{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T23:02:37Z","timestamp":1792364557988,"version":"4.4.0"},"reference-count":14,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Evaluate the accuracy, comprehensiveness, and similarity to provider response of ChatGPT\u20104o in providing patient education regarding microtia and aural atresia management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Ten standardized inquiries were created across three domains (General Information, Hearing\/Anatomy, Treatment Decision\u2010Making) and entered into ChatGPT\u20104o. Responses were evaluated by an international multidisciplinary cohort of 23 experts, including pediatric otolaryngologists and audiologists. Using 5\u2010point Likert scales, graders assessed factual accuracy, comprehensiveness, similarity to physician responses, and overall quality. Readability was analyzed using Flesch\u2013Kincaid metrics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      ChatGPT\u2010generated responses demonstrated high accuracy (mean\u2009=\u20094.03 [SD\u2009=\u20090.66]), comprehensiveness (mean\u2009=\u20094.18 [SD\u2009=\u20090.54]), and similarity to the provider's response (4.02 [0.70]). Audiologists assigned significantly lower ratings than pediatric otolaryngologists regarding accuracy (mean\u2009=\u20093.76 vs. 4.13;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and comprehensiveness (3.94 vs. 4.30;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.046). Qualitative analysis included concerns regarding advanced terminology, omission of specific risks, and a lack of empathetic framing regarding parental guilt. Flesch\u2013Kincaid Reading Grade Level often exceeded the 5th\u2010grade average level for patient education materials (mean\u2009=\u20099.64 [SD\u2009=\u20091.21]).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ChatGPT\u20104o provides reliable introductory information but lacks the technical nuance and multidisciplinary coordination essential for complex microtia care. While a useful adjunct for early information\u2010seeking, ChatGPT\u20104o lacks the multidisciplinary framing and depth required for ideal counseling.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lio2.70526","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T04:43:40Z","timestamp":1787892220000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["<scp>MicrotiaGPT<\/scp>\n                    : Appraisal of Microtia Care Recommendations From an Artificially\u00a0Intelligent Chatbot"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4824-7160","authenticated-orcid":false,"given":"Oluwatobiloba","family":"Ayo\u2010Ajibola","sequence":"first","affiliation":[{"name":"Keck School of Medicine of the University of Southern California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Park","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of the University of Southern California  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2774-3229","authenticated-orcid":false,"given":"Beth","family":"Osterbauer","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2014Head and Neck Surgery Children's Hospital Los Angeles  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krystina","family":"Kallemeyn","sequence":"additional","affiliation":[{"name":"Texas Children's Hospital\u2014Pediatric Otolaryngology, Baylor College of Medicine\u2014Otolaryngology, Head and Neck Surgery  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Gomez","sequence":"additional","affiliation":[{"name":"Texas Children's Hospital\u2014Pediatric Otolaryngology, Baylor College of Medicine\u2014Otolaryngology, Head and Neck Surgery  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,27]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"StatPearls","author":"Andrews J.","year":"2025"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.09.002"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922817734358"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/10556656231190046"},{"key":"e_1_2_11_6_1","doi-asserted-by":"crossref","unstructured":"\u201cOnline Health Information Seeking Among US Adults: Measuring Progress Toward a Healthy People 2020 Objective \u201dhttps:\/\/doi.org\/10.1177\/0033354919874074.","DOI":"10.1177\/0033354919874074"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2196\/55138"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010023\u201008104\u20108"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010023\u201008270\u20109"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010024\u201008598\u2010w"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000011988"},{"key":"e_1_2_11_12_1","unstructured":"\u201cUtility of Large Language Models for Congenital Microtia Reconstruction Education: Comparison of the Performance of Claude GPT and Gemini \u2013 PubMed \u201daccessed April 13 2026 https:\/\/pubmed\u2010ncbi\u2010nlm\u2010nih\u2010gov.libproxy1.usc.edu\/41233653\/."},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31819e5bea"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2025.112672"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2022.0406"}],"container-title":["Laryngoscope Investigative Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.70526","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lio2.70526","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.70526","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T07:15:08Z","timestamp":1788160508000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lio2.70526"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,27]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/lio2.70526"],"URL":"https:\/\/doi.org\/10.1002\/lio2.70526","archive":["Portico"],"relation":{},"ISSN":["2378-8038","2378-8038"],"issn-type":[{"value":"2378-8038","type":"print"},{"value":"2378-8038","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,27]]},"assertion":[{"value":"2026-05-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70526"}}