Hi Jeanette
I have also made that observation that babies with tongue tie will turn the tongue up.
I recently saw a colleague who had a baby soon after the birth when she came to show the baby to
everyone. I noticed the tongue when I passed her in the corridor and low and behold she asked me to
look at the baby because her nipples were being "rested" and the baby given a bottle because of the
pain. Baby had a very tight frenulum one and this story had a happy
ending with the baby now exclusively breastfed.
One of our ENTs once told me that if the tongue is tied down it is more posterior in the mouth and then
everything at the back is also more posterior. That will mean that the base of the tongue may push
into the oropharynx or obscure the space i.e. airway slightly. I wonder whether that is the cause of the nasalised
breathing we sometimes observe in tongue tied babies. Perhaps their respiration is just slightly compromised
and they breathe through the mouth to compensate.
"There are more questions than answers"
Loraine Hamm
SLT/IBCLC
New Zealand
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