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Date: | Thu, 21 Sep 2006 22:55:43 -0400 |
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Certainly sounds like he has a significantly tight posterior tongue tie.
The bunching, biting and inefficient feeding is typical.
Will mom fingerfeed? Sometimes fingerfeeding with a small, circular
massage on the tongue with the finger can help bring these little
tongues forward a bit more.
As for the ped, can you call him when you are sending a baby, and say "I
know this is not a typical tongue tie, but..." and explain your findings
and ask if he could try lifting the tongue to get a good look. You could
always send the mom to NY if she's desperate, or Dr. Coryllos (our
pediatric surgeon/IBCLC/wonderwoman) will walk any willing doc through
it on the telephone. Sometimes sending mom in armed with our AAP BF
section newsletter article will help her get these very restrictive but
harder to notice frenula treated.
You could start cultivating the youngest ENTs/oral surgeons/pediatric
surgeons in town. Sometimes calling around and asking if they treat
tongue ties is enough to open a dialogue. You can share the latest
research, there are more studies all the time.
Good luck, it is a frustrating situation when you see something others
do not.
Catherine Watson Genna, IBCLC NYC
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