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Tongue tie
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  • Published on:
    Prejudice against test weighing, like tongue-tie division, should be re-assessed

    Dear Editor,

    I read with interest the dialog stemming from Hall and Renfrew's article about tongue tie, and the interest in designing trials to empirically measure the effects of tongue-tie upon breastfeeding. I have photographed many tongue-tied babies. It is my impression that the degree of lift and ability to sustain lift of the tongue provides information about tongue mobility. Measuring lift is described in t...

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    Conflict of Interest:
    None declared.
  • Published on:
    Tongue Tie- Further observations

    Dear Editor

    Having read the recent responses to the Hall and Renfrew article, I would like to add certain observations.

    1. The degree of tethering does not equate to the degree of sucking difficulty

    2. The sucking mechanism for the breast is different to that of bottle feeding

    3. We should not ignore the views of mothers, although subjective, as we do not always have the means of objective meas...

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    Conflict of Interest:
    None declared.
  • Published on:
    Authors' reply: Tongue-tie - more research needed
    • David M B Hall, Paediatrician
    • Other Contributors:
      • David Hall and Mary Renfrew.

    Dear Editor,

    We welcome the interest in our review of tongue tie. Hansen, MacKinlay and Manson confirmed the observation of others that division of tongue tie is a simple and safe procedure. We agree with Griffiths that although more remains to be learned about tongue tie, the clinical practice and research described by him and his colleagues have sufficient support to justify it and work on this topic is cert...

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    Conflict of Interest:
    None declared.
  • Published on:
    Tongue-ties and breastfeeding

    Dear Editor,

    The humble tongue-tie, like the foreskin, generates enormous quantities of hot air, with little evidence to support it. I welcome the decision by the Archives of Disease in Childhood to commission a Perspective on Tongue-tie in the same month that NICE (1) has issued its positive guidance on the same topic.

    Hall and Renfrew begin by stating their bias. Mine is that the Archives of Disease i...

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    Conflict of Interest:
    None declared.
  • Published on:
    Ankyloglossia intervention in outpatients is safe - our experience
    • Richard Hansen, Experienced Senior House Officer in Paediatrics
    • Other Contributors:
      • Gordon A. MacKinlay, William G. Manson

    Dear Editor,

    Hall and Renfrew rightly describe the literature with relation to ankyloglossia as containing "little high quality objective evidence," they also describe the difficulties in study methodology in this setting with particular reference to concealing the diagnosis from parents in control studies. With regards to intervention, they note that “…frenulotomy in the newborn is a low risk minor procedure, performed...

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    Conflict of Interest:
    None declared.