{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T21:21:59Z","timestamp":1762809719545,"version":"3.44.0"},"reference-count":10,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T00:00:00Z","timestamp":1741219200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,8]]},"abstract":"ABSTRACT<\/jats:title>Background<\/jats:title>Frugal innovations are essential in low\u2010resource settings to provide cost\u2010effective medical solutions without compromising functionality. The Arclight is a robust, solar\u2010powered device that functions as both an ophthalmoscope and an otoscope, priced at approximately 12\u20ac in low\u2010 and middle\u2010income countries (LMICs).<\/jats:p><\/jats:sec>Objectives<\/jats:title>This study evaluates the Arclight's potential as a video otoscope when attached to smartphones, aiming to enhance telemedicine capabilities in ear examinations.<\/jats:p><\/jats:sec>Methods<\/jats:title>Twenty otorhinolaryngology (ORL) specialists rated the standalone Arclight as well as its attachment to an iPhone 12 and a Samsung Galaxy A14 for ear examinations at the University Medical Centre in Mainz, Germany.<\/jats:p><\/jats:sec>Results<\/jats:title>The standalone Arclight received the highest ratings overall, followed by the Arclight attached to a Samsung Galaxy A14. Attached to the Samsung Galaxy A14, the Arclight demonstrated significantly higher performance regarding ease of focus (p<\/jats:italic>\u2009<\u20090.01), quality of view (p<\/jats:italic>\u2009<\u20090.05), and zoom capabilities (p<\/jats:italic>\u2009<\u20090.05) compared to the iPhone12 attachment. The iPhone12 setup performed lowest in all categories.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The Arclight is an effective, low\u2010cost tool for ear examinations in low\u2010resource settings. While smartphone integration enhances its potential for telemedicine, performance varies depending on the smartphone used. The Samsung Galaxy A14 proved to be a more reliable option for tele\u2010otoscopy than the iPhone 12. Further optimization is needed to improve smartphone integration and address identified limitations, enhancing the Arclight's utility in telemedicine applications.<\/jats:p><\/jats:sec>Level of Evidence<\/jats:title>NA.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.32106","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T11:45:18Z","timestamp":1741693518000},"page":"2876-2881","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluation of Arclight Frugal Smartphone Video Otoscopy"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9551-2310","authenticated-orcid":false,"given":"Christoph R.","family":"Buhr","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology University Medical Center of the Johannes Gutenberg\u2010University Mainz Mainz Germany"},{"name":"School of Medicine University of St Andrews St Andrews UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Bahr\u2010Hamm","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University Medical Center of the Johannes Gutenberg\u2010University Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2356-7494","authenticated-orcid":false,"given":"Christopher","family":"Seifen","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University Medical Center of the Johannes Gutenberg\u2010University Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4926-3330","authenticated-orcid":false,"given":"Johannes","family":"Pordzik","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University Medical Center of the Johannes Gutenberg\u2010University Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas","family":"Eckrich","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University Medical Center of the Johannes Gutenberg\u2010University Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Murray","sequence":"additional","affiliation":[{"name":"School of Medicine University of St Andrews St Andrews UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Matthias","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology University Medical Center of the Johannes Gutenberg\u2010University Mainz Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Blaikie","sequence":"additional","affiliation":[{"name":"School of Medicine University of St Andrews St Andrews UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.0480"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40669\u2010016\u20100005\u2010y"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wjorl.2021.03.002"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/2473974x18786496"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2020.5223"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41205\u2010021\u201000127\u20103"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13403"},{"key":"e_1_2_9_9_1","unstructured":"Alliance for Affordable Internet \u201cThe Cost of Smartphones Falls but They Remain Unaffordable for Billions Around the World \u201d2022 https:\/\/a4ai.org\/news\/the\u2010cost\u2010of\u2010smartphones\u2010falls\u2010but\u2010they\u2010remain\u2010unaffordable\u2010for\u2010billions\u2010around\u2010the\u2010world\/."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.601"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh\u20102018\u2010001087"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.32106","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T07:42:35Z","timestamp":1757144555000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.32106"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,6]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1002\/lary.32106"],"URL":"https:\/\/doi.org\/10.1002\/lary.32106","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"type":"print","value":"0023-852X"},{"type":"electronic","value":"1531-4995"}],"subject":[],"published":{"date-parts":[[2025,3,6]]},"assertion":[{"value":"2024-11-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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