Holmberg K, Axelsson A, Hansson P, Renvall U
Scand Audiol. 1985;14(4):191-9. doi: 10.3109/01050398509045941.
One hundred ears in 50 children were investigated independently by four otolaryngologists during healing of acute otitis media. Interobserver variations of the tympanic membrane were studied. Clinical findings with otoscopy were correlated with otomicroscopy. The investigation showed that there is a substantial interindividual variation in evaluation of the tympanic membrane. Otomicroscopy improves the diagnostic performance and reduces interobserver variations. Interobserver agreement was best for normal tympanic membranes.
在急性中耳炎愈合期间,四位耳鼻喉科医生对50名儿童的100只耳朵进行了独立检查。研究了鼓膜的观察者间差异。耳镜检查的临床结果与耳显微镜检查结果进行了关联。调查显示,在鼓膜评估方面存在很大的个体差异。耳显微镜检查提高了诊断性能并减少了观察者间差异。观察者间一致性在正常鼓膜情况下最佳。