{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T01:01:31Z","timestamp":1777510891588,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T00:00:00Z","timestamp":1635811200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>As telemedicine has become increasingly utilized during the COVID-19 pandemic, portable otoendoscopy offers a method to perform an ear examination at home. The objective of this pilot study was to assess the quality of otoendoscopic images obtained by non-medical individuals and to determine the effect of a simple training protocol on image quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Non-medical participants were recruited and asked to capture images of the tympanic membrane before and after completion of a training module, as well as complete a survey about their experience using the otoendoscope. Images were de-identified, randomized, and evaluated by 6 otolaryngologists who were blinded as to whether training had been performed prior to the image capture. Images were rated using a 5-point Likert scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Completion of a training module resulted in a significantly higher percentage of tympanic membrane visible on otoendoscopic images, as well as increased physician confidence in identifying middle ear effusion\/infection, cholesteatoma, and deferring an in-person otoscopy ( P\u2009&lt;\u2009.0001). However, even with improved image quality, in most cases, physicians reported that they would not feel comfortable using the images to for diagnosis or to defer an in-person examination. Most participants reported that the otoendoscope was simple to use and that they would feel comfortable paying for the device.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>At-home otoendoscopes can offer a sufficient view of the tympanic membrane in select cases. The use of a simple training tool can significantly improve image quality, though often not enough to replace an in-person otoscopic exam.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894211051810","type":"journal-article","created":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T08:08:48Z","timestamp":1635840528000},"page":"1115-1122","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Otoendoscopes to Enhance Telemedicine During the COVID-19 Pandemic"],"prefix":"10.1177","volume":"131","author":[{"given":"Evette A.","family":"Ronner","sequence":"first","affiliation":[{"name":"Geisel School of Medicine at Dartmouth, Hanover, NH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew E.","family":"Stenerson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear and Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole H.","family":"Goldschmidt","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear and Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Divya A.","family":"Chari","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear and Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gillian R.","family":"Diercks","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear and Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel J.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear and Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Donald G.","family":"Keamy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear and Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila A.","family":"Mankarious","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear and Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1877-8668","authenticated-orcid":false,"given":"Michael S.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Massachusetts Eye and Ear and Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,11,2]]},"reference":[{"issue":"4","key":"bibr1-00034894211051810","first-page":"4268","volume":"16","author":"Bradford NK","year":"2016","journal-title":"Rural Remote Health"},{"key":"bibr2-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X16670495"},{"key":"bibr3-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2003539"},{"key":"bibr4-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1016\/j.wjorl.2020.04.008"},{"key":"bibr5-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1177\/0003489420976163"},{"key":"bibr6-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.5.1451"},{"issue":"11","key":"bibr7-00034894211051810","first-page":"832","volume":"64","author":"Finley CR","year":"2018","journal-title":"Can Fam Physician"},{"key":"bibr8-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0036226"},{"key":"bibr9-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2020.09.013"},{"key":"bibr10-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816687740"},{"key":"bibr11-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2015.04.063"},{"key":"bibr12-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2018.01.003"},{"key":"bibr13-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2020.5223"},{"key":"bibr14-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820934776"},{"key":"bibr15-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1177\/0003489420938820"},{"key":"bibr16-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2018.01.093"},{"key":"bibr17-00034894211051810","doi-asserted-by":"publisher","DOI":"10.21767\/2471-9633.10004"},{"key":"bibr18-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-06373-1"},{"key":"bibr19-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.109633"},{"key":"bibr20-00034894211051810","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.04.008"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894211051810","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00034894211051810","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894211051810","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:34:57Z","timestamp":1777376097000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00034894211051810"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,2]]},"references-count":20,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1177\/00034894211051810"],"URL":"https:\/\/doi.org\/10.1177\/00034894211051810","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,2]]}}}