The RCT that I and 2 colleagues did on tongue-tie relating to infant 
feeding showed that it is the function, not the appearance, that was 
important.
Some babies with 100% ties i.e. right to the tip fed with no problems, 
others with 25% did not. Also the symptoms varied from dyad to dyad, 
some had every symptom you could think of, others had just one.

Having seen many, many babies with tongue-tie, and snipped over 2000 
myself I agree with Winnie. In-depth observation is the key.

Regards,
Carolyn
-- 
Carolyn Westcott RN IBCLC Southampton UK
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