Remember that tongue-tie, like many things, comes in degrees.  It is still
quite controversial among pediatric ENTs when and if surgical intervention
is indicated.  I certainly wouldn't want to intervene in a baby whose
frenulum "looked" tight if the baby was nursing well -- just like tonsils
that "look big" don't have to come out unless they are causing FUNCTIONAL
problems, like sleep apnea.

A good, balanced review article is: Ankyloglossia: does it matter? Lalakea
ML - Pediatr Clin North Am - 01-APR-2003; 50(2): 381-97

SKB

===============================
  Suzanne Berman, M.D., FAAP
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      Plateau Pediatrics
 49 Cleveland Street, Suite 210
      Crossville, Tennessee
       voice (931) 707-8700
        fax (931) 456-0802
   after hours (931) 484-9511
  www.plateaupediatrics.com
===============================

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