tongue-tie and research

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Hi all,I've been following the posts on tongue-tie with great interest. I have seen too many of these and feeling frustrated by pediatrians who do not recognize anything other than a Type 1. I really have to push parents to see an ENT - fortunately, we have some in our area that recognize PTT and will release them. (fwiw - I never use the term "clip" anymore with parents - I use the word release - I find that they 'shut down' much less frequently when I explain the procedure.)I attended a lecture in January given by a pediatrician who discussed ankyloglossia and frenotomies. I'm including his references so you can use them if you need to. I also looked online and found many references on wikipedia:http://en.wikipedia.org/wiki/AnkyloglossiaAnd this

study:http://pediatrics.aappublications.org/cgi/content/full/110/5/e63-------Amir LH, JP, SM. Reliability of the Hazelbaker assessment tool for lingual frenulum function. Int Breastfeed J 2006, 1:3Ballard, JL, Auer, CD, Khoury JC, Ankyloglossia: Assessment, incidence, and effect of frenuloplasty on the breastfeeding dyad. Pediatrics 2002; 110:e63Dollberg, S, Botzer E, Grunis E, Mimouni FB, Immediate nipple pain relief after frenotomy in breastfed infants with ankyloglossia -- the journal location is cut off in my hand outs - maybe you can google it to find it.Hogan, M, Westcott, C, Griffitsh M. Randomized, controlled trial of division of tongue-tie in infants with feeding problems. J Paediatr Child Health 2005; 41: 246-250nson RJ, Shapiro SD, Salinas CF, Levin LS. Intraoral findings and anomalies in neonates. Pediatrics 1982; 69:577:582Messner AH, Lalakea ML, Aby J, Macmahon J,

Bair E. Ankyloglossia: Incidence and associated feeding difficulities. Arch Otolaryngol head neck surg 2000; 126:36-39Messner, AH Lalakea ML, Ankyloglossia: Controversies in management. Int J Pediatr Otorhinolaryngol 2000; 54: 123-131Messner AH, Lalakea ML. The effect of ankyloglossia on speech in children. Otolaryngol head neck surg (can't read year); 127: 539-545Rick LA, Baker NJ, Madlon-Kay DJ, DeFor TA. Newborn tongue-tie: prevalance and effect on breastfeeding. J Am Board Fam Pract 2005: 18: 1-7Segal L et al. Prevalance, diagnosis, and treatment of ankylogossia: Methodologic Review. Can Fam Physician 2007; 53: 1027-1033Srinivisivan A, Dobrich C, Mitnic H, Feldman P. Ankyloglossia in breastfeeding infants: The effect of frenotomy on aternal nipple pain and latch. Breastfeed Med (can't read year - might be 2006); 1: 216-224Suter V, Borenstin M. Ankyloglossia: Facts and Myths in Diagnosis and

Treatment. J Periodont 2009; 80: 1204-1219---------Phew! Sorry for any typos!Be well, Massillon, IBCLCSan Francisco, CA