{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:30:41Z","timestamp":1761006641900,"version":"build-2065373602"},"reference-count":33,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T00:00:00Z","timestamp":1693872000000},"content-version":"vor","delay-in-days":66,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["OTO Open"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the proportion of parents that have some knowledge of abnormal maxillary frenulum, or \u201clip tie,\u201d\u00a0and their sources of this information.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Otolaryngology clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Consecutive parents of children \u226412 years of age presenting at a pediatric otolaryngology clinic were surveyed to discover their understanding of \u201clip tie\u201d in children. The survey included questions on the effects of \u201clip tie,\u201d\u00a0where they learned about \u201clip tie,\u201d\u00a0whether they thought their child had \u201clip tie,\u201d\u00a0whether they had a child undergo \u201clip tie\u201d division, and how concerned they would be if they thought their child had \u201clip tie.\u201d\u00a0Information on participant demographics and social media was collected.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 59.8% (193) of the 323 parents surveyed had heard of \u201clip tie\u201d; of those, 17.1% (33) had a child that had undergone \u201clip tie\u201d surgery. Most parents (91.2%, 176) thought \u201clip tie\u201d caused breastfeeding problems. Roughly one\u2010quarter of parents (51 of 197 responses) rated their concern about \u201clip tie\u201d as &gt;8 of 10 on a Likert scale (mean, 5.7). The reported sources of \u201clip tie\u201d information included lactation consultants (36.8%, 71), nurses (22.8%, 44), and pediatricians (31.6%, 61) as well as nonmedical sources, such as social media, family, and friends (68.4%, 132). Overall, 87% (282) of the 323 participants reported daily use of social media.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although many parents are concerned about \u201clip tie,\u201d\u00a0much of their information on this condition comes from nonmedical sources. Social media would be a valuable platform to provide accurate information on \u201clip tie.\u201d<\/jats:p><\/jats:sec>","DOI":"10.1002\/oto2.71","type":"journal-article","created":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T07:14:49Z","timestamp":1693898089000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Maxillary Frenulum and \u201cLip Tie\u201d: What Parents Understand"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5299-3487","authenticated-orcid":false,"given":"Beatrice R.","family":"Bacon","sequence":"first","affiliation":[{"name":"Jacobs School of Medicine and Biomedical Sciences University at Buffalo Buffalo New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7406-4467","authenticated-orcid":false,"given":"Michele M.","family":"Carr","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Jacobs School of Medicine and Biomedical Sciences University at Buffalo Buffalo New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,5]]},"reference":[{"volume-title":"Gray's Anatomy: The Anatomical Basis of Clinical Practice","year":"2021","key":"e_1_2_9_2_1"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1976.47.1.25"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820915457"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.23973"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000141502"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-263X.2011.01121.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29140"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2019.06.008"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03262789"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333794X17718896"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820913605"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2017.0044"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.1.36"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3345\/cep.2020.00486"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.109599"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2018.0174"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.110741"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2021.12.006"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2019.09.009"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073274819841609"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/mcn.12890"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2015.07.033"},{"key":"e_1_2_9_24_1","unstructured":"Centers for Disease Control and Prevention.Results: breastfeeding rates. 2022. 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