December 09, 2025

Ep. 251 Clinical Evaluation and Treatment of Tongue Tie in Pediatric OSA with Dr. Brennan Dodson and Allegra Bereszniewicz M.S., CCC-SLP, QOM

1 hour 30 minutes

Does tongue tie impact pediatric sleep disordered breathing? In this episode of the Back Table ENT Podcast, otolaryngologist Dr. Brennan Dodson and speech language pathologist Allegra Bereszniewicz discuss tongue-tie and the pediatric airway with hosts Dr Ashley Agan and Dr. Gopi Shah.

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SYNPOSIS

The discussion covers the anatomy and pathophysiology of tongue tie, surgical techniques for its release, and the importance of pre- and post-operative myofunctional therapy. They delve into patient selection, the impact of tongue tie on sleep-disordered breathing, and contrasting surgical methodologies, including frenuloplasty. The episode also features an insightful case study with visuals, examining Dr. Dodson's surgical approach in detail. Additionally, they touch on insurance considerations and the challenges within current medical practice regarding tongue tie diagnosis and treatment. Check out detailed surgical techniques at the end with case presentations!

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TIMESTAMPS

00:00 - Introduction
01:29 - Understanding Tongue Tie and Pediatric Airway
06:17 - The Role of Myofunctional Therapy
10:37 - Scientific Evidence and Research on Tongue Tie
15:52 - Clinical Approaches and Patient Evaluations
35:00 - Pre-Op and Post-Op Procedures
39:02 - Post-Surgery Recovery and Exercises
40:32 - Surgical Techniques and Tools
44:31 - Post-Operative Care and Pain Management
48:59 - Patient Selection and Considerations
01:02:41 - Sleep Studies and Outcome Measures
01:12:30 - Incision Techniques and Dissection Tools
01:17:24 - Closure and Post-Operative Care
01:23:51 - Innovations and Techniques in Surgery
01:28:09 - Final Thoughts

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RESOURCES

Dr. Brennan Dodson
https://www.bridgerent.com/

Allegra Bereszniewicz MS, CCC-SLP
https://grospeech.com/about/

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