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Mon, 28 Jun 2021 10:53:39 -0400 |
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I've been in practice for 29 years now, and I don't think there's an
increase in tongue-tie in that time, but I do THINK I'm seeing more
torticollis, which I think is the major confounder to tt. The babies who
come to me only after an unsuccessful frenotomy (GRR!) mostly have
torticollis, which also stiffens the floor of the mouth on the affected
(tilt) side. I wonder if the increase in sitting/standing and decrease
in walking/squatting for work is behind this?
It can be really hard to tease out the strands. We have seen immediate
changes in baby's sucking on ultrasound after frenotomy, and sustained
changes 2 weeks later. Even 3-4 month olds change their sucking pattern
relatively quickly if tongue tie is the only issue. So far we've only
published our methodology and sample results, but we hope to get back to
work (COVID derailed all research at Columbia University) and keep
collecting data.
https://physoc.onlinelibrary.wiley.com/doi/10.14814/phy2.14685
So no real answer, except that if frenotomy works, it is likely that
either it substantially changed the baby's ability to latch, or their
ability to suck, or both.
Cathy
Catherine Watson Genna BS, IBCLC NYC www.cwgenna.com
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