Raghavan Maya, Gawel Erin M, Vijay Arunima, Carr Michele M
Otolaryngology, Jacobs School of Medicine and Biomedical Sciences, Buffalo, USA.
Otolaryngology, University of Florida College of Medicine, Gainesville, USA.
Cureus. 2024 Nov 4;16(11):e73005. doi: 10.7759/cureus.73005. eCollection 2024 Nov.
Objective "Lip tie" is a term that has become commonly used to refer to a prominent or short maxillary frenulum and is controversially associated with difficulties in breastfeeding. There has been a rise in the popularity of lip tie division without clear expert agreement on the indications and benefits of treatment. Our study aims to determine the quality of information on YouTube about lip ties. Methods A YouTube search for "lip tie" was performed in February 2023, and the top 50 English language results were viewed and evaluated. Viewer interest parameters, such as the number of video views, likes, and page subscribers, were recorded at the time of viewing. Information about video content was also recorded. The included videos were analyzed by two independent reviewers for quality using modified DISCERN criteria and Journal of the American Medical Association (JAMA) scoring. Results There was a median of 12779 (IQR: 3129-31318) views, 86 (IQR: 17-262) likes, and 1950 (IQR: 462-38300) subscribers. Videos were available online for a mean of 3.72 years. Video authors consisted of 21 (42%) dentists, six (12%) United States (US)-based otolaryngologists, 12 (24%) YouTube influencers, four (8%) US-based MD/DO non-otolaryngologists, four (8%) lactation consultants, two (4%) laser companies, two (4%) myo-functional therapists, and one (2%) chiropractor. The total mean modified DISCERN score was 2.2 ± 1.0 out of 5, and the mean JAMA score was 1.8 ± 0.5 out of 4. Otolaryngologists had the highest modified DISCERN score, followed by dentists and non-otolaryngologist physicians. Non-otolaryngologist physicians had the highest mean JAMA score. Educational videos had a significantly higher mean modified DISCERN score than testimonials (p=0.007). Conclusions When parents refer to YouTube for information about lip ties, search results yield low-quality information overall. Most videos are from dentists and YouTube influencers in support of frenotomy, and this information may lead parents to seek unnecessary surgery for their children.
目的 “舌系带过短” 这一术语已普遍用于指代明显或短小的上颌系带，并且在母乳喂养困难方面存在争议性关联。舌系带切开术的受欢迎程度有所上升，但对于治疗的适应症和益处尚无明确的专家共识。我们的研究旨在确定YouTube上有关舌系带的信息质量。方法 2023年2月在YouTube上搜索 “舌系带”，查看并评估排名前50的英文搜索结果。在查看时记录观看者兴趣参数，如视频观看次数、点赞数和页面订阅者数量。还记录有关视频内容的信息。由两名独立评审员使用修改后的DISCERN标准和《美国医学会杂志》（JAMA）评分对纳入的视频进行质量分析。结果 观看次数中位数为12779次（四分位间距：3129 - 31318次），点赞数为86次（四分位间距：17 - 262次），订阅者数量为1950人（四分位间距：462 - 38300人）。视频平均在线时长为3.72年。视频作者包括21名（42%）牙医、6名（12%）美国耳鼻喉科医生、12名（24%）YouTube有影响力的人、4名（8%）美国非耳鼻喉科医学博士/医学博士、4名（8%）哺乳顾问、2名（4%）激光公司人员、2名（4%）肌功能治疗师和1名（2%）脊椎按摩师。修改后的DISCERN总分平均为2.2 ± 1.0（满分5分），JAMA评分平均为1.8 ± 0.5（满分4分）。耳鼻喉科医生的修改后DISCERN评分最高，其次是牙医和非耳鼻喉科医生。非耳鼻喉科医生的JAMA平均分最高。教育视频的修改后DISCERN平均分显著高于推荐视频（p = 0.007）。结论 当家长在YouTube上查找有关舌系带的信息时，搜索结果总体上产生的是低质量信息。大多数视频来自牙医和YouTube有影响力的人，支持系带切开术，而这些信息可能会导致家长为孩子寻求不必要的手术。
