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An Evidence-Based Approach to Tethered Oral Tissues (TOTs)

An Evidence-Based Approach to Tethered Oral Tissues (TOTs)

PediatricDysphagia CafeOctober 25, 2025

Tethered oral tissues (TOTs), such as tongue ties, have become one of the most talked-about and sometimes misunderstood topics in speech-language pathology. While awareness has grown, so has the need for clear, evidence-based guidance on identifying, assessing, and managing these conditions.

In this webinar, Kara Larson, MS, CCC-SLP, brings clarity to the conversation with a practical, research-driven approach to TOTs and their impact on feeding and oral function.

Participants will explore the latest findings on how TOTs influence swallowing, feeding, and oral-motor development and, most importantly, how clinicians can confidently apply this evidence in everyday practice. Kara will review assessment tools to support accurate diagnosis, discuss the current research and clinical controversies surrounding treatment, and share strategies for interdisciplinary collaboration that leads to better patient outcomes.

Whether you’re new to TOT management or looking to refine your approach, below are some of what you will learn:

 Learning Highlights:

  • Identify and describe current tools used to assess tongue tie and related oral restrictions.
  • Analyze the latest research shaping evidence-based approaches to TOT treatment.
  • Apply practical strategies to create individualized intervention plans and collaborate effectively with other professionals.

We hope you find this 60-minute session a great resource to springboard your learning into deeper research on the topic of TOTs!!!

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AboutDysphagia Cafe
Dysphagia Café’s mission is to be a quality, consistent, reliable and easily accessible resource community for every dysphagia clinician worldwide. This is achieved by generating and promoting original evidence based content by global leaders in dysphagia research and practice.
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INDICATIONS AND USAGE:

VARIBAR ® THIN HONEY (barium sulfate) oral suspension, VARIBAR ® NECTAR (barium sulfate) oral suspension, and VARIBAR ® THIN LIQUID (barium sulfate) for oral suspension, are indicated for use in modified barium swallow examinations to evaluate the oral and pharyngeal function and morphology in adult and pediatric patients. VARIBAR ® HONEY (barium sulfate) oral suspension and VARIBAR ® PUDDING (barium sulfate) oral paste are indicated for use in modified barium swallow examinations to evaluate the oral and pharyngeal function and morphology in adult and pediatric patients 6 months of age and older.

IMPORTANT SAFETY INFORMATION:
For Oral Administration. This product should not be used in patients with known or suspected perforation of the GI tract, known obstruction of the GI tract, high risk of aspiration, or hypersensitivity to barium sulfate products. Rarely, severe allergic reactions of anaphylactoid nature have been reported following administration of barium sulfate contrast agents. Aspiration may occur during the modified barium swallow examination, monitor the patient for aspiration.

Please consult full Prescribing Information for VARIBAR products by clicking HERE.

You are encouraged to report negative side effects of prescription drugs to the FDA.
Visit FDA or call 1-800-FDA-1088.

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Dysphagia Café’s mission is to be a quality, consistent, reliable and easily accessible resource and education community for every dysphagia clinician worldwide. This is achieved by generating and promoting original evidence-based content by global leaders in dysphagia research and practice.

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