Baur D A, Pusateri A E, Kudryk V L, Jordan R, Ringgold C, Vandre R, Baker T
Dept. of Surgery, U.S. Army Dental Research Detachment, Naval Training Center, Great Lakes, IL, USA.
Telemed J. 1998 Summer;4(2):153-60. doi: 10.1089/tmj.1.1998.4.153.
Telemedicine technology has the ability to project highly specialized medical and dental expertise anywhere in the world. This is particularly important to many small, isolated communities that do not have access to medical and dental specialists. Telemedicine also has the potential to reduce unnecessary travel, time away from work, and unneeded hospital admissions. For this technology to be successful, however, clinicians need to have confidence in its capabilities. This study was conducted to determine the accuracy of an orthognathic evaluation using telemedicine.
Thirteen patients were randomly selected for review by two surgeons each using telemedicine and clinical examinations. Clinically acceptable differences were established, and the results of the two examination methods were compared.
A main effect of the examination method was observed in 7 of the 18 continuous measurements taken. Examination of the absolute value of the within-subject difference between the two examination methods demonstrated that the mean absolute difference was statistically different from zero for 13 of 18 measurements taken.
These data demonstrate that a relatively accurate orthognathic examination can be performed with this technology. With this in mind, clinicians may feel comfortable using this technology for other clinical applications.
远程医疗技术能够将高度专业化的医学和牙科专业知识传播到世界任何地方。这对许多无法接触到医学和牙科专家的小型偏远社区尤为重要。远程医疗还有潜力减少不必要的出行、工作时间的浪费以及不必要的住院治疗。然而，要使这项技术取得成功，临床医生需要对其能力有信心。本研究旨在确定使用远程医疗进行正颌评估的准确性。
随机选择13名患者，由两名外科医生分别通过远程医疗和临床检查进行评估。确定了临床上可接受的差异，并比较了两种检查方法的结果。
在18项连续测量中有7项观察到检查方法的主要效应。对两种检查方法之间受试者内差异的绝对值进行检查发现，18项测量中有13项的平均绝对差异在统计学上与零不同。
这些数据表明，使用该技术可以进行相对准确的正颌检查。考虑到这一点，临床医生可能会放心地将该技术用于其他临床应用。
