{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T21:05:41Z","timestamp":1790197541185,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006034","name":"University of Southern California","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006034","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,6]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n Eustachian tube dysfunction (ETD) is a common condition among patients presenting to audiology clinics, often accompanied by nonspecific symptoms that complicate diagnosis. The 7\u2010item Eustachian Tube Dysfunction Questionnaire (ETDQ\u20107) was developed to aid in identifying ETD; however, despite its widespread clinical use, its diagnostic validity has not been consistently demonstrated across patient populations. We evaluate ETDQ\u20107 performance in a diverse group of patients seen in an audiology clinic and compare it to an objective test of ETD based on modified impedance audiometry.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This retrospective study analyzed ETDQ\u20107 scores, responses to a custom tinnitus quality questionnaire, pure\u2010tone audiometry, and tympanometry with pressure manipulation in a clinical sample of 300 patients. ETD\u2010positive cases were identified based on the absence of a significant shift in tympanometric peak pressure during swallowing or the Valsalva maneuver.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The total ETDQ\u20107 score showed low sensitivity and specificity in detecting objectively confirmed ETD, even when the analysis was limited to patients without hearing loss. ETDQ\u20107 scores did not differ significantly between patients with normal hearing and those with hearing impairment, regardless of ETD status. However, among patients reporting tinnitus, ETDQ\u20107 scores were positively correlated with the reported bothersomeness of tinnitus\u2014even after excluding the \u201cringing in the ears\u201d item from the total score.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n In patients with tinnitus, ETDQ\u20107 scores appear to reflect general subjective discomfort caused by tinnitus rather than the presence or severity of ETD. These findings raise concerns about the ETDQ\u20107's utility as a stand\u2010alone diagnostic tool for ETD in heterogeneous clinical populations.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n 3<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.70363","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T10:25:32Z","timestamp":1767954332000},"page":"2745-2751","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Assessment of 7\u2010Item Eustachian Tube Dysfunction Questionnaire in a Clinical Population"],"prefix":"10.1002","volume":"136","author":[{"given":"Amina","family":"Khan","sequence":"first","affiliation":[{"name":"Caruso Department of Otolaryngology, Head and Neck Surgery, Keck School of Medicine University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Wang","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology, Head and Neck Surgery, Keck School of Medicine University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Parsons","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology, Head and Neck Surgery, Keck School of Medicine University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8250-9676","authenticated-orcid":false,"given":"Karolina","family":"Charaziak","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology, Head and Neck Surgery, Keck School of Medicine University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22030"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.4193\/rhinol\/18.050"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.22056"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12428"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23223"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/LIO2.606"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599817731729"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wjorl.2019.08.002"},{"key":"e_1_2_12_10_1","volume-title":"Handbook of Clinical Audiology","author":"Katz 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