Hi,

I have a question about clipping posterior tongue-tie - I am reading chapter 9 
in "Supporting Sucking Skills in Breastfeeding Infants" by Catherine Watson 
Genna - the description is great - but I'm always curious how is this procedure 
done on a squirming infant?  

I have a local oral surgeon who clips straightforward stage 1 and 2 tongue-
ties.....but he has never heard of staging....or posterior tongue-tie......I just 
referred a baby for a stage 3/4.....and he feels it does not need 
clipping.......baby can't latch....doesn't have bad range of motionside to 
side.....but has bunching when extends the tongue.....and can't maintain 
extention  beyond the lower gum ridge.....I just spoke to another oral surgeon 
and he doesn't even clip without general anasthesia!    I'm going to speak with 
the one who clips and see if he is open to dialogue.....

Kerri Zandberg, RN, BScN., IBCLC

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