Prospective Evaluation of a Smartphone Otoscope for Home Tympanostomy Tube Surveillance: A Pilot Study
Autor: | Debra M. Don, Beth Osterbauer, Choo Phei Wee, Laurel M. Fisher, Jeffrey A. Koempel |
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Rok vydání: | 2020 |
Předmět: |
Male
Parents 2019-20 coronavirus outbreak medicine.medical_specialty Adolescent Coronavirus disease 2019 (COVID-19) medicine.medical_treatment Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Video Recording Pilot Projects Article Prospective evaluation 03 medical and health sciences Otoscopes 0302 clinical medicine medicine Humans Prospective Studies Otoscope Tympanostomy tube Child 030223 otorhinolaryngology High resolution imaging business.industry Infant 030208 emergency & critical care medicine General Medicine Middle Ear Ventilation Mobile Applications Telemedicine Otorhinolaryngology Patient Satisfaction Child Preschool Emergency medicine Feasibility Studies Female Smartphone business |
Zdroj: | Ann Otol Rhinol Laryngol |
ISSN: | 1943-572X 0003-4894 |
DOI: | 10.1177/0003489420938820 |
Popis: | Objectives: Recent technological advances have led to the capability of performing high resolution imaging of the tympanic membrane. Smartphone technologies and applications have provided the opportunity to capture digital images and easily share them. The smartphone otoscope device was developed as a simple system that can convert a smartphone into a digital otoscope. This device has the prospective ability to improve physician-patient communication and assist with the diagnosis and management of ear disease. Our objective was to evaluate the feasibility and physician/parental satisfaction using the Cellscope® smartphone attachment for at home tympanostomy tube monitoring. Methods: Children between 6 months and 15 years of age at an urban tertiary children’s hospital that were scheduled for bilateral tympanostomy tube insertion or underwent bilateral tympanostomy tube surgery were prospectively enrolled in the study. Comparisons were made between parental home-recorded videos and findings during in-office otoscopy. Two independent otolaryngologists reviewed the videos and concordance between inter-rater agreements was calculated. Acceptability and use questionnaires were administered to physicians and parents. Results: There was good intra-rater agreement between traditional otoscopy and video-otoscopy for tube extruding, tube blocked and tube extruded with at least 80% agreement ( P Conclusions: The CellScope® smartphone is feasible for use in tympanostomy tube surveillance. Use of the device may allow otolaryngologists to easily follow a child’s tympanostomy tube remotely over time and offer greater parental satisfaction. |
Databáze: | OpenAIRE |
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