Airway Answers with Nicole Goldfarb: Expanding Your Breath of Knowledge

Ep. 76: "Tongue Tie & Cancer: Is There a Connection? with Dr. Hilary Pada, DDS"

Nicole Goldfarb

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Can tongue-tie contribute to cancer treatment complications, airway dysfunction, and sleep-disordered breathing? In this episode of **Airway Answers**, Nicole Goldfarb interviews **Dr. Hilary Pada** about the connection between tongue mobility, oral oncology, craniofacial development, and airway health.

Learn how the **Tongue Range of Motion Ratio (TRMR)**, obstructive sleep apnea (OSA), oral mucositis, infant feeding, craniofacial development, and interdisciplinary care may influence patient outcomes in both oncology and airway-focused practice.

**Topics discussed:** Tongue-tie • Tethered oral tissues (TOTs) • Airway health • Obstructive sleep apnea (OSA) • Oral oncology • Oral mucositis • Infant feeding • Craniofacial growth • Myofunctional therapy • Interdisciplinary healthcare

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**CHAPTERS**

0:00 Introduction to Airway Answers & Meet Dr. Hilary Pada
3:17 Dr. Hilary Pada's Background in Oral Oncology & Airway Health
10:48 Tongue-Tie and Cancer: Why This Research Matters
17:25 The "Episode Four" Analogy: Why We're Missing Early Signs
18:48 Case Study: Tongue-Tie in a Multiple Myeloma Patient
23:22 Obstructive Sleep Apnea (OSA), Oral Mucositis & Cancer
26:48 Tongue Range of Motion Ratio (TRMR): How to Assess Tongue Mobility
31:31 Before & After: Real Patient Tongue-Tie Treatment Results
35:07 The Seven Oral Frenula & Tongue-Tie Anatomy
41:20 Craniofacial Development: Midlines, Jaw Growth & Airway
51:58 Anterior vs. Posterior Tongue-Tie: What's the Difference?
1:05:23 Research Findings: Severe Tongue Restriction in Cancer Patients
1:20:32 Why Tongue-Tie Is Often Missed in Infants
1:29:18 Sleep, Cancer Risk & Long-Term Health
1:36:47 Infant Feeding, Tongue Function & Early Intervention
1:48:50 Key Takeaways & Closing Thoughts

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👍 **If you enjoyed this episode, please Like, Subscribe, and share it with colleagues interested in airway health and orofacial myofunctional therapy.**

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**About Dr. Hilary Pada**

Dr. Hilary Pada is an oral oncology researcher whose work focuses on tongue mobility, airway health, craniofacial development, sleep-disordered breathing, and cancer care. She is passionate about advancing interdisciplinary collaboration to improve patient outcomes.

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**About Nicole Goldfarb**

Nicole Goldfarb, M.A., CCC-SLP, COM®, is a Speech-Language Pathologist, Certified Orofacial Myologist, international speaker, educator, podcast host, and founder of the San Diego Center for Speech & Myofunctional Therapy.

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#TongueTie #AirwayHealth #MyofunctionalTherapy

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⚠️ **Disclaimer:** This podcast is for educational purposes only and is not medical or dental advice. Always consult a qualified healthcare professional regarding diagnosis or treatment. Reliance on the information presented is at your own risk. Mention of specific providers, products, or services does not constitute an endorsement.