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Augmented otorhinologic evaluation in telemedical visits.

Andre Shomorony1, Rachel Weitzman1, Hannah Chen2

  • 1Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medicine, New York, NY, USA.

American Journal of Otolaryngology
|October 13, 2023
PubMed
Summary

Remote patient self-examination using endoscopy is effective for ear and nose assessments, proving non-inferior to in-person visits for telemedical otolaryngology.

Keywords:
Portable nasal endoscopyPortable otoscopyRemote examinationTelemedicineVirtual examination

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Area of Science:

  • Otolaryngology
  • Telemedicine
  • Medical Technology

Background:

  • Telemedicine offers remote healthcare solutions.
  • Remote otologic and rhinologic examinations present unique challenges.
  • Assessing the efficacy of patient-led remote examinations is crucial.

Purpose of the Study:

  • To evaluate if patient-performed endoscopic ear and nose exams are non-inferior to in-person examinations.
  • To determine the feasibility of this system for telemedical otolaryngology consultations.

Main Methods:

  • Twenty healthy subjects conducted self-examinations of ears and nose via Zoom with remote otolaryngologist guidance.
  • In-person examinations were performed by two otolaryngologists for comparison.
  • Interrater reliability and detectability of anatomical structures were analyzed.

Main Results:

  • Excellent interrater reliability was observed for both virtual (kappa=0.72) and in-person (kappa=0.81) exams.
  • No significant difference in detectability for ear structures; 9 out of 12 nasal structures showed no difference.
  • High subject satisfaction (8.65/10 likelihood to recommend) was reported.

Conclusions:

  • Patient self-endoscopy of the ears and nose is a viable method for telemedical otolaryngology.
  • This approach can effectively gather valuable diagnostic data remotely.
  • It supports the expansion of telemedicine services in otolaryngology.