I think Barbara Wilson-Clay and I are talking about almost the same positoning for babies with small jaws and short tongue; we are just using slightly different language. Probably because of my OT background, I imagine a certain positon with the words "extended head" than most non-therapists. All in all, I think it is important to do whatever works to get the tongue protruded as far as possible, paying attention always to how the rest of the baby's body is positioned. Remember that the mouth is connected to the neck, which is connected to the trunk, which is connected to the hips and feet and arms, etc. Sometimes an unconventional position works best- but if it isn't broken, don't fix it. I am very curious as to what happened to this baby with the short, heart shaped tongue- could the person who origionally posted this interesting case post a follow up for all of us inquireing minds who want to know? Debbie Rabin, OTR, CLC Los Angeles, CA