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Lactation Information and Discussion

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Subject:
From:
"Catherine Watson Genna BS, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 22 Jun 2011 18:10:35 -0400
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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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