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Date: | Fri, 7 Dec 2007 16:39:42 -0500 |
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My own son had 7 years of speech therapy, and none of his speech
therapists ever noticed his tongue-tie (they all wrote his oral anatomy
was sufficient for the production of speech). Many of their books say
that tongue-tie doesn't matter, so they don't even look for it. We
finally has his frenulum divided when he was 10 and had sleep apnea. His
speech was perfect the day after the surgery. He needed a tonsillectomy
and maxillary expansion to correct the sleep apnea. What that poor child
had to go through because no one would snip that tiny thin membrane
under his tongue when he was a newborn!
Even if we can get treatment for a baby, undertreatment is rampant, for
two reasons. One is that there is sometimes a sneaky, submucosal
component to the frenulum that is difficult to notice. The second is
that there is sometimes a lot of soft tissue (oral mucosa) attached to
the tongue as well, and one can't always see all of the frenulum until
the soft tissue regresses a little. Even Dr. Coryllos sometimes has to
snip a second, and rarely a third time to get it all.
Catherine Watson Genna, IBCLC NYC
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