{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:49:50Z","timestamp":1791568190523,"version":"4.3.4"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,9,25]],"date-time":"2021-09-25T00:00:00Z","timestamp":1632528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007259","name":"Institut Ru\u0111er Bo\u0161kovi\u0107","doi-asserted-by":"publisher","award":["#WRNMMC\u2010EDO\u20102020\u20100553"],"award-info":[{"award-number":["#WRNMMC\u2010EDO\u20102020\u20100553"]}],"id":[{"id":"10.13039\/501100007259","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>An at home\u2010test for differentiating between conductive and sensorineural hearing loss remains elusive. Our goal was to validate the novel cell\u2010phone vibration test (CPVT) against the Weber tuning fork test (WTFT) and to assess if the CPVT can be self\u2010administered by patients reliably.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Cross\u2010sectional.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The CPVT involves placement of a vibrating cellphone on the center of the forehead to determine which ear perceives the sound louder. 40 consecutive adult patients with an audiogram within 6\u00a0months and no report of recent hearing changes were recruited. Group 1 consisted of 20 patients who were examined by the provider with the CPVT and WTFT using various tuning forks (256, 512, and 1024\u2009Hz). Group 2 consisted of an additional 20 patients who received instructions on self\u2010administering the CPVT. Kappa statistics were calculated to assess the strength of concordance between the CPVT, WTFT, and audiometric findings for group 1 and between patient self\u2010administered and provider administered CPVT and WTFT for group 2.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Concordance between CPVT and WTFT in the entire cohort was substantial (Kappa coefficient: 0.81 for 256\u2009Hz, 0.73 for 512\u2009Hz, and 0.62 for 1024\u2009Hz) with similar concordances between actual and expected results based on audiogram (Kappa coefficient: 0.52 for CPVT and 0.52 for WTFT). Concordance between patient\u2010administered and provider\u2010administered CPVT showed almost perfect agreement (Kappa coefficient: 0.92).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The CPVT provides consistent results when compared to a formal WTFT and can be reliably self\u2010administered by patients with appropriate instructions.<\/jats:p><jats:p>Level of evidence: 4<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.665","type":"journal-article","created":{"date-parts":[[2021,9,25]],"date-time":"2021-09-25T12:46:48Z","timestamp":1632574008000},"page":"1175-1181","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The cell phone vibration test: A telemedicine substitute for the tuning fork test"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9220-9543","authenticated-orcid":false,"given":"Alex","family":"Yang","sequence":"first","affiliation":[{"name":"F. Edward Hebert School of Medicine Uniformed Services University of the Health Sciences  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Lewis","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Walter Reed National Military Medical Center  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nora","family":"Watson","sequence":"additional","affiliation":[{"name":"Department of Research Programs Walter Reed National Military Medical Center  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1993-7018","authenticated-orcid":false,"given":"Charles A.","family":"Riley","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Walter Reed National Military Medical Center  Bethesda Maryland USA"},{"name":"Department of Surgery Uniformed Services University of the Health Sciences  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8240-8330","authenticated-orcid":false,"given":"Anthony M.","family":"Tolisano","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery Walter Reed National Military Medical Center  Bethesda Maryland USA"},{"name":"Department of Surgery Uniformed Services University of the Health Sciences  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000222"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812436449"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599819859885"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348947708600406"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/14992027.2010.533705"},{"issue":"5","key":"e_1_2_8_7_1","first-page":"645","article-title":"An investigation of the audiologic handicap associated with unilateral sudden sensorineural hearing loss","volume":"21","author":"Chiossoine\u2010Kerdel JA","year":"2000","journal-title":"Am J Otol"},{"issue":"1","key":"e_1_2_8_8_1","first-page":"100","article-title":"Early history of tuning\u2010fork tests","volume":"14","author":"Ng M","year":"1993","journal-title":"Am J Otol"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489418772860"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000357"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215119000525"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000502274"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.2307\/2529310"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70100-1"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0201867"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7031e2"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2001737"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2004973"},{"key":"e_1_2_8_19_1","unstructured":"SetzenG AnneS BrownEG.Guidance for return to practice for otolaryngology: head and neck surgery.https:\/\/cdn.ymaws.com\/www.askascent.org\/resource\/resmgr\/communications\/aao-hns_guidance_for_return_.pdf. 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