Pediatric Ear Nose and Throat specialists are the people who know a lot
about the correction of oral and nasal abnormalities.  I worked with a baby
with abnormally small nasal passages last Fall.  I noticed that the
breathing difficulties significantly were impairing baby's ability to bfeed
and referred back to pedi.  She did not refer on to ENT, and I didn't know
that an ENT could have corrected this.  When I ref. baby myself at 7 mo
because mother complained of sx which sounded like apnea, pedi ENT stated
that if he'd seen the nostril thing earlier he could have corrected it and
saved the bfg.  We lost bfg (mom bottle fed pumped milk).  You can only know
what you know when you know it, but I wish I'd known that a pedi ENT could
have surgically corrected the baby's prob.  I would suggest this sort of
specialist to the parents of baby with abnormal tongue.  Tongue protrusion
will create social probs. if nothing else.

Barbara Wilson-Clay, BSEd, IBCLC
Austin Lactation Associates, Austin, Texas
http://www.jump.net/~bwc/lactnews.html

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