WEBINAR | TOTs: A HOT Topic! [February 7, 2019][RECORDING] -  Talk-Tools

WEBINAR | TOTs: A HOT Topic! [February 7, 2019][RECORDING]


Date: February 7, 2019

Location: Webinar (07:30PM - 09:30PM EST)

Presenter: Robyn Merkel Walsh, MA, CCC-SLP

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Course Description: 
TOTs! This acronym for Tethered Oral Tissues is appearing in blogs, social
media and speech pathology workshops. Tethering of Oral Tissues
(TOTS) is not necessarily a new term, but it was coined by Kevin Boyd,
DDS at the International Association of Tongue-tie Professionals at their
annual conference in Quebec, Montreal Canada in October of 2014. TOTS
as a term is more inclusive of tissue restriction of the tongue, lips and
buccal frena.
So why is TOTs such a hot topic? Over the past few years, TOTs has been
more frequently discussed in the fields of lactation, speech pathology, oral
surgery, orofacial myology and otolaryngology. Not only is it discussed,
there seems to be an ongoing social media war regarding who should be
the “team leader” in diagnosing and treating TOTs. Debates include: 1)
best practices for surgical revision (scissor versus laser); 2) scope of
practice (lactation versus SLP versus registered dental hygienist); 3) the
role of the bodyworker (occupational therapy, physical therapy and
chiropractic care); 4) the need for a specific certification (Certified Orofacial
Myologist ™) and 5) the need for pre and post op stretching on or off the
TOTs have been called a “fad” by some but Dr. Ghaheri, otolaryngologist
who is a leader in frenectomies stated that TOTs is not a fad back in his
blog in 2014. The ASHA Leader Blog had an ongoing debate and the
question of Evidenced Based Practices (EBP) regarding TOTs, there have
been symposiums and international research and texts emerging at a rapid
pace. The areas of research that are most prevalent regarding TOTs
include: the impact on TOTs on breastfeeding and the possible relationship

of TOTs and aerophagia (GERD like symptoms) . Other researchers have
linked TOTs to Obstructive Sleep Apnea (OSA) and speech clarity.
In summary, it is important for professionals to learn the latest research
regarding the hot topic of TOTs. Numerous professionals are involved in
the diagnosis and remediation of TOTs including: lactation consultants,
OTs, PTs, chiropractors, dental hygienists, oral surgeons, dentists and
otolaryngologists. We must elevate our professional knowledge to move
forward and maintain our important role as experts in orofacial
myofunctional therapy, feeding and speech to include aerodigestion and
respiration in our diagnostic and treatment protocols for TOTs patients.

Learning Outcomes

  • Participants will be able to define the acronym TOTs.
  • Participants will have an improved understanding of the current controversy surrounding TOTs.
  • Participants will be able to list at least three professionals on a TOTs team.
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Presenter Bio

Robyn Merkel Walsh, MA, CCC-SLP has specialized for over 24 years in Oral Placement and myofunctional disorders in children. She is employed by the Ridgefield Board of Education, runs a private practice in Ridgefield, NJ, is the board chair of the Oral Motor Institute, and is a member of the TalkTools® speakers bureau . . . more

Webinar Details

This program is offered for 0.2 ASHA CEUs (Introductory Level; Professional Area) (see TalkTools ASHA CEU Policy and Process for more information)

Schedule (07:30PM - 09:30PM Eastern)

  •  07:30PM    07:40PM    Speakers intros and why this webinar
  •  07:40PM    08:00PM    What is TOTs and why is it a Hot Topic?
  •  08:00PM    08:30PM    Controversies surrounding TOTs
  •  08:30PM    08:40PM    10 Minute Break
  •  08:40PM    09:20PM    Continuation of Controversies surrounding TOTs with EBP review
  • 09:20PM     09:30PM    Q&A

    Viewing Options

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    • SUBMIT course survey (provided in post-webinar email) -- survey must be submitted within 30 days of LIVE BROADCAST DATE to receive ASHA CEUs
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    • ACCESS TO RECORDED BROADCAST -- everyone who purchases a seat for a webinar will be provided a link to the recorded broadcast via email 1-3 days after LIVE BROADCAST DATE. Access to recording will be available for 30 days after LIVE BROADCAST DATE.
    • VIEW webinar within the 30-day access schedule
    • SUBMIT course survey (provided in email with recorded broadcast) -- survey must be submitted within 30 days of LIVE  BROADCAST DATE to receive ASHA CEUs
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