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Subject:
From:
"Catherine Watson Genna, IBCLC" <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 7 Dec 2007 16:39:42 -0500
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My own son had 7 years of speech therapy, and none of his speech 
therapists ever noticed his tongue-tie (they all wrote his oral anatomy 
was sufficient for the production of speech). Many of their books say 
that tongue-tie doesn't matter, so they don't even look for it. We 
finally has his frenulum divided when he was 10 and had sleep apnea. His 
speech was perfect the day after the surgery. He needed a tonsillectomy 
and maxillary expansion to correct the sleep apnea. What that poor child 
had to go through because no one would snip that tiny thin membrane 
under his tongue when he was a newborn!

Even if we can get treatment for a baby, undertreatment is rampant, for 
two reasons. One is that there is sometimes a sneaky, submucosal 
component to the frenulum that is difficult to notice. The second is 
that there is sometimes a lot of soft tissue (oral mucosa) attached to 
the tongue as well, and one can't always see all of the frenulum until 
the soft tissue regresses a little. Even Dr. Coryllos sometimes has to 
snip a second, and rarely a third time to get it all.

Catherine Watson Genna, IBCLC NYC

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