{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:37:09Z","timestamp":1777426629617,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2018,5,18]],"date-time":"2018-05-18T00:00:00Z","timestamp":1526601600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study evaluates the quality and readability of websites on ankyloglossia, tongue tie, and frenulectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Google was queried with six search terms: tongue tie, tongue tie and breastfeeding, tongue tie and frenulectomy, ankyloglossia, ankyloglossia and breastfeeding, and ankyloglossia and frenulectomy. Website quality was assessed using the DISCERN instrument. Readability was evaluated using the Flesch-Kincaid Reading Grade Level, Flesch Reading Ease Score, and Fry readability formula. Correlations were calculated. Search terms were analyzed for frequency using Google Trends and the NCBI database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of the maximum of 80, average DISCERN score for the websites was 65.7 (SD = 9.1, median = 65). Mean score for the Flesch-Kincaid Reading Grade Level was 11.6 (SD = 3.0, median = 10.7). Two websites (10%) were in the optimal range of 6 to 8. Google Trends shows tongue tie searches increasing in frequency, although the NCBI database showed a decreased in tongue tie articles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Most of the websites on ankyloglossia were of good quality; however, a majority were above the recommended reading level for public health information. Parents increasingly seek information on ankyloglossia online, while fewer investigators are publishing articles on this topic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489418776343","type":"journal-article","created":{"date-parts":[[2018,5,18]],"date-time":"2018-05-18T05:58:29Z","timestamp":1526623109000},"page":"439-444","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Quality, Readability, and Trends for Websites on Ankyloglossia"],"prefix":"10.1177","volume":"127","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3028-453X","authenticated-orcid":false,"given":"Nicole Leigh","family":"Aaronson","sequence":"first","affiliation":[{"name":"Nemours\/Alfred I. duPont Hospital for Children, Wilmington, Deleware, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johnathan Edward","family":"Casta\u00f1o","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6378-0281","authenticated-orcid":false,"given":"Jeffrey P.","family":"Simons","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noel","family":"Jabbour","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,5,18]]},"reference":[{"key":"bibr1-0003489418776343","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/20.4.209"},{"key":"bibr2-0003489418776343","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-0660"},{"key":"bibr3-0003489418776343","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-5876(00)00359-1"},{"key":"bibr4-0003489418776343","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.077065"},{"key":"bibr5-0003489418776343","first-page":"1","author":"Coryllos E","year":"2004","journal-title":"American Academy of Pediatrics Section on Breastfeeding Bulletin"},{"key":"bibr6-0003489418776343","unstructured":"National Institute of Health and Care Excellence. Division of ankyloglossia (tongue-tie) for breastfeeding. https:\/\/www.nice.org.uk\/guidance\/ipg149. Accessed March 6, 2017."},{"issue":"7","key":"bibr7-0003489418776343","first-page":"570","volume":"62","author":"Kenny-Scherber AC","year":"2016","journal-title":"Can Fam Physician"},{"key":"bibr8-0003489418776343","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817690135"},{"key":"bibr9-0003489418776343","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215111003021"},{"key":"bibr10-0003489418776343","unstructured":"Georgetown University Library. Evaluating Internet resources. https:\/\/www.library.georgetown.edu\/tutorials\/research-guides\/evaluating-internet-content. Accessed April 16, 2018."},{"key":"bibr11-0003489418776343","doi-asserted-by":"publisher","DOI":"10.1093\/her\/16.6.671"},{"key":"bibr12-0003489418776343","volume-title":"Health Literacy and Patient Safety: Help Patients Understand","author":"Weiss BD","year":"2007"},{"key":"bibr13-0003489418776343","volume-title":"NIH Clear & Simple: What Is Clear & Simple?","year":"2016"},{"key":"bibr14-0003489418776343","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215115003230"},{"key":"bibr15-0003489418776343","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2014.11.027"},{"key":"bibr16-0003489418776343","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2013.03.021"},{"key":"bibr17-0003489418776343","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2016.12.004"},{"key":"bibr18-0003489418776343","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2017.04.031"},{"key":"bibr19-0003489418776343","doi-asserted-by":"publisher","DOI":"10.1136\/jech.53.2.105"},{"key":"bibr20-0003489418776343","doi-asserted-by":"publisher","DOI":"10.21236\/ADA006655"},{"key":"bibr21-0003489418776343","volume-title":"Building Literacy in the Content Areas","author":"Gunning TG.","year":"2003"},{"key":"bibr22-0003489418776343","unstructured":"Google. 5 year trend for tongue tie, ankyloglossia, and frenulectomy. https:\/\/trends.google.com\/trends\/explore?geo=US&q=tongue%20tie,ankyloglossia,frenulectomy. Accessed June 3, 2017."},{"key":"bibr23-0003489418776343","unstructured":"Limestone College. The rise of online support groups and how social workers can help. http:\/\/social-work-program-blog.limestone.edu\/2016\/08\/10\/online-support-groups. Accessed April 17, 2018."}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489418776343","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0003489418776343","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0003489418776343","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:32:00Z","timestamp":1777375920000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0003489418776343"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,18]]},"references-count":23,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2018,7]]}},"alternative-id":["10.1177\/0003489418776343"],"URL":"https:\/\/doi.org\/10.1177\/0003489418776343","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,18]]}}}