{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:24:09Z","timestamp":1760955849115,"version":"build-2065373602"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T00:00:00Z","timestamp":1739318400000},"content-version":"vor","delay-in-days":42,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["OTO Open"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare hearing thresholds at 250 and 500\u2009Hz in pediatric patients with tympanic membrane perforations (TMP) using RadioEar IP30 insert earphones and RadioEar TDH50s 3045 supra\u2010aural headphones<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective clinical pilot study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Primary Children's Hospital, Utah.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Children (&lt;18 years of age) were prospectively enrolled into 2 groups based on the presence of TMPs (no TMP, TMP). Hearing thresholds were measured at 250 and 500\u2009Hz using RadioEar IP30 insert earphones and RadioEar TDH50s 3045 supra\u2010aural headphones for all participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At 250 and 500\u2009Hz, hearing thresholds were significantly higher when recorded with insert earphones than with supra\u2010aural headphones in pediatric participants with TMPs. At 250\u2009Hz, thresholds obtained with inserts were 14.7\u2009\u00b1\u20097.2\u2009dB (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) higher than thresholds obtained with supra\u2010aural headphones and 8.0\u2009\u00b1\u20097.5\u2009dB higher (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.01) at 500\u2009Hz.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Low\u2010frequency hearing thresholds were significantly higher when measured with insert earphones in patients with TMPsbut not in patients without TMPs. A diagnosis of low\u2010frequency hearing loss must be interpreted with caution when using insert earphones in participants with TMPs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oto2.70045","type":"journal-article","created":{"date-parts":[[2025,2,12]],"date-time":"2025-02-12T08:14:11Z","timestamp":1739348051000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparing Low\u2010Frequency Hearing Thresholds between Insert Earphones and Headphones in Ears with Tympanic Membrane Perforations"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1653-8829","authenticated-orcid":false,"given":"Anna","family":"Hsu","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Utah Salt Lake City Utah USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah H.","family":"AL 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