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Lactation Information and Discussion <[log in to unmask]>
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Sun, 5 Mar 2006 15:14:42 -0600
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I had a big argument with a plastic surgeon one day over this...he had told 
the parents of twins with tongue-tie that he did not clip them because they 
would grow back.

I have to admit I have not searched the literature on this topic, but it 
really doen't make physiologic sense.  The frenulum is a structural 
variation or abnormality (depending upon your point of view!) and is left 
over from the tongue forming from the floor of the mouth during fetal 
development.  I cannot imagine why on earth the body would be "programmed" 
to "regrow" a frenulum.  I also cannot imagine that they could "heal up" 
into their original form, since the tongue is moving around all the time.

I wonder if what people are referring to is that once you clip some tongues, 
there is some frenulum left uncut.  Or maybe in older people some scarring 
takes place after the suturing that causes more restriction of movement as 
time goes on.

I personally have never seen an actual case of a frenulum "growing back". 
But I have only done them for 5 years.

Kathy Leeper, MD, IBCLC
MilkWorks- Lincoln, NE 

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