{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T21:51:43Z","timestamp":1768254703729,"version":"3.49.0"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T00:00:00Z","timestamp":1727481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100016868","name":"University of Minnesota Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016868","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":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study is to investigate whether conductive hearing loss (CHL) can be differentiated from sensorineural hearing loss in children ages 3\u201318 using a diotic and antiphasic digits\u2010in\u2010noise (DIN) tablet\u2010based test using existing adult cut\u2010off criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A blinded multi\u2010institutional prospective cohort of 64 children aged 3\u201318 scheduled for an audiometric soundbooth evaluation with a pediatric audiologist and a same\u2010day otolaryngologist examination were recruited for the study. Following a conventional audiogram, the subjects underwent diotic (same\u2010phased stimuli) and antiphasic (out\u2010of\u2010phase stimuli) DIN testing on a HearX Samsung Galaxy tablet with over\u2010the\u2010ear headphones, for a total of 128 measurements. DIN test results were compared with soundbooth audiometry using known adult \u201ccut off criteria.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A logistic regression analysis adjusted for demographics (age, sex) and race was performed to compare CHL determination from DIN testing to CHL determination with soundbooth audiometry. The results showed 50% agreement with a <jats:italic>p<\/jats:italic>\u2010value of .753. The determinations based on combined DIN testing agreed with each other 33% of the time and had a <jats:italic>p<\/jats:italic>\u2010value of .373. Otologic pathology and age were not predictive of outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This preliminary analysis of DIN testing indicated that DIN and audiometric testing completed in a soundbooth were not significantly predictive of one another in the population of children aged 3\u201318 when using the adult cut\u2010off criteria for CHL differentiation. Given these findings, further testing is required in children to determine pediatric specific cut\u2010off values.<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.70001","type":"journal-article","created":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T11:44:11Z","timestamp":1727523851000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Kids are not just small adults: An attempt to validate pediatric tablet\u2010based digits in noise testing"],"prefix":"10.1002","volume":"9","author":[{"given":"Allyson","family":"Dunlap","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery University of Minnesota Medical School  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morgan","family":"McBride","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery University of Minnesota Medical School  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9729-7607","authenticated-orcid":false,"given":"Alison","family":"Tuominen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2010 Head and Neck Surgery University of Minnesota Medical School  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brianne","family":"Roby","sequence":"additional","affiliation":[{"name":"ENT and Facial Plastic Surgery, Children's Minnesota  Minneapolis Minnesota USA"},{"name":"Otolaryngology Head and Neck Surgery University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Redmann","sequence":"additional","affiliation":[{"name":"ENT and Facial Plastic Surgery, Children's Minnesota  Minneapolis Minnesota USA"},{"name":"Otolaryngology Head and Neck Surgery University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abby","family":"Meyer","sequence":"additional","affiliation":[{"name":"ENT and Facial Plastic Surgery, Children's Minnesota  Minneapolis Minnesota USA"},{"name":"Otolaryngology Head and Neck Surgery University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Herd","sequence":"additional","affiliation":[{"name":"Department of Audiology Lions Hearing Clinic, University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassandra","family":"Meyer","sequence":"additional","affiliation":[{"name":"ENT and Facial Plastic Surgery, Children's Minnesota  Minneapolis Minnesota USA"},{"name":"Research Institute Children's Hospitals and Clinics of Minnesota  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sivakumar","family":"Chinnadurai","sequence":"additional","affiliation":[{"name":"ENT and Facial Plastic Surgery, Children's Minnesota  Minneapolis Minnesota USA"},{"name":"Otolaryngology Head and Neck Surgery University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Finch","sequence":"additional","affiliation":[{"name":"Research Institute Children's Hospitals and Clinics of Minnesota  Minneapolis Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9932-8748","authenticated-orcid":false,"given":"Asitha D. 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