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首页> 外文期刊>The Annals of otology, rhinology, and laryngology >Prospective Evaluation of a Smartphone Otoscope for Home Tympanostomy Tube Surveillance: A Pilot Study
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Prospective Evaluation of a Smartphone Otoscope for Home Tympanostomy Tube Surveillance: A Pilot Study

机译：智能手机耳镜对家庭鼓室托管管监测的预期评价：试点研究

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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 (R) 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 < .05) and excellent inter-rater agreement between physicians for nearly all tube variables (P < .0001) There was a high degree of satisfaction with this mode of surveillance. Parents and physicians agreed that the CellScope (R) smartphone was easy to use, helpful with the occurrence of acute events, and appeared to improve quality of care. Conclusions: The CellScope (R) 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.
机译：目的：最近的技术进步已经使人们能够对鼓膜进行高分辨率成像。智能手机技术和应用程序提供了捕捉数字图像并轻松分享的机会。智能手机耳镜设备是一个简单的系统，可以将智能手机转换成数字耳镜。该设备有望改善医患沟通，并有助于耳疾病的诊断和管理。我们的目的是评估使用Cellscope（R）智能手机附件进行家庭鼓室造口管监测的可行性和医生/家长的满意度。方法：在一家城市三级儿童医院，6个月至15岁的儿童被安排插入双侧鼓室造口管或接受双侧鼓室造口管手术，前瞻性地纳入研究。比较父母在家录制的视频和办公室耳镜检查的结果。两名独立的耳鼻喉科医生审查了视频，并计算了评分者之间的一致性。对医生和家长进行可接受性和使用问卷调查。结果：传统耳镜和视频耳镜在拔管、堵管和拔管方面具有良好的内部评分一致性，至少80%的一致性（P<0.05），医生之间在几乎所有管变量方面具有良好的内部评分一致性（P<0.0001）。对这种监测模式有较高的满意度。家长和医生一致认为，CellScope（R）智能手机易于使用，有助于急性事件的发生，似乎可以提高护理质量。结论：CellScope（R）智能手机用于鼓室造口管监测是可行的。使用该设备可以让耳鼻喉科医生轻松地远程追踪儿童的鼓室造口管，并为家长提供更高的满意度。

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