Jaye writes:
I will be scouring my books for paperwork I can send him but I need more -
something like articles or documentation on submucosal tongue
ties.specifically a frenulum that is under the floor of the mouth.
~~
Jaye,
I would email or print out the AAP newsletter, where Catherine Watson Genna
is a Co-Author.
_http://www.aap.org/breastfeeding/8-27%20Newsletter.pdf_
(http://www.aap.org/breastfeeding/8-27%20Newsletter.pdf)
There is a photo of the LCs finger, sweeping or feeling under the tongue for
a tie that is not visible. Could be a 3 or 4 but the article confirms they
exist. Also the side bar on page 3 :what tongue tie can manifest as: , is often
something the parents recognize themselves in. It's all about the function,
or lack of, the tongue. I don't know of any articles specifically about
sum-mucosal ties. You could also bring along Cathy's book and go through the info
with the family together. The recent Pediatrics article is not about
sub-mucosal restrictions but it goes on functional limitations and pain before
release, and functional change after release.
_http://www.pediatrics.org/cgi/content/full/122/1/e188_
(http://www.pediatrics.org/cgi/content/full/122/1/e188)
Or the Ballard
one...http://pediatrics.aappublications.org/cgi/content/full/110/5/e63
Peace,
Judy
Judy LeVan Fram, PT, IBCLC, LLLL
Brooklyn, NY, USA
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