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Titre : | The reliability of video otoscopy recordings and still images in the asynchronous diagnosis of middle-ear disease (2022) |
Auteurs : | Eman M. A. Alenezi ; Kathryn Jajko ; Allison Reid ; Alessandra Locatelli-Smith ; Karina F. M. Tao ; Tess Bright ; Peter C. Richmond ; Robert H. Eikelboom ; Christopher G. Brennan-Jones |
Type de document : | Article |
Dans : | International Journal of Audiology IJA (vol. 61, no. 11, novembre 2022) |
Article en page(s) : | p. 917-923 |
Note générale : | https://doi.org/10.1080/14992027.2021.1983217 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Enfant (6-12 ans) ; Oreille moyenne ; Otoscopie ; Tests d'impédance acoustique |
Résumé : |
Objective
To compare the asynchronous assessment of video otoscopic still images to recordings by an audiologist and ear, nose and throat surgeon (ENT) for diagnostic reliability and agreement in identifying middle-ear disease. Design A prospective cross-sectional study, asynchronously assessing video otoscopy, tympanometry and case history (Dx1). A subset was re-diagnosed (Dx2). Study sample Video otoscopy and data from 146 children recruited at two public community events; a sub-set of 47 were re-assessed. Results The intra-rater diagnostic agreement between Dx1 and Dx2 was moderate (k = 0.4450.552) for the ENT surgeon, and almost-perfect (k = 0.928) for the audiologist, in both procedures. The agreement between the two procedures was substantial (k = 0.624) and moderate (k = 0.416) for the ENT surgeon in Dx1 and Dx2 respectively, and almost-perfect for the audiologist (k = 0.8540.978) in both rounds. In Dx1, the inter-rater agreement between the clinicians was substantial using still images (k = 0.672) and moderate using recordings (k = 0.593); in Dx2 it was moderate using both procedures (k = 0.4770.488). Conclusion Both video otoscopic procedures, in addition to tympanometry and case history information, can be reliably used for asynchronous diagnosis of childhood middle-ear disease. An audiologist has a potential role in triaging children with middle-ear abnormalities and, therefore, improving access to ear-health services. |
Accès : | Contactez la bibliothèque d'Ixelles si le lien vers la ressource électronique ne fonctionne pas |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.tandfonline.com/doi/full/10.1080/14992027.2021.1983217 |