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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:
Sun, 23 Jul 2006 12:03:44 -0400
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I bet that the "frenulum clipped too far back resulting in speech 
problems" hypothesis is not accurate. Even with frenotomy, it is not 
possible to completely restore the relationships between tongue, jaw, 
epiglottis, and larynx that would have existed if the frenulum regressed 
during fetal development as it should have (without major surgery, at 
least). Mukai in Japan has published on this, and has some stuff in 
English on line ("Ankyloglossia with Deviation of the Epiglottis and 
Larynx" is the title of one of his main publications). Depending on when 
the frenotomy was done, the baby's brain might have made connections and 
even myelinated in incorrect tongue movements before the treatment. So 
we can't blame everything on the way the frenotomy was done.
We are in our infancy of understanding all of this, and have a lot to 
learn.
Catherine Watson Genna, IBCLC  NYC

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