{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T14:00:46Z","timestamp":1781013646697,"version":"3.54.1"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    This technical note describes a standardized coaching method that integrates a simple phoneme-based cue into standard EarPopper\n                    <jats:sup>\u00ae<\/jats:sup>\n                    use, without altering device settings, airflow, or dosing. The technique is intended to facilitate coordination between swallowing and soft-palate elevation during positive nasopharyngeal insufflation, a prerequisite for Eustachian tube (ET) opening. Explicit procedural guidance is provided, including patient selection, contraindications, step-by-step technique, the number of insufflations\u2013swallow cycles per session, clinic onboarding, a clinic-first followed by home-use protocol, troubleshooting, and suggested monitoring tools. This article does not present outcome data or claim clinical efficacy; the technique is proposed as a behavioral coaching adjunct consistent with established concepts of ET physiology and fully compliant with the manufacturer\u2019s Instructions for Use. Clinical effectiveness has not been formally tested in a comparative study; the technique is presented as a proposed coaching adjunct to standard device use.\n                  <\/jats:p>","DOI":"10.1007\/s00405-026-10117-y","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T15:42:35Z","timestamp":1773070955000},"page":"4047-4051","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Phoneme-cued coaching during standard earpopper\u00ae use"],"prefix":"10.1007","volume":"283","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0164-4150","authenticated-orcid":false,"given":"Bulent","family":"Mamikoglu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Piastro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Ward","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,9]]},"reference":[{"key":"10117_CR1","volume-title":"Lehrbuch der Ohrenheilkunde","author":"A Politzer","year":"1878","unstructured":"Politzer A (1878) Lehrbuch der Ohrenheilkunde. Braum\u00fcller, Vienna"},{"key":"10117_CR2","unstructured":"Bluestone CD, Klein JO (2007) Otitis media in infants and children, 4th edn. W.B. Saunders"},{"key":"10117_CR3","first-page":"602","volume":"21","author":"DS Poe","year":"2000","unstructured":"Poe DS, Pyykk\u00f6 I, Valtonen H, Silvola J (2000) Analysis of Eustachian tube function by video endoscopy. Am J Otol 21:602\u2013607","journal-title":"Am J Otol"},{"key":"10117_CR4","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1016\/j.ijporl.2005.09.026","volume":"70","author":"RG Campbell","year":"2006","unstructured":"Campbell RG, Myer CM (2006) Efficacy of the EarPopper device for the treatment of otitis media with effusion: a pilot study. Int J Pediatr Otorhinolaryngol 70:829\u2013834","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"10117_CR5","doi-asserted-by":"publisher","first-page":"84","DOI":"10.3109\/00016487909126391","volume":"87","author":"I Honjo","year":"1979","unstructured":"Honjo I, Okazaki N, Kumazawa T (1979) Experimental study of Eustachian tube function with reference to the tensor veli palatini muscle. Acta Otolaryngol 87:84\u201392","journal-title":"Acta Otolaryngol"},{"key":"10117_CR6","first-page":"104","volume":"109","author":"K Takasaki","year":"2000","unstructured":"Takasaki K, Sando I, Balaban CD (2000) Functional anatomy of the tensor veli palatini muscle and its role in Eustachian tube opening. Ann Otol Rhinol Laryngol 109:104\u2013112","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10117_CR7","first-page":"478","volume":"35","author":"DP Kuehn","year":"1998","unstructured":"Kuehn DP, Moon JB (1998) Levator veli palatini muscle activity during speech and swallowing. Cleft Palate Craniofac J 35:478\u2013484","journal-title":"Cleft Palate Craniofac J"},{"key":"10117_CR8","unstructured":"https:\/\/summitmedicalusa.com\/wordpress\/wp-content\/uploads\/2021\/06\/25391-EP-2100-Rev-J-IFU.pdf"},{"key":"10117_CR9","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1097\/MAO.0000000000004123","volume":"45","author":"K Lee","year":"2024","unstructured":"Lee K, Adamovich-Zeitlin R, Svrakic M (2024) Evaluation and treatment algorithm for patients with ear fullness and no objective abnormalities. Otol Neurotol 45:447\u2013453","journal-title":"Otol Neurotol"}],"container-title":["European Archives of Oto-Rhino-Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-026-10117-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00405-026-10117-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-026-10117-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T13:22:35Z","timestamp":1781011355000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00405-026-10117-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,9]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10117"],"URL":"https:\/\/doi.org\/10.1007\/s00405-026-10117-y","relation":{},"ISSN":["0937-4477","1434-4726"],"issn-type":[{"value":"0937-4477","type":"print"},{"value":"1434-4726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,9]]},"assertion":[{"value":"3 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This manuscript is a technical note \/ \u201cHow I Do It\u201d description of a standardized coaching method for standard EarPopper\u00ae use. It does not involve prospective enrollment, retrospective chart review, collection or analysis of patient-level data, or reporting of clinical outcomes. Because no human-subjects research was performed, institutional ethics approval was not required for this technical description. The instructional endoscopic video\/images are de-identified and subject\/patient permission\/consent for educational publication was obtained in accordance with journal and institutional requirements.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"<!--Emphasis Type='Bold' removed-->Ethics statement"}},{"value":"Not applicable (review article).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"<!--Emphasis Type='Bold' removed-->Consent to participate \/ publish"}},{"value":"During the preparation of this manuscript, the author utilized ChatGPT (OpenAI, GPT-4) solely as a formatting and editorial assistant \u2014 to align the article with journal-specific structure, style, and reference formatting requirements. The core content, clinical idea, scientific reasoning, and all written material were independently conceived, authored, and reviewed by Drs. Bulent Mamikoglu, Kristina Piastro and Robert Ward. No text was generated by AI that constitutes substantive scientific content or original analysis. ChatGPT was not used to create, interpret, or draft any portion of the research design or clinical claims, and was not involved in any authorship role.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Language\u00a0models use"}},{"value":"The authors declare no financial or non\u2011financial interests directly or indirectly related to this work.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}