The reliability of video otoscopy recordings and still images in the asynchronous diagnosis of middle-ear disease

Show simple item record Alenezi, Eman M.A. Jajko, Kathryn Reid, Allison Locatelli-Smith, Alessandra Tao, Karina F.M. Bright, Tess Richmond, Peter C. Eikelboom, Robert H. Brennan-Jones, Christopher G. 2022-03-10T07:40:57Z 2022
dc.description.abstract 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 = 0.445–0.552) 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 = 0.854–0.978) 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 = 0.477–0.488). 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. en_ZA
dc.description.department Speech-Language Pathology and Audiology en_ZA
dc.description.embargo 2022-10-01
dc.description.librarian hj2022 en_ZA
dc.description.sponsorship The Telethon Kids Institute and the WA Department of Health. en_ZA
dc.description.uri en_ZA
dc.identifier.citation 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 (2022) The reliability of video otoscopy recordings and still images in the asynchronous diagnosis of middle-ear disease, International Journal of Audiology, 61:11, 917-923, DOI: 10.1080/14992027.2021.1983217. en_ZA
dc.identifier.issn 1499-2027 (print)
dc.identifier.issn 1708-8186 (online)
dc.identifier.other 10.1080/14992027.2021.1983217
dc.language.iso en en_ZA
dc.publisher Taylor and Francis en_ZA
dc.rights © 2021 British Society of Audiology, International Society of Audiology, and Nordic Audiological Society. This is an electronic version of an article published in International Journal of Audiology, vol. 61, no. 22, pp. 917-923, 2022. doi : 10.1080/14992027.2021.1983217. International Journal of Audiology is available online at : en_ZA
dc.subject Ear, nose and throat (ENT) en_ZA
dc.subject Middle ear en_ZA
dc.subject Paediatric patients en_ZA
dc.subject Tele-audiology en_ZA
dc.subject Telehealth en_ZA
dc.subject Video otoscopy en_ZA
dc.title The reliability of video otoscopy recordings and still images in the asynchronous diagnosis of middle-ear disease en_ZA
dc.type Postprint Article en_ZA

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