{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:29:38Z","timestamp":1761006578703,"version":"build-2065373602"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T00:00:00Z","timestamp":1741046400000},"content-version":"vor","delay-in-days":62,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/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 analyze the diagnostic concordance between findings obtained using a low\u2010cost endoscope during telepresence evaluations and those obtained through conventional otolaryngology consultations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>An observational cross\u2010sectional study was conducted between September 2022 and October 2023.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Second\u2010level clinic providing in\u2010person otolaryngology consultations for patients aged 18 and older.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 223 evaluations were performed on 217 adult patients, comparing in\u2010person assessments with remote evaluations using a low\u2010cost otoendoscopic device. Diagnostic concordance was assessed for 7 otolaryngological conditions: tympanic perforation, myringosclerosis, signs of external otitis, middle ear effusion, turbinate hypertrophy, septal deviation, and tonsillar hypertrophy. Statistical analysis included the calculation of Cohen's <jats:italic>\u03ba<\/jats:italic> coefficient and diagnostic performance measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The endoscopic evaluation demonstrated high diagnostic concordance for ear and oral cavity assessments, particularly for tympanic perforation and signs of external otitis (<jats:italic>\u03ba<\/jats:italic> of 1 and 0.93, respectively). Conversely, low concordance was observed for nasal findings such as turbinate hypertrophy and septal deviation (<jats:italic>\u03ba<\/jats:italic> of 0.07 and 0.11, respectively). Limitations in image resolution and data capture of the low\u2010cost device were identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The low\u2010cost endoscope used in telepresence otolaryngology consultations is effective for evaluating ear and oral cavity findings but shows limitations in nasal cavity assessments. Telemedicine in otolaryngology can reduce health care access barriers in settings with limited availability of specialized services. This study underscores the need for continued research and development of more precise diagnostic devices in otolaryngology.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oto2.70072","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T13:11:04Z","timestamp":1741698664000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Diagnostic Concordance of Low\u2010cost Endoscopic Remote Consultation Versus Standard Otolaryngology Evaluation"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8523-5733","authenticated-orcid":false,"given":"Manuela","family":"Restrepo Pel\u00e1ez","sequence":"first","affiliation":[{"name":"Resident in Otolaryngology and Head and Neck Surgery, Faculty of Medicine University of Antioquia Medellin Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6898-1480","authenticated-orcid":false,"given":"Paola","family":"Herrera Nore\u00f1a","sequence":"additional","affiliation":[{"name":"Resident in Otolaryngology and Head and Neck Surgery, Faculty of Medicine University of Antioquia Medellin Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9742-2570","authenticated-orcid":false,"given":"Tania Margarita","family":"Salgado G\u00f3mez","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Head and Neck Surgery Faculty of Medicine, University of Antioquia Medellin Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9570-0143","authenticated-orcid":false,"given":"Ingri Julieth","family":"Pati\u00f1o Ariza","sequence":"additional","affiliation":[{"name":"La Chinita Clinic Apartad\u00f3 Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5888-3544","authenticated-orcid":false,"given":"Carlos Stiven","family":"Z\u00fa\u00f1iga Bravo","sequence":"additional","affiliation":[{"name":"La Chinita Clinic Apartad\u00f3 Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8477-8909","authenticated-orcid":false,"given":"Sebasti\u00e1n","family":"Orozco Arteaga","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Head and Neck Surgery Faculty of Medicine, University of Antioquia Medellin Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,4]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Organizaci\u00f3n Mundial de la Salud. 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