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Thu, 5 Jun 2008 18:59:48 -0400 |
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I think part of the hestitancy about clipping posterior tongue tie is that the
anatomic findings are very subtle, probably an anatomic variant, and the
scoring system refers only to the baby. I think in a profession where we
preach a mom/baby unit that it does us a disservice to separate the baby's
anatomy from mother's symptoms and from the impact on feeding. As each
person has shared their experience, both baby and mom have been mentioned,
indicating understanding that the symptoms of the dyad are making the repair
necessary. I don't think we can assume that a surgeon looking at a posterior
tongue tie will have that understanding. Not every tongue tie needs to be
fixed. It may be helpful to develop language to describe the importance of
the impact of tongue tie on feeding and not just to describe the anatomic
components.
Jenny Thomas
www.drjen4kids.com
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