Department of Otolaryngology, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, B15 2TH, UK.
Eur Arch Otorhinolaryngol. 2021 Dec;278(12):4733-4741. doi: 10.1007/s00405-020-06596-2. Epub 2021 Jan 24.
This systematic review describes and evaluates the current literature on remote otological assessment using video-otoscopy with regards to reliability and potential applications.
Systematic review was conducted in accordance with the PRISMA statement. There was heterogeneity of included studies, so a descriptive analysis was undertaken.
Seventeen studies were included for analysis conducted across a variety of healthcare settings. Overall, there was a trend towards acquisition of adequate images for diagnosis by non-otolaryngology-specialist facilitators with reasonable agreement between asynchronous images and controls; however, there was significant variation between the studies.
Remote otological assessment using video-otoscopy shows potential as a safe and effective method for detecting the presence of ear disease in a wide range of healthcare settings. Barriers to the acquisition of adequate images include the presence of obstructing cerumen, and strategies to deal with this should be considered. Further work is required to evaluate endoscope-based systems to assess whether they will allow the acquisition of higher quality images.
本系统评价描述并评估了目前使用视频耳镜进行远程耳部评估的文献，涉及可靠性和潜在应用。
按照 PRISMA 声明进行系统评价。由于纳入的研究存在异质性，因此进行了描述性分析。
在各种医疗保健环境中进行了分析，共纳入了 17 项研究。总体而言，非耳鼻喉科专家辅助人员获取足够诊断图像的趋势明显，异步图像与对照组之间具有合理的一致性；然而，研究之间存在显著差异。
使用视频耳镜进行远程耳部评估具有在广泛的医疗保健环境中安全有效地检测耳部疾病的潜力。获取足够图像的障碍包括存在阻塞性耵聍，应考虑处理此问题的策略。需要进一步研究评估基于内窥镜的系统，以评估它们是否能够获取更高质量的图像。
