General PAS

Question 1

Common presentations of ankyloglossia(tongue tie)

Answer 1

Early
1. Poor feeding by infant: Child not sated
2. Painful breastfeeding for mother
3. Breasts not fully emptied

Late
1. Speech delays and issues
2. Bad breath

Question 2

Scoring for tongue tie

Answer 2

TABBY

Visual score looking at
1. length of frenulum
2. how far tongue can stick out

Question 3

Tool for release of ankyloglossia

Answer 3

Iris scissors

Question 4

Method for tongue tie release

Answer 4

1. Using iris scissors
2. Cut until flush surface of the inferior tongue
3. Diamond shaped defect indicates proper release

Question 5

Why GA tongue tie release is low risk

Answer 5

Duration of anaesthesia less than 20mins

Question 6

Where esophagus usually ends

Answer 6

T3/T4 level