The baby’s tongue sticks out and can be bent into an M-shaped tongue tie is too short to cut or not to cut? When my son was 40 days old, Xiao Tu was surprised to report to her husband: the baby’s tongue could actually be bent into an M-shape, so capable. 42 days community hospital physical examination, the doctor told Xiao Tu: baby tongue tie short, need to find a dentist to deal with, cut a knife. When I got home, Xiaotu called her husband in frustration: it turned out that the baby could bend the M shape because the tongue was hanging firmly. On the 19th floor forum, there are many consultation posts about the baby’s short tongue tie, parents are very torn, cut, so small baby, heartache; not cut, will affect the pronunciation when they grow up, the “teacher” said “Lao Si”, then how to do. To cut or not to cut, this is a problem. A hospital in Hangzhou City, a month to cut seventy to eighty knife Hangzhou First People’s Hospital, deputy director of the Department of Stomatology, Wang Yongwu, chief physician, said the Department of Stomatology each month to do seventy to eighty children tongue ligature correction surgery. The smallest babies are a few dozen days old, while the oldest are several years old. Dr. Liu Ling of the Department of Obstetrics and Gynecology of Hangzhou Red Cross Hospital said that newborns born in the hospital’s Obstetrics and Gynecology Department, doctors and nurses will observe whether their tongue tie is too short, if too short to affect breastfeeding, with the consent of parents, the Obstetrics and Gynecology Department will promptly help children cut the tongue tie. “The newborn’s tongue tie is still just a thin layer of membrane, there is no blood vessel distribution, and, the smaller the child the less obvious the pain sensation.” Liu Ling said. What kind of children need to cut the tongue tendons? The folk call the short tongue tendon “tongue tendon hanging firm”. Such children, the tongue can not be free to extend forward, not touching the upper lip, the tongue in the mouth can not be top of the palate, tongue out in the “M” shape, or tongue out after a small groove. Generally to the community hospital examination, the doctor will check the tongue tie for the baby, if found too short, parents will be asked to take the child to a large hospital stomatology review. Dr. Liu Ling of the Department of Obstetrics and Gynecology at the Red Cross Hospital said that, in general, most of the tongue tendon development in infants and children is normal. Some tongues, which look tense and pulled, are only temporary physiological phenomena. As the child grows older and the milk teeth erupt, the tongue tether will gradually relax and the tongue will become more flexible in its mobility. “If breastfeeding is not affected, parents can observe and most babies will get better as they develop.” Wang Yongwu, chief physician of the Department of Stomatology at the First City Hospital, said that the tongue tie is too short or not, and only a regular dental specialist can check it out. The doctor will observe, if the tongue tie is too short, and even affect the sucking, it must be cut, if not very short, with the development of the child’s jawbone and dental bed, the tongue tie will slowly grow, then it can be cut or not, the doctor will consult the parents, wait until the child is 2 years old to review. Many mothers cry after cutting the tongue ties with their babies. 19 upstairs, many help post titles are a bit “frightening”: “Urgently ask your baby about cutting the tongue”, many parents look confused plus frightened: what, cut the tongue? A cut on the tongue? In fact, it’s not the tongue that needs to be cut, but the tongue tendon. In the middle of the dorsal side of the tongue, there is a fascia that connects the tongue to the sublingual mucosa. This fascia is the lingual tendon (tongue tie). Many parents are told to cut the tongue tie by their doctor when they take their baby for a 42-day checkup. The netizen “ZHM” posted: “A few days ago at the community hospital checkup, the doctor said the baby’s tongue tie was a little short. I got up early on Saturday and rushed to the pediatrician, who said the tongue tie was indeed a bit dangling and needed to be cut, because the baby had just been vaccinated, so I had to go cut it a week later. It’s a very small outpatient procedure and quite quick, but it still hurts to think about it. Can you tell me what the process is like?” The post is very lively discussion, many new mothers facing the same problem top post seeking answers, but also expressed their own torn emotions: “My baby is also ah, some say within half a year to cut good, otherwise affect the pronunciation, some say older will degenerate, why let the child suffer this! I am also in conflict.” And many people have posted their own baby’s medical records. The netizen “love bubble” said: my baby is 4 months to cut, first to blood tests, good coagulation function, then start surgery, the father lying on the chair holding the baby, the grandmother stood in front of the baby’s head, I was standing in the doorway crying, dare not go in to see, heard the baby cry heartily really poor, but this process on a few minutes. A few minutes later the doctor said it was okay, told us to take the downstairs to play for a while, 15 minutes later and then come back, wait until the baby downstairs will not cry. From the replies, we found that like “love bubbles”, there were few mothers who were in tears because of their babies’ pain. Although only a few minutes of minor surgery, but still let many new mothers feel torn – cut, the baby poor, holding a fluke, hoping that as the baby grows, the problem can naturally improve. But really do not cut, and very worried. If your baby can’t get well on its own, you’ll still have to cut it, but by then you’ll have missed the best time for babies and toddlers, and then it won’t just be an easy cut, you’ll need anesthesia and stitches, so think of the pain. So, to cut or not to cut? The two most suitable time to cut the tongue tendon If you need to cut but do not cut, will affect the speech? Dr. Ruan Wenhua, director of the Department of Stomatology at Zhejiang Children’s Hospital, said that a tongue tie that is too short without tongue tie correction will have a great impact on future speech. Wang Yongwu said that it will have an impact on the warble sound. Children who speak with “big tongues” are caused by short tongue ties. Because the child’s tongue is difficult to upturn, will affect the pronunciation of “zh, ch, sh, r” and other warble sounds, such as “teacher” called “Lao Si”. If you want to cut, what is the best time period? Zhejiang Children’s Hospital has done tongue ligature correction for hundreds of patients and believes that the best time to operate is within 1 year old or before 6 years old. Generally speaking, the procedure is very painless, and no anesthesia is needed for children under 1 year old. 3-6 year olds are anesthetized outside the tongue tie during the procedure. After the surgery, it is important to keep the mouth clean and rinse it frequently. The stitches can usually be removed after a week. Wang Yongwu said, within 6 months of cutting are more appropriate, because during this time the baby’s pain is not very strong, the tongue tie is thin, bleeding after surgery will be less, plus the body with the mother’s antibodies are still relatively strong, the surgery risk is small. However, if your baby has a cold, you should postpone cutting the tongue tie, and it is also best not to cut it a week before or after the vaccination. The child said “pants” into “rabbit” do not worry too much Although most mothers do not want their children to suffer, torn whether to let the baby suffer a scissors, but some parents heard that after cutting the tongue tendon English pronunciation will be more standard, so they brought their children to cut the tongue tendon. Dr. Ruan Wenhua, director of the Department of Stomatology at Zhejiang Children’s Hospital, said that tongue tie cutting surgery was originally a corrective surgery for some people with abnormal tongue structure, which makes pronunciation difficult, and some parents let their children cut their tongues for the purpose of becoming a dragon, which is not desirable. This is not advisable. Both physiologically and psychologically, it will cause some harm to the child. In addition, some parents do not notice the problem of short tongue tie when the baby is small, and only bring the child to do the surgery when he grows up with pronunciation problems, so they have great expectations that once the tongue band is cut, pronunciation will be accurate, which is actually a misunderstanding. Experts say that there are many reasons for inaccurate pronunciation, such as congenital physical defects, acquired diseases, etc. In addition, the influence of the environment can also cause children to speak inaccurately. Therefore, even after the surgery, further speech training is still needed. For most children, lisp is just a normal physiological phenomenon in the process of language development, some children may pronounce “east” as “male” and “pants” as “rabbit”. Some children may pronounce “east” as “male” or “pants” as “rabbit”, but with the further improvement of the articulation organs, such situations can be improved. Parents should be reminded that they should pay attention to correct their children’s speech and pronunciation when they are small. If they don’t pay attention to correct their children at the early stage of learning to speak, it will not be easy to correct them after they have developed a habit over time.