{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T23:15:41Z","timestamp":1787786141389,"version":"build-2784847793"},"reference-count":5,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,8,22]],"date-time":"2017-08-22T00:00:00Z","timestamp":1503360000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2018,4]]},"abstract":"Objectives\/Hypothesis<\/jats:title>Fiberoptic laryngoscopy is dependent on accurate descriptions of examination findings. Traditional recording methods can be impractical for inpatient consults. Therefore, we aim to determine the utility of a smartphone\u2010coupled portable recording system with flexible laryngoscopy for transmitting information between resident and attending physicians in a real\u2010time setting.<\/jats:p><\/jats:sec>Study Design<\/jats:title>Pilot prospective study in a tertiary academic hospital.<\/jats:p><\/jats:sec>Methods<\/jats:title>This is a prospective study of inpatient consultations in a tertiary referral hospital over a 3\u2010month period from April 2015 to June 2015. Flexible laryngoscopy was performed by a resident physician, and mobile recordings were relayed to an attending physician. Concordance of laryngoscopy interpretations between resident and attending physicians as well as changes in management were documented.<\/jats:p><\/jats:sec>Results<\/jats:title>Seventy\u2010nine fiberoptic examinations were recorded and compared. Each consult was categorized as follows: airway evaluation (AE) (43%, 34\/79), voice evaluation (VE) (3.7%, 3\/79), dysphagia (D) (24%, 19\/79), and aerodigestive tract mass\/pathology (ADM) (29.1%, 23\/79). Nine examinations showed discordance between resident and attending interpretations. Inter\u2010rater agreement was good, with a kappa value of 0.747 (95% confidence interval: 0.643\u20100.851). The frequency of discordant exams within each group was as follows: AE (15%, 5\/34), VE (33%, 1\/3), D (11%, 2\/19), and ADM (4.3%, 1\/23). In five patients, changes in laryngoscopy interpretation changed clinical management. Seven nondiscordant exams had a change in management after attending review. Of the 79 exams, only one required repeat flexible laryngoscopy by the attending physician.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Portable recording of flexible laryngoscopy is an effective tool for timely management of inpatient consultations.<\/jats:p><\/jats:sec>Level of Evidence<\/jats:title>4. Laryngoscope<\/jats:italic>, 128:818\u2013822, 2018<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.26821","type":"journal-article","created":{"date-parts":[[2017,8,22]],"date-time":"2017-08-22T05:13:16Z","timestamp":1503378796000},"page":"818-822","source":"Crossref","is-referenced-by-count":12,"title":["The clinical impact of bedside fiberoptic laryngoscopic recording on a tertiary consult service"],"prefix":"10.1002","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6211-0318","authenticated-orcid":false,"given":"Kirkland N.","family":"Lozada","sequence":"first","affiliation":[{"name":"Department of Otolaryngology New York Eye and Ear Infirmary of Mount Sinai New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Morton","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Icahn School of Medicine at Mount Sinai New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9193-2561","authenticated-orcid":false,"given":"Katelyn","family":"Stepan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Icahn School of Medicine at Mount Sinai New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Capo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology New York Eye and Ear Infirmary of Mount Sinai New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond L.","family":"Chai","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Icahn School of Medicine at Mount Sinai New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,8,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816650637"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2959"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816656169"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20945"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(99)70371-2"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.26821","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.26821","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T09:19:27Z","timestamp":1695547167000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.26821"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,22]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1002\/lary.26821"],"URL":"https:\/\/doi.org\/10.1002\/lary.26821","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,22]]}}}