Validation of tele-otology to diagnose ear disease in children

Robert Eikelboom, M.N. Mbao, Harvey Coates, Marcus Atlas, M.A. Gallop

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Objective: To determine if digitised still eardrum images, with a clinical history, and audiometry and tympanometry data provide sufficient information to an ear specialist to make an assessment of a patient.Methods: 66 children (9 months to 16 years) from remote communities were assessed by an ear specialist by standard otoscopy, using a clinical history, audiometry and tympanometry. Up to five images of each ear were digitised. At a later date, the ear specialist made observations, diagnoses and recommendations for management from the images and clinical data.Results: There was a significant correlation (p < 0.01) between image quality and age of the subject. There were significant agreements for the clinically important observations of otorrhea, perforation, retracted tympanic membrane and atrophy of the tympanic membrane (p < 0.05). There were significant agreements for the diagnoses of acute otitis media, chronic suppurative otitis media, otitis media with effusion and Eustachian tube dysfunction. The rate of recommendations for review or referral after a tele-otology assessment were between 4 and 16% higher than those in made in the field. The agreements between the various forms of advice or recommendations made in the field to those made by tele-otology were statisticalty significant (p < 0.01).Conclusions: A tete-ototogy system that incorporates good quality digitised images of the tympanic membrane, audiological and tympanometric data, and a comprehensive clinical history provides the ear specialist with sufficient information to make a confident diagnose of existing middle ear disease, and provide management advice to the patients' primary care provider. (c) 2005 Elsevier Ireland Ltd. All rights reserved.
Original languageEnglish
Pages (from-to)739-744
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume69
Issue number6
DOIs
Publication statusPublished - 2005

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Ear Diseases
Otolaryngology
Ear
Tympanic Membrane
Acoustic Impedance Tests
Audiometry
Otoscopy
Tympanic Membrane Perforation
Suppurative Otitis Media
Eustachian Tube
Otitis Media with Effusion
Otitis Media
Middle Ear
Disease Management
Ireland
Atrophy
Primary Health Care
Patient Care
Referral and Consultation

Cite this

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title = "Validation of tele-otology to diagnose ear disease in children",
abstract = "Objective: To determine if digitised still eardrum images, with a clinical history, and audiometry and tympanometry data provide sufficient information to an ear specialist to make an assessment of a patient.Methods: 66 children (9 months to 16 years) from remote communities were assessed by an ear specialist by standard otoscopy, using a clinical history, audiometry and tympanometry. Up to five images of each ear were digitised. At a later date, the ear specialist made observations, diagnoses and recommendations for management from the images and clinical data.Results: There was a significant correlation (p < 0.01) between image quality and age of the subject. There were significant agreements for the clinically important observations of otorrhea, perforation, retracted tympanic membrane and atrophy of the tympanic membrane (p < 0.05). There were significant agreements for the diagnoses of acute otitis media, chronic suppurative otitis media, otitis media with effusion and Eustachian tube dysfunction. The rate of recommendations for review or referral after a tele-otology assessment were between 4 and 16{\%} higher than those in made in the field. The agreements between the various forms of advice or recommendations made in the field to those made by tele-otology were statisticalty significant (p < 0.01).Conclusions: A tete-ototogy system that incorporates good quality digitised images of the tympanic membrane, audiological and tympanometric data, and a comprehensive clinical history provides the ear specialist with sufficient information to make a confident diagnose of existing middle ear disease, and provide management advice to the patients' primary care provider. (c) 2005 Elsevier Ireland Ltd. All rights reserved.",
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Validation of tele-otology to diagnose ear disease in children. / Eikelboom, Robert; Mbao, M.N.; Coates, Harvey; Atlas, Marcus; Gallop, M.A.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 69, No. 6, 2005, p. 739-744.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Validation of tele-otology to diagnose ear disease in children

AU - Eikelboom, Robert

AU - Mbao, M.N.

AU - Coates, Harvey

AU - Atlas, Marcus

AU - Gallop, M.A.

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N2 - Objective: To determine if digitised still eardrum images, with a clinical history, and audiometry and tympanometry data provide sufficient information to an ear specialist to make an assessment of a patient.Methods: 66 children (9 months to 16 years) from remote communities were assessed by an ear specialist by standard otoscopy, using a clinical history, audiometry and tympanometry. Up to five images of each ear were digitised. At a later date, the ear specialist made observations, diagnoses and recommendations for management from the images and clinical data.Results: There was a significant correlation (p < 0.01) between image quality and age of the subject. There were significant agreements for the clinically important observations of otorrhea, perforation, retracted tympanic membrane and atrophy of the tympanic membrane (p < 0.05). There were significant agreements for the diagnoses of acute otitis media, chronic suppurative otitis media, otitis media with effusion and Eustachian tube dysfunction. The rate of recommendations for review or referral after a tele-otology assessment were between 4 and 16% higher than those in made in the field. The agreements between the various forms of advice or recommendations made in the field to those made by tele-otology were statisticalty significant (p < 0.01).Conclusions: A tete-ototogy system that incorporates good quality digitised images of the tympanic membrane, audiological and tympanometric data, and a comprehensive clinical history provides the ear specialist with sufficient information to make a confident diagnose of existing middle ear disease, and provide management advice to the patients' primary care provider. (c) 2005 Elsevier Ireland Ltd. All rights reserved.

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SN - 0165-5876

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ER -