Re:'Posterior' TT and research

[Guest guest]

I

really wish we’d stop labeling tongue tie as anterior vs. posterior, etc.

Tongue tie is tongue tie. Classifying ankyloglossia with types1-4 can be useful

but we can’t disregard “posterior” tongue tie simply because

there are not many studies on specially “posterior” tongue tie. If

the tongue is restricted, it is restricted. Period. It may be helpful to

identify where the frenulum attaches or where the tightness is but to say we

can’t do much about posterior tongue tie research is done does not sit

well with me.

Cole

[Guest guest]

I respectfully disagree Of course these are variations of tongue restriction.

However the procedures and even management of common as opposed to 'posterior'

(I don't even know how to describe what I am referring to without

differentiating) may be completely different. PTT has already been established

as a descriptive term within the literature of people who are researching

ankyloglossia. Why? It helps paint a better picture. It's simply a descriptive

term that better describes the mechanism of restriction.

We don't just indicate nipple anomoly, we also distinguish the variation type.

How would it benefit any practitioner to not have further information? Did

anyone say we can't do much about posterior tongue tie without much research?

I'm not sure if you were referring to my comments but if so that is not at all

what I am trying to express. What I was trying to address is that many

practitioners will not buy into the concept until it has been further explored.

I'm not implying that trained LC's should not acknowledge it, or place it into

their documentation or attempt to offer appropriate interventions (including a

referral for evaluation of release!). Just acknowledging that in areas that lack

a qualified HCP to perform frenotomy for PTT one of the factors that will

increase their awareness is going to be further case studies like we were

provided this week and research.

We've already established there are few and far between practitioners that will

even treat traditional ankyloglossia. They need to get their training somewhere,

ideally from another peer. Research will help give their peers the tools that

support the need for intervention, and inspire further education.

We have cried for decades about the lack of evidence based approaches in

relation to breastfeeding and maternal child health. In an effort to increase

the legitimacy of our profession I think we have to recognize evidence based is

a two way street. In regards to PTT things are evolving as they typically will,

and I am convinced that some of our fabulous peers are heading toward

establishing some research that will help us increase both awareness that this

condition exists and identify approaches that their peers can implement to

address it. In the meantime do we do nothing? Of course not. We will be source

of education by continuing to reference this condition in our documentation,

offering appropriate interventions and referrals, and teaching our peers, like I

get from all of you here!

[Guest guest]

Sorry about that post...I was having a private discussion offline and

accidentally did " reply to group " instead " reply to sender " .

No , my email was not in response to any of your comments. I was echoing

an blog post I had read and was discussing. Here's the link in case you are

interested...

http://www.permissiontomother.com/2008/05/tongue-tie-in-newborn.html

Nothing " technical " about TT on the blog post, just a personal entry from an HCP

that clips.

Of course, I am sure that labeling degrees and varieties of tongue tie does have

medical value. Lots of good points to discuss. Did I mention I LOVE tongue tie

discussions...really I do! Thankfully I have this forum since my hubby is really

sick of me coming home and ranting about TT.