{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T08:41:26Z","timestamp":1784018486135,"version":"3.55.0"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,11,28]],"date-time":"2018-11-28T00:00:00Z","timestamp":1543363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Signs of inflammation are commonly encountered during endoscopic examination of the Eustachian tube (ET) region. The clinical applicability of these findings may be enhanced by use of a standardized assessment score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Digital video recordings were obtained of 50 nasal endoscopy examinations of the nasopharyngeal portion of the ET. Four fellowship\u2010trained rhinologists independently reviewed the videos with regard to specific physical findings: edema of the ET torus, erythema of the ET torus, exudate at the ET orifice, and presence of tubal tonsil. Scoring of this Endoscopic Evaluation of the Eustachian Tube (3ET) was reported using both 2\u2010point and 3\u2010point scales. Each reviewer repeated the scoring at a 10\u2010day interval. Interrater and intrarater agreement were calculated for each item and the total scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Interrater and intrarater agreement were greater for the 3\u2010point scale than the 2\u2010point scale. Interrater agreement for overall instrument using the 3\u2010point scale was in the \u201cacceptable\u201d range for Krippendorff's alpha on both the first trial (0.6922) and second trial (0.7238). Intrarater agreement was generally \u201cexcellent\u201d for individual items as well as the overall instrument.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The 3ET comprising these 4 physical findings has acceptable interrater and intrarater reliability, and may be applied to future clinical studies of ET function and disease.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.22252","type":"journal-article","created":{"date-parts":[[2018,11,28]],"date-time":"2018-11-28T19:08:23Z","timestamp":1543432103000},"page":"305-310","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Endoscopic Evaluation of the Eustachian Tube: assessment of a novel tool for grading Eustachian tube inflammation"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1812-2105","authenticated-orcid":false,"given":"Edward D.","family":"McCoul","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Ochsner Clinic Foundation  New Orleans LA"},{"name":"University of Queensland \u00a0Ochsner Clinical School  New Orleans LA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Tulane University School of Medicine  New Orleans LA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott I.","family":"Mayer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Tulane University School of Medicine  New Orleans LA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abtin","family":"Tabaee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Weill Cornell Medicine  New York NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey C.","family":"Bedrosian","sequence":"additional","affiliation":[{"name":"St. Luke's University Hospital  Bethlehem PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Marino","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Mayo Clinic  Phoenix AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,11,28]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2016.04.012"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.18203\/issn.2454-5929.ijohns20173032"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989770005-6"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31814842f8"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21074"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21655"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12475"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000895"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/19312450709336664"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/001316447003000105"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.3002"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.moo.0000176465.68128.45"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0091-6749(97)70130-1"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.18203\/issn.2454-5929.ijohns20175629"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24654"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24880"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000163751.00885.63"}],"container-title":["International Forum of Allergy &amp; 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