LLR Policy for Division of Tongue Tie (Ankyloglossia)

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Category

Threshold Criteria

Tongue-tie is a birth defect that affects up to 10% of newborn babies. It’s more common in boys than girls.

Normally, the tongue is loosely attached to the base of the mouth with a piece of skin called the lingual frenulum. In babies with tongue-tie, this piece of skin is unusually short and tight, restricting the tongue’s movement. This may prevent the baby feeding properly.

Treatment is not necessary if the baby has a piece of skin connecting the underside of their tongue to the floor of their mouth, but they can feed without any problems. However, where there are feeding problems a procedure called tongue-tie division can be performed. Tongue-tie division involves cutting the short, tight piece of skin connecting the underside of the tongue to the floor of the mouth. It’s a simple and almost painless procedure that usually resolves feeding problems straight away.

Eligibility

LLR ICB s will fund division of tongue tie in the following circumstances
 
·       Baby is over 28 days of age

AND

·       Baby has had a feeding assessment and support from the Infant Feeding Team at UHL or LPT

Guidance

Overview | Division of ankyloglossia (tongue-tie) for breastfeeding | Guidance | NICE
 
ARP 94 Review Date: 2026

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