Booth Lindsay, Aldaihani Abdullah, Davidson Jacob, Wilson Claire, Lawlor Claire, Hong Paul, Graham M Elise
Faculty of Medicine, University of British Columbia, Kelowna, British Columbia, Canada.
Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
JAMA Otolaryngol Head Neck Surg. 2025 Feb 1;151(2):143-150. doi: 10.1001/jamaoto.2024.4211.
Diagnosis of pediatric ankyloglossia and other oral ties is increasing in part due to social media, leading to more frenotomies and excess medicalization of often normal anatomy.
To assess the accuracy and readability of social media content on pediatric ankyloglossia and other oral ties.
DESIGN, SETTING, AND PARTICIPANTS: In this cross-sectional study, the top 200 posts on an image-based social media platform tagged with #tonguetie, #liptie, or #buccaltie were collected using a de novo account on March 27, 2023. Post metadata and caption and content text were extracted.
Misinformation was judged by a 30-point scoring sheet based on clinical practice guidelines and expert consensus that was developed by 3 fellowship-trained pediatric otolaryngologist-head and neck surgeons. Readability was assessed using the Flesch-Kincaid Grade Level, Flesch Reading Ease, and Simple Measure of Gobbledygook scales. Quality was scored using the JAMA Benchmark Criteria.
After removing duplicates and irrelevant content, 71 unique posts from 68 unique accounts were included in the analysis. Business and practice accounts made up most of the account types (60 [84.5%]) compared with individual and personal accounts (11 [15.5%]). Most accounts (49 [69.0%]) were run by individuals who self-identified as health care practitioners, and 21 posts (29.6%) originated from accounts of individuals who self-identified as International Board Certified Lactation Consultants (IBCLCs). On average, the content corresponded to a ninth-grade reading level per Flesch-Kincaid Grade Level. Quality of posts as rated by the JAMA Benchmark Criteria corresponded to a median score of 3.0 (IQR, 2.0-4.0). Of the 71 posts, only 8 (11.3%) contained no misinformation. There was a significant difference in misinformation prevalence between accounts run by IBCLCs vs non-IBCLCs, with posts from IBCLCs less likely to contain over 50% misinformation (odds ratio, 0.22; 95% CI, 0.06-0.81), compared with posts from non-IBCLCs.
This study found a high frequency of misinformation in social media content on ankyloglossia. Most content was generated by self-identified health care practitioners but not physicians. Furthermore, the grade level of the content reviewed was above that recommended for the public. As the public increasingly looks to social media for medical information, health care practitioners should correct medical misinformation.
由于社交媒体的原因，小儿舌系带过短及其他口腔系带问题的诊断有所增加，这导致了更多的舌系带切开术以及对通常正常解剖结构的过度医疗化。
评估社交媒体上有关小儿舌系带过短及其他口腔系带问题内容的准确性和可读性。
设计、背景和参与者：在这项横断面研究中，2023年3月27日使用一个新账号收集了一个基于图像的社交媒体平台上标记有#舌系带、#唇系带或#颊系带的前200篇帖子。提取了帖子的元数据、标题和内容文本。
由3名接受过专科培训的小儿耳鼻喉头颈外科医生根据临床实践指南和专家共识制定的30分评分表来判断错误信息。使用弗莱什-金凯德年级水平、弗莱什阅读简易度和晦涩难懂简易度量表来评估可读性。使用《美国医学会杂志》基准标准对质量进行评分。
在去除重复和不相关内容后，分析纳入了来自68个不同账号的71篇独特帖子。与个人和个人账户（11个[15.5%]）相比，商业和执业账户占大多数账户类型（60个[84.5%]）。大多数账户（49个[69.0%]）由自称是医疗保健从业者的个人运营，2部分帖子（29.6%）来自自称是国际认证泌乳顾问（IBCLC）的个人账户。根据弗莱什-金凯德年级水平，内容平均相当于九年级的阅读水平。根据《美国医学会杂志》基准标准评定的帖子质量中位数为3.0（四分位距，2.0 - 4.0）。在这71篇帖子中，只有8篇（11.3%）没有错误信息。IBCLC运营的账户与非IBCLC运营的账户在错误信息流行率上存在显著差异，与非IBCLC的帖子相比，IBCLC的帖子包含超过50%错误信息的可能性较小（优势比，0.22；95%置信区间，0.06 - 0.81）。
本研究发现社交媒体上关于舌系带过短的内容中错误信息的频率很高。大多数内容由自称是医疗保健从业者而非医生生成。此外，所审查内容的年级水平高于推荐给公众的水平。随着公众越来越多地在社交媒体上寻求医疗信息，医疗保健从业者应纠正医疗错误信息。
