With Mr Aakash Amlani, Consultant Paediatric ENT Surgeon
Assessment £85 | Assessment and Correction £185
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Please note that an appointment does not guarantee that tongue-tie division will be performed. Treatment will only be undertaken where Mr Amlani considers it clinically appropriate and safe.
| Tongue Tie Assessment Only | £85 | |
| Assessment and Tongue Tie Correction | £185 |
An £85 deposit is required when booking.
If an anterior tongue tie suitable for surgical division is identified and the procedure is performed, a further £100 is payable.
If surgical division is not clinically indicated, the assessment fee of £85 remains payable.
Posterior tongue-tie assessment and correction are not provided at MUMS.
Appointments are approximately 15 minutes.
If you are concerned that your baby may have an anterior tongue tie, particularly where there are difficulties with feeding or latching, Mr Aakash Amlani provides specialist ENT assessment and surgical correction at MUMS Solihull.
During the consultation, Mr Amlani will examine your baby's mouth and tongue, assess the appearance and movement of the tongue and lingual frenulum, and determine whether an anterior tongue tie suitable for division is present.
Where surgical correction is considered appropriate, the procedure can usually be performed during the same appointment.
The service is available for babies aged between 2 and 12 weeks.
This is a surgical ENT assessment, not a comprehensive functional feeding assessment.
Tongue tie, medically known as ankyloglossia, is present from birth and occurs when the lingual frenulum, the tissue connecting the underside of the tongue to the floor of the mouth, restricts normal tongue movement.
An anterior tongue tie involves a restrictive attachment towards the front of the tongue and may affect the baby's ability to move or extend the tongue freely.
Some babies with a tongue tie experience no difficulties and do not require treatment. For others, restricted tongue movement may contribute to breastfeeding difficulties.
Not every visible frenulum is abnormal, and not every tongue tie requires surgical division.
Mr Amlani will determine whether an anterior tongue tie is present and whether surgical correction is appropriate.
The term posterior tongue tie is sometimes used to describe a perceived restriction beneath the tongue where the attachment is less visible or situated further back.
However, the definition and clinical significance of posterior tongue tie remain subjects of professional debate, and there is no universally agreed diagnostic definition.
Different healthcare professionals may interpret the same anatomical findings differently.
Mr Amlani's clinical approach is based on assessing whether an identifiable anterior tongue tie is present and whether surgical division is likely to provide benefit without exposing the baby to unnecessary risk.
MUMS does not offer posterior tongue-tie assessment or surgical correction.
Parents seeking assessment specifically for a suspected posterior tongue tie should consult an appropriately qualified specialist service.
Possible signs can include:
These symptoms are not specific to tongue tie and can occur for several other reasons.
Feeding difficulties alone do not necessarily indicate the presence of a tongue tie.
If your baby is experiencing persistent feeding difficulties, assessment by a qualified infant feeding specialist may help identify the underlying cause.
For some babies, an anterior tongue tie can restrict tongue movement and contribute to difficulties with breastfeeding.
Parents may notice problems with attachment, maintaining a latch or feeding effectively. Breastfeeding mothers may also experience nipple discomfort or pain.
Mr Amlani will discuss the feeding concerns you describe and examine your baby's tongue before advising whether an anterior tongue-tie division is clinically appropriate.
Please be aware that Mr Amlani does not provide a specialist lactation consultation or functional feeding assessment.
If further feeding support is required, you may be advised to seek assessment from a qualified breastfeeding or infant feeding specialist.
During your appointment, Mr Amlani will:
If an anterior tongue tie suitable for division is identified, correction can usually be performed during the same appointment.
The procedure will be explained and your consent obtained before treatment.
If surgical division is not recommended, Mr Amlani will explain his clinical reasoning.
Please note that a feeding observation, breastfeeding assessment or specialist functional feeding assessment is not included in this appointment.
Anterior tongue-tie correction is also known as tongue-tie division or frenulotomy.
Where clinically indicated, the restrictive lingual frenulum is divided using sterile surgical scissors to improve tongue mobility.
The procedure itself is brief, although there are recognised risks, including bleeding, infection, injury to surrounding structures and the possibility that feeding difficulties may not improve.
Following the procedure, you will be encouraged to feed your baby.
Mr Amlani will check the treatment site before you leave the clinic, and written aftercare information will be provided.
Important – Vitamin K
Vitamin K is routinely offered to newborn babies to reduce the risk of serious bleeding.
MUMS cannot undertake tongue-tie division unless your baby has received an appropriate course of Vitamin K following birth.
Please inform our team before booking if your baby has not received Vitamin K or if you are unsure.
If Mr Amlani does not identify an anterior tongue tie suitable for surgical correction, no procedure will be performed.
The assessment fee of £85 remains payable.
Mr Amlani will explain his findings and may recommend further feeding support or alternative assessment where appropriate.
If you remain concerned following your appointment, please contact MUMS. We can arrange a further review with Mr Amlani free of charge where appropriate.
Please remember that MUMS does not provide specialist posterior tongue-tie assessment or correction.
There is a possibility that a tongue tie may reattach following division.
If you are concerned that this has happened following a procedure performed at MUMS, please contact us.
We can arrange a free review with the surgeon who performed the procedure.
Important Information – Please Read Before Booking
MUMS provides assessment and surgical correction of anterior tongue ties only.
MUMS does not provide specialist assessment, surgical division or correction of posterior tongue ties.
If you have been advised by a midwife, health visitor, lactation consultant or feeding specialist that your baby may have a posterior tongue tie, our service is not suitable for assessing or treating this condition.
We recommend seeking advice from an appropriately qualified healthcare professional or specialist service offering posterior tongue-tie assessment.
Please note: Our appointments are consultant-led ENT surgical assessments. They do not include a specialist functional feeding assessment, breastfeeding observation, latch assessment or lactation consultation.
If your primary concern is feeding difficulty and you are unsure whether your baby has an anterior tongue tie, we recommend seeking advice from a qualified infant feeding specialist before booking.
If you are unsure whether this service is suitable for your baby, please contact our team before booking.
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