{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T02:42:15Z","timestamp":1793068935429,"version":"4.5.0"},"reference-count":29,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T00:00:00Z","timestamp":1735862400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Department of Health and Human Services, Health Resources and Services Administration (HRSA)","award":["1 D34HP49234-01-00"],"award-info":[{"award-number":["1 D34HP49234-01-00"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CMTR"],"abstract":"<jats:p>Study Design: Qualitative analysis study. Introduction: Social media has been pivotal in the dissemination of medical knowledge to the public. The aim was to identify the demographics of individuals posting about cleft lip and palate on YouTube Shorts and Instagram, to characterize the content of these posts, and to highlight factors that could aid surgeons in better educating patients with cleft lip and palate. Methods: Instagram posts and YouTube Shorts with \u201c#cleftlip\u201d, \u201c#cleftawareness\u201d, \u201c#cleftpalate\u201d, \u201c#cleftplipandpalate\u201d, and \u201c#cleftproud\u201d were searched on 8 June 2024. Postings were subclassified and analyzed for content, including topics of posts, authors, media type, tone of the post, and year of post. Results: A total of 3321 posts were analyzed, with 2698 coming from Instagram and 623 from YouTube Shorts. The majority of content creators were patients and their family members (n = 2054, 61.8%), cleft lip and palate foundations (n = 384, 11.6%), and companies (n = 381, 11.5%). Only 167 posts were authored by physicians (5.1%). Among the educational and informational posts, patients and family members accounted for the majority of the posts (409 posts, 57.7%). Physicians contributed to a small fraction of the educational content (37 posts, 5.2%). Conclusions: Physician participation in the cleft lip and palate social media realm on Instagram and YouTube Shorts was found to be limited. Moreover, there was a scarcity of educational content on both platforms, indicating a significant opportunity for physicians to engage more actively in cleft lip and palate social media discussions.<\/jats:p>","DOI":"10.3390\/cmtr18010004","type":"journal-article","created":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T07:10:17Z","timestamp":1735888217000},"page":"4","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Social Media Depiction of Cleft Lip and Cleft Palate: Instagram Versus YouTube Shorts Analysis: Instagram Post Versus Instagram Reel Analysis"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4785-2011","authenticated-orcid":false,"given":"Joshua","family":"Lewis","sequence":"first","affiliation":[{"name":"John Sealy School of Medicine, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manav","family":"Patel","sequence":"additional","affiliation":[{"name":"John Sealy School of Medicine, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nangah","family":"Tabukumm","sequence":"additional","affiliation":[{"name":"John Sealy School of Medicine, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4333-5444","authenticated-orcid":false,"given":"Wei-Chen","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1007\/s11747-019-00695-1","article-title":"The future of social media in marketing","volume":"48","author":"Appel","year":"2020","journal-title":"J. Acad. Mark. Sci."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1007\/s41060-022-00311-6","article-title":"The disaster of misinformation: A review of research in social media","volume":"13","author":"Muhammed","year":"2022","journal-title":"Int. J. Data Sci. Anal."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e38944","DOI":"10.2196\/38944","article-title":"Social Media News Use and COVID-19 Misinformation Engagement: Survey Study","volume":"24","author":"Ahmed","year":"2022","journal-title":"J. Med. Internet Res."},{"key":"ref_4","unstructured":"(2024, March 27). Addressing Health-Related Misinformation on Social Media. Available online: https:\/\/oce-ovid-com.libux.utmb.edu\/article\/00005407-201812180-00012."},{"key":"ref_5","first-page":"491","article-title":"Social Media and Health Care Professionals: Benefits, Risks, and Best Practices","volume":"39","author":"Ventola","year":"2014","journal-title":"Pharm. Ther."},{"key":"ref_6","unstructured":"(2024, March 27). The Evolving Role of Social Media in Health-Care Delivery: Measuring the Perception of Health-Care Professionals in Eastern Saudi Arabia\u2014PubMed. Available online: https:\/\/pubmed-ncbi-nlm-nih-gov.libux.utmb.edu\/30275699\/."},{"key":"ref_7","unstructured":"(2024, March 27). Patient Education and Engagement through Social Media\u2014PMC. Available online: https:\/\/www-ncbi-nlm-nih-gov.libux.utmb.edu\/pmc\/articles\/PMC8226210\/."},{"key":"ref_8","unstructured":"(2024, March 21). Patient Education: Electrical Burns (The Basics)\u2014UpToDate. Available online: https:\/\/www.uptodate.com\/contents\/electrical-burns-the-basics."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"825","DOI":"10.1097\/PRS.0000000000008482","article-title":"Evaluation of Social Media Utilization by Academic Plastic Surgery Programs during the COVID-19 Pandemic","volume":"148","author":"Shiah","year":"2021","journal-title":"Plast. Reconstr. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Zhu, C., Xu, X., Zhang, W., Chen, J., and Evans, R. (2020). How Health Communication via Tik Tok Makes a Difference: A Content Analysis of Tik Tok Accounts Run by Chinese Provincial Health Committees. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17010192"},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Campbell, L., Evans, Y., Pumper, M., and Moreno, M.A. (2016). Social media use by physicians: A qualitative study of the new frontier of medicine. BMC Med. Inform. Decis. Mak., 16.","DOI":"10.1186\/s12911-016-0327-y"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e4122","DOI":"10.1097\/GOX.0000000000004122","article-title":"Cleft Lip and Palate Research in Low and Middle-income Countries: A Scientometric Analysis","volume":"10","author":"Kanmounye","year":"2022","journal-title":"Plast. Reconstr. Surg. Glob. Open"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1177\/10556656211069828","article-title":"Racial and Ethnic Disparities in Primary Cleft Lip and Cleft Palate Repair","volume":"60","author":"Mullen","year":"2023","journal-title":"Cleft Palate-Craniofacial J. Off. Publ. Am. Cleft Palate-Craniofacial Assoc."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2328","DOI":"10.1097\/SCS.0000000000005740","article-title":"Delay in Cleft Lip and Palate Surgical Repair: An Institutional Review on Cleft Health Disparities in an Urban Population","volume":"30","author":"Zaluzec","year":"2019","journal-title":"J. Craniofacial Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"2333794X211022238","DOI":"10.1177\/2333794X211022238","article-title":"The effect of combined education on the knowledge and care and supportive performance of parents with children with cleft lip and palate: A clinical trial study","volume":"8","author":"Hakim","year":"2021","journal-title":"Glob. Pediatr. Health"},{"key":"ref_16","unstructured":"Uchegbu, G., and Maximizing Public Health Awareness to Underserved Populations Through Social Media (2024, April 07). In CDC; 2012. Available online: https:\/\/cdc.confex.com\/cdc\/nphic12\/webprogram\/Paper31844.html."},{"key":"ref_17","unstructured":"(2024, April 07). Social Media as a Tool to Increase the Impact of Public Health Research\u2014PMC. Available online: https:\/\/www-ncbi-nlm-nih-gov.libux.utmb.edu\/pmc\/articles\/PMC5678392\/."},{"key":"ref_18","unstructured":"Bernardo, J., Cole, M., Collins, C., Frank, S., Schulte, E., and Sosiak, P. (2014, January 15\u201319). Social media as a resource for disseminating health knowledge to high-risk youth in a medically underserved urban midwestern community. Proceedings of the 142nd APHA Annual Meeting and Exposition, New Orleans, LA, USA."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Sycinska-Dziarnowska, M., Stepien, P., Janiszewska-Olszowska, J., Grocholewicz, K., Jedlinski, M., Grassi, R., and Mazur, M. (2020). Analysis of Instagram\u00ae Posts Referring to Cleft Lip. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17207404"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.ijom.2019.03.943","article-title":"Cleft LIP & palate and photosharing social media platforms (instagram)","volume":"48","author":"Walker","year":"2019","journal-title":"Int. J. Oral Maxillofac. Surg."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e19746","DOI":"10.2196\/19746","article-title":"Public Disclosure on Social Media of Identifiable Patient Information by Health Professionals: Content Analysis of Twitter Data","volume":"22","author":"Ahmed","year":"2020","journal-title":"J. Med. Internet Res."},{"key":"ref_22","first-page":"19","article-title":"Social Media for Doctors: Taking Professional and Patient Engagement to the Next Level","volume":"27","author":"Nguyen","year":"2020","journal-title":"Fam. Pract. Manag."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1001\/amajethics.2023.210","article-title":"How Should State Licensing and Credentialing Boards Respond When Government Clinicians Spread False or Misleading Health Information?","volume":"25","author":"Whelan","year":"2023","journal-title":"AMA J. Ethics."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1669","DOI":"10.2147\/JPR.S366978","article-title":"Social Media and Professional Conduct (SMART): Best Practice Guidelines from the American Society of Pain and Neuroscience (ASPN)","volume":"15","author":"Desai","year":"2022","journal-title":"J. Pain Res."},{"key":"ref_25","first-page":"e33737","article-title":"Social Media Role and Its Impact on Public Health: A Narrative Review","volume":"15","author":"Kanchan","year":"2023","journal-title":"Cureus"},{"key":"ref_26","unstructured":"(2024, April 03). Social Media\u2019s Growing Impact on Our Lives. Available online: https:\/\/www.apa.org\/members\/content\/social-media-research."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"e91","DOI":"10.1016\/j.pedn.2020.05.007","article-title":"The Use of Social Media Among Parents of Infants with Cleft Lip and\/or Palate","volume":"54","author":"Boztepe","year":"2020","journal-title":"J. Pediatr. Nurs."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"7999760","DOI":"10.1155\/2021\/7999760","article-title":"Spread of Misinformation in Social Networks: Analysis Based on Weibo Tweets","volume":"2021","author":"Luo","year":"2021","journal-title":"Secur. Commun. Netw."},{"key":"ref_29","unstructured":"CDC Health Equity Principles to Develop Inclusive Communications (2024, April 09). Centers for Disease Control and Prevention, Available online: https:\/\/www.cdc.gov\/health-communication\/php\/toolkit\/index.html."}],"container-title":["Craniomaxillofacial Trauma &amp; Reconstruction"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1943-3883\/18\/1\/4\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T10:22:13Z","timestamp":1759918933000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1943-3883\/18\/1\/4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,3]]},"references-count":29,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,3]]}},"alternative-id":["cmtr18010004"],"URL":"https:\/\/doi.org\/10.3390\/cmtr18010004","relation":{},"ISSN":["1943-3883"],"issn-type":[{"value":"1943-3883","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,3]]}}}