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Yes, ankyloglossia can be protective when a baby has micrognathia,
retrognathia and glossoptosis (small, retroplaced mandible and a tongue
that is also placed far back and falls into the airway). These are the
salient features of Pierre Robin sequence, which usually also includes
cleft palate. Adhering the tongue to the lower lip can prevent a baby
from needing a tracheostomy.
Kids with PRS are very difficult to feed. They are one very good
indication for a Haberman feeder. I like to use a semiprone position for
the baby, with support under the ramus of the mandible to gently hold
the jaw a little forward. I think there's a photo in SSS of this position.
Catherine Watson Genna BS, IBCLC NYC cwgenna.com
On 6/22/2011 11:24 AM, Jodie Drum wrote:
> While drowning in 'tight frenulum where no on else wants to recognize them' land, there is a case that has me needing to learn more.
> So here is my question for you wise ones ...
>
> Can ankylglossia ever be considered protective?
> And on that note, can anyone comment (in any way shape or form) about tongue lip adhesion surgery?
>
> Situation invloves micronathia and concerns for airway obstruction.
>
> Admittedly feeling on the defence : (
>
> Jodie Drum
>
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