两天stretch一直大哭,估计疼,点了麻药,就好多了……后面也哭,但我感觉是手伸进嘴里不舒服哭,而不是疼! ---发自Huaren 官方 iOS APP
weiyulu 发表于 9/26/2019 1:39:07 PM


今天问了lactation consultant护理的事情,她说stretch的时候孩子确实会感到不舒服。感觉这个手术更考验的是大人的心理素质