Margaret -
You asked about a posterior tongue-tie - how to spot.  I had not been
looking for this until read the article you cite.  Have found just one and
yes it was difficult to assess and to clip.  First physician stated there
was no problem - it is very tricky to see.  Second physician listened when
I said "you have to elevate the tongue with your finger at its base in
order to visualize".  He did this and noticed the thin membrane and
clipped.  The mom had immediate relief from her ongoing sore nipples.

What made me pursue the posterior tie was a slightly bunched appearance to
the tongue and occasional hints of central tether as baby tried to extend
and elevate tongue. Mom was experienced bfdr with good technique.

Hope this helps.
Joanna Koch IBCLC

             ***********************************************

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html