Otoendoscopes to Enhance Telemedicine During the COVID-19 Pandemic
Objectives: 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 deter...
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| Veröffentlicht in: | Annals of otology, rhinology & laryngology rhinology & laryngology, 2022-10, Vol.131 (10), p.1115-1122 |
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| container_title | Annals of otology, rhinology & laryngology |
| container_volume | 131 |
| creator | Ronner, Evette A. Stenerson, Matthew E. Goldschmidt, Nicole H. Chari, Divya A. Diercks, Gillian R. Lee, Daniel J. Keamy, Donald G. Mankarious, Leila A. Cohen, Michael S. |
| description | Objectives:
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.
Methods:
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.
Results:
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 |
| doi_str_mv | 10.1177/00034894211051810 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2592309192</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_00034894211051810</sage_id><sourcerecordid>2592309192</sourcerecordid><originalsourceid>FETCH-LOGICAL-c383t-1b4a64f23f1adcf3ae79c67a56f2efe3edfa32dc345a3262e2716a32b0db0403</originalsourceid><addsrcrecordid>eNp9UMtOwzAQtBCIlsIHcEE5cknx2s7rCG2BSpXCoULcIsdZt6kSu8TJgb_HVQsXJC47u9qZkWYIuQU6BUiSB0opF2kmGACNIAV6RsaQCR5GCfs4J-PDPzwQRuTKuZ0_RUTZJRlxkbCYxumYPOW9RVNZp-weXdDbYGG20igM1thgi1WtaoPBfOhqswn6LQaz_H05DyEL3qSpsK3VNbnQsnF4c8IJWT8v1rPXcJW_LGePq1DxlPchlELGQjOuQVZKc4lJpuJERrFmqJFjpSVnleIi8hgzZAnEfitpVVJB-YTcH233nf0c0PVFWzuFTSMN2sEVLMoYpxn4OSFwpKrOOtehLvZd3cruqwBaHJor_jTnNXcn-6H0sX8VP1V5wvRIcHKDxc4OnfFp_3H8BvR7dFc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2592309192</pqid></control><display><type>article</type><title>Otoendoscopes to Enhance Telemedicine During the COVID-19 Pandemic</title><source>SAGE Complete</source><creator>Ronner, Evette A. ; Stenerson, Matthew E. ; Goldschmidt, Nicole H. ; Chari, Divya A. ; Diercks, Gillian R. ; Lee, Daniel J. ; Keamy, Donald G. ; Mankarious, Leila A. ; Cohen, Michael S.</creator><creatorcontrib>Ronner, Evette A. ; Stenerson, Matthew E. ; Goldschmidt, Nicole H. ; Chari, Divya A. ; Diercks, Gillian R. ; Lee, Daniel J. ; Keamy, Donald G. ; Mankarious, Leila A. ; Cohen, Michael S.</creatorcontrib><description>Objectives:
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.
Methods:
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.
Results:
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 < .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.
Conclusions:
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.</description><identifier>ISSN: 0003-4894</identifier><identifier>EISSN: 1943-572X</identifier><identifier>DOI: 10.1177/00034894211051810</identifier><identifier>PMID: 34726068</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><ispartof>Annals of otology, rhinology & laryngology, 2022-10, Vol.131 (10), p.1115-1122</ispartof><rights>The Author(s) 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c383t-1b4a64f23f1adcf3ae79c67a56f2efe3edfa32dc345a3262e2716a32b0db0403</citedby><cites>FETCH-LOGICAL-c383t-1b4a64f23f1adcf3ae79c67a56f2efe3edfa32dc345a3262e2716a32b0db0403</cites><orcidid>0000-0002-1877-8668</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/00034894211051810$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/00034894211051810$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34726068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ronner, Evette A.</creatorcontrib><creatorcontrib>Stenerson, Matthew E.</creatorcontrib><creatorcontrib>Goldschmidt, Nicole H.</creatorcontrib><creatorcontrib>Chari, Divya A.</creatorcontrib><creatorcontrib>Diercks, Gillian R.</creatorcontrib><creatorcontrib>Lee, Daniel J.</creatorcontrib><creatorcontrib>Keamy, Donald G.</creatorcontrib><creatorcontrib>Mankarious, Leila A.</creatorcontrib><creatorcontrib>Cohen, Michael S.</creatorcontrib><title>Otoendoscopes to Enhance Telemedicine During the COVID-19 Pandemic</title><title>Annals of otology, rhinology & laryngology</title><addtitle>Ann Otol Rhinol Laryngol</addtitle><description>Objectives:
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.
Methods:
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.
Results:
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 < .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.
Conclusions:
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.</description><issn>0003-4894</issn><issn>1943-572X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9UMtOwzAQtBCIlsIHcEE5cknx2s7rCG2BSpXCoULcIsdZt6kSu8TJgb_HVQsXJC47u9qZkWYIuQU6BUiSB0opF2kmGACNIAV6RsaQCR5GCfs4J-PDPzwQRuTKuZ0_RUTZJRlxkbCYxumYPOW9RVNZp-weXdDbYGG20igM1thgi1WtaoPBfOhqswn6LQaz_H05DyEL3qSpsK3VNbnQsnF4c8IJWT8v1rPXcJW_LGePq1DxlPchlELGQjOuQVZKc4lJpuJERrFmqJFjpSVnleIi8hgzZAnEfitpVVJB-YTcH233nf0c0PVFWzuFTSMN2sEVLMoYpxn4OSFwpKrOOtehLvZd3cruqwBaHJor_jTnNXcn-6H0sX8VP1V5wvRIcHKDxc4OnfFp_3H8BvR7dFc</recordid><startdate>20221001</startdate><enddate>20221001</enddate><creator>Ronner, Evette A.</creator><creator>Stenerson, Matthew E.</creator><creator>Goldschmidt, Nicole H.</creator><creator>Chari, Divya A.</creator><creator>Diercks, Gillian R.</creator><creator>Lee, Daniel J.</creator><creator>Keamy, Donald G.</creator><creator>Mankarious, Leila A.</creator><creator>Cohen, Michael S.</creator><general>SAGE Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1877-8668</orcidid></search><sort><creationdate>20221001</creationdate><title>Otoendoscopes to Enhance Telemedicine During the COVID-19 Pandemic</title><author>Ronner, Evette A. ; Stenerson, Matthew E. ; Goldschmidt, Nicole H. ; Chari, Divya A. ; Diercks, Gillian R. ; Lee, Daniel J. ; Keamy, Donald G. ; Mankarious, Leila A. ; Cohen, Michael S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c383t-1b4a64f23f1adcf3ae79c67a56f2efe3edfa32dc345a3262e2716a32b0db0403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ronner, Evette A.</creatorcontrib><creatorcontrib>Stenerson, Matthew E.</creatorcontrib><creatorcontrib>Goldschmidt, Nicole H.</creatorcontrib><creatorcontrib>Chari, Divya A.</creatorcontrib><creatorcontrib>Diercks, Gillian R.</creatorcontrib><creatorcontrib>Lee, Daniel J.</creatorcontrib><creatorcontrib>Keamy, Donald G.</creatorcontrib><creatorcontrib>Mankarious, Leila A.</creatorcontrib><creatorcontrib>Cohen, Michael S.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of otology, rhinology & laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ronner, Evette A.</au><au>Stenerson, Matthew E.</au><au>Goldschmidt, Nicole H.</au><au>Chari, Divya A.</au><au>Diercks, Gillian R.</au><au>Lee, Daniel J.</au><au>Keamy, Donald G.</au><au>Mankarious, Leila A.</au><au>Cohen, Michael S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Otoendoscopes to Enhance Telemedicine During the COVID-19 Pandemic</atitle><jtitle>Annals of otology, rhinology & laryngology</jtitle><addtitle>Ann Otol Rhinol Laryngol</addtitle><date>2022-10-01</date><risdate>2022</risdate><volume>131</volume><issue>10</issue><spage>1115</spage><epage>1122</epage><pages>1115-1122</pages><issn>0003-4894</issn><eissn>1943-572X</eissn><abstract>Objectives:
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.
Methods:
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.
Results:
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 < .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.
Conclusions:
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.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>34726068</pmid><doi>10.1177/00034894211051810</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1877-8668</orcidid><oa>free_for_read</oa></addata></record> |
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| title | Otoendoscopes to Enhance Telemedicine During the COVID-19 Pandemic |
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