The first important aspect of knowing who the best provider is for your child is to know that Tethered Oral Tissues (TOTs) often requires a team approach. No one profession is more important than another. Ideally a patient will see an appropriate therapist/consultant for a functional assessment and receive some pre-operative care to optimize the release procedure. Sometimes this can be very confusing to parents as each family has their own journey and makes referrals based on their personal experience but each infant/child may present with different functional symptoms requiring their own unique plan of care.
The SLP's Role in TOTS
Posted by Admin TalkTools on
Can a Tongue be too Tied to Talk?
Posted by Admin TalkTools on
Can a Tongue be too Tied to Talk?
By: Robyn Merkel-Walsh MA, CCC-SLP, COM®
The reported prevalence of ankyloglossia varies from <1 percent to 32.54 percent, depending upon the study population and criteria used to define ankyloglossia (Isaacsson, Messner & Armsby, 2017; de Castro Martinelli, Marchesan & Berretin Felix, 2018). Recently there has been an increased awareness and ongoing debate concerning ankyloglossia in regards to the impact on speech and the role of the speech-language pathologist (SLP) in regard to assessment and treatment (Kummer, 2005; Merkel-Walsh & Overland, 2018; Potock, 2017).
Continuing Education BOGO Sale This Holiday Season
Posted by Casey Roy on
It's almost the end of the year; do you still need more ASHA or AOTA Continuing Education Units?
Get a FREE webinar when you register for any self-study course this week.
Choose from online courses about speech therapy, feeding therapy, sensory techniques, autism, Down syndrome, tethered oral tissue, behavior, carryover and more.
This offer expires Sunday, December 9, 2018 at midnight EST.
The discount will automatically apply at checkout when you have at least one self-study course and one webinar in your cart.
Stock up on free webinars! You can use this discount an unlimited amount of times... so, the more self-study courses you register for, the more webinars you will get for FREE.
This is a mix-and-match deal, so you can choose whichever self-study course you like and whichever webinar you like.
ASHA Convention 2018 Booth #1032: What to Expect
Posted by Casey Roy on

Sneak Peek - 'Functional Assessment and Remediation of TOTs'
Posted by Casey Roy on
The wait is over... It's finally here!
The wait for the new book, Functional Assessment and Remediation of TOTs (Tethered Oral Tissues) has been long (and we mean loooong)... but well worth it. Authors Robyn Merkel-Walsh, MA, CCC-SLP and Lori Overland, MS, CCC-SLP, C/NDT, CLC have been working hard to deliver you the quality content you deserve.
The book is a comprehensive, evidence-based program that assists in the identification and functional implications of TOTs (also known as tethered oral tissue, tongue tie and ankyloglossia).
This practical speech and feeding program includes a pre- and post-surgical treatment plan to avoid long-term issues, such as scarring and reattachment.
Without further ado, here is a sneak peek into this new, innovative guide to tongue tie!