Department of Otolaryngology and Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland.
Telemed J E Health. 2012 Mar;18(2):150-2. doi: 10.1089/tmj.2011.0112. Epub 2012 Jan 27.
To identify the accuracy of a camera-enabled mobile phone in assessing patients with nasal bone injuries and to determine if treatment in the form of manipulation of the nasal bones and therefore outpatient attendance was necessary.
Prospective study of patients with nasal injuries attending the weekly ear-nose-throat emergency clinic. The patient is assessed and examined, and a preset questionnaire is filled out. An anteroposterior photograph and an overhead photograph of the nose are taken. The pictures are then e-mailed to a senior member of the team who reviews the pictures and determines based on the images whether intervention in the form of manipulation of nasal bones was required. The results were then compared with the actual assessment and management in the clinic.
Of the 50 patients assessed, 94% showed a direct correlation between the perceived need for treatment based on the clinical images and the actual management in the outpatient clinic. The results also showed the test to be 88% specific and 100% sensitive.
We conclude that the use of a mobile phone camera to assess nasal bone injuries could be a useful triage tool in correctly identifying patients who may require intervention in the form of nasal bone manipulation.
确定带摄像头的移动电话在评估鼻骨损伤患者中的准确性，并确定是否需要以手法复位鼻骨的形式进行治疗，从而是否需要门诊就诊。
对每周一次的耳鼻喉急诊诊所就诊的鼻损伤患者进行前瞻性研究。对患者进行评估和检查，并填写预设的问卷。拍摄鼻骨的前后位和头顶位照片。然后将照片通过电子邮件发送给团队的一名高级成员，该成员查看照片，并根据图像判断是否需要以手法复位鼻骨的形式进行干预。然后将结果与诊所的实际评估和管理进行比较。
在评估的 50 名患者中，94%的患者根据临床图像判断的治疗需求与门诊的实际治疗之间存在直接相关性。结果还表明，该测试的特异性为 88%，敏感性为 100%。
我们得出结论，使用手机摄像头评估鼻骨损伤可能是一种有用的分诊工具，可以正确识别可能需要以手法复位鼻骨的形式进行干预的患者。
