{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T10:51:06Z","timestamp":1787914266434,"version":"build-2784847793"},"reference-count":12,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2020,4,13]],"date-time":"2020-04-13T00:00:00Z","timestamp":1586736000000},"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":["Ear Nose Throat J"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Telemedicine is an increasingly prevalent component of medical practice. In otolaryngology, there is the potential for telemedicine services to be performed in conjunction with device use, such as with a nasolaryngoscope. This study evaluates the reliability of remote examinations of the upper airway through an iPhone recording using a coupling device attached to a nasopharyngolaryngoscope (NPL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A prospective, blinded study was performed for pediatric patients requiring an NPL during an office visit. The NPL was performed using a coupling device attached to a smartphone to record the examination. A second, remote otolaryngologist then evaluated the recorded examination. Both otolaryngologists evaluated findings of anatomic sites including nasopharynx, oropharynx, base of tongue, larynx including subsites of epiglottis, arytenoids, aryepiglottic folds, false vocal cords, true vocal cords, patency of airway, and diagnostic impression, all of which were documented through a survey. Results of the survey were evaluated through inter-rater agreement using the \u03ba statistic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Forty-five patients underwent an NPL, all of which were included in the study. The average age was 4.9 years. The most common complaint requiring NPL was noisy breathing (n = 16). The inter-rater agreement for overall diagnosis was 0.74 with 80% percent agreement, rated as \u201cgood.\u201d Other anatomic subsites with \u201cgood\u201d or better inter-rater agreement were nasopharynx (0.75), oropharynx (0.75), and true vocal cords (0.71), with strong percentage agreement of 89%, 91%, and 87%, respectively. Both users of the adaptor found the recording setup to run smoothly.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A telemedicine device for NPL use demonstrates strong diagnostic accuracy across providers and good overall evaluation. It holds potential for use in remote settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0145561320919109","type":"journal-article","created":{"date-parts":[[2020,4,14]],"date-time":"2020-04-14T02:20:33Z","timestamp":1586830833000},"page":"604-609","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Reliability and Accuracy of Remote Fiberoptic Nasopharyngolaryngoscopy in the Pediatric Population"],"prefix":"10.1177","volume":"100","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8693-8424","authenticated-orcid":false,"given":"Lauren E.","family":"Miller","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adva","family":"Buzi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel S.","family":"Rogers","sequence":"additional","affiliation":[{"name":"Biostatistics and Data Management Care\u2014Children\u2019s Hospital of Philadelphia, Roberts Center for Pediatric Research, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angel G.","family":"Ortiz","sequence":"additional","affiliation":[{"name":"Biostatistics and Data Management Care\u2014Children\u2019s Hospital of Philadelphia, Roberts Center for Pediatric Research, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kellye O.","family":"Jones-Ho","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa M.","family":"Elden","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Children\u2019s Hospital of Philadelphia, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,4,13]]},"reference":[{"key":"bibr1-0145561320919109","doi-asserted-by":"publisher","DOI":"10.1177\/0003489417745089"},{"key":"bibr2-0145561320919109","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26677"},{"key":"bibr3-0145561320919109","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816688620"},{"key":"bibr4-0145561320919109","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2011.0112"},{"key":"bibr5-0145561320919109","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X17708531"},{"key":"bibr6-0145561320919109","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2959"},{"key":"bibr7-0145561320919109","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26821"},{"key":"bibr8-0145561320919109","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816656169"},{"key":"bibr9-0145561320919109","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2010.05.090186"},{"key":"bibr10-0145561320919109","doi-asserted-by":"publisher","DOI":"10.1177\/000348940711600503"},{"key":"bibr11-0145561320919109","first-page":"135","volume":"4","author":"Brant JA","year":"2018","journal-title":"World J Otorhinolaryngol"},{"key":"bibr12-0145561320919109","doi-asserted-by":"publisher","DOI":"10.1177\/0194599819827488"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145561320919109","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0145561320919109","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145561320919109","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:38:17Z","timestamp":1777401497000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0145561320919109"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,13]]},"references-count":12,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1177\/0145561320919109"],"URL":"https:\/\/doi.org\/10.1177\/0145561320919109","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,13]]}}}