Effectiveness of smartphone otoscope in management of ear ailments at primary healthcare level

Authors

  • Yadav Sagar Shyamlal Department of ENT and Head Neck Surgery, 5 Air Force Hospital, Jorhat, Assam, India
  • Akshay Bhatnagar Department of ENT and Head Neck Surgery, Military Hospital, Panagarh, West Bengal, India
  • Anant Oberoi Department of Dermatology, 5 Air Force Hospital, Jorhat, Assam, India
  • Shikha Gianchand Department of ENT and Head Neck Surgery, 5 Air Force Hospital, Jorhat, Assam, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20234145

Keywords:

Smartphone otoscopy, Telemedicine, Primary health care, Common ENT ailments

Abstract

Background: To work out efficacy of smartphone otoscope for managing ear ailments at primary healthcare level.

Methods: Prospective study carried out at a co-located primary care clinic and secondary referral facility. With this plan, the PHC was equipped with a smartphone otoscope for diagnosing common ear problems. The doctor then forwarded patient's ear imaging to the referring hospital's otolaryngologist. The otolaryngologist reviewed the history to make remote diagnosis before providing the PHC provider with recommendations for treatment. Information on patients' demographics, outpatient diagnoses, symptom durations, affected side, treatments received, and outcomes was collected. This information was used to determine whether or not a smartphone otoscope may be used to improve healthcare for patients suffering from common ear illnesses without sending them to more specialized facilities.

Results: 150 patients were enrolled; 53.3% were male and 46.7% female. Participants aged between 3 and 83 years, with a mean of 44.6. Eighty-two (48%) of the cases presented with left ear, sixty (40%) with right ear, and eighteen (12%) for both sides. The typical course of ear infection lasted 6.5 (2, 15) days. Out of 150 patients, 33 (22%) were deemed cured, 117 (78%) demonstrated improvement in symptoms. The technique was praised by primary care physicians, who said they learned more about otolaryngology. 

Conclusions: The ability of primary care physicians to manage common and straightforward ear ailments is greatly enhanced by the use of smartphone otoscopes. Thus, improving patient satisfaction and the strain on medical facilities.

References

Lahariya C. Ayushman Bharat program and universal health coverage in India. Indian Pediatr. 2018;55:495-506.

Key indicators of social consumption in India: Health. Available at: https://ideas.repec.org/p/ess/wpaper/ id7118.html. Accessed on 20 February 2023.

National Health Policy 2017. Available at: https://main.mohfw.gov.in/?q=documents-11. Accessed on 20 February 2023.

Guidelines for Health and Wellness Centres in India. Available at: https://nhm.gov.in/New_Updates_2018/ publication/Final_English_HWC_Booklet.pdf. Accessed on 20 February 2023.

Resneck JS, Abrouk M, Steuer M, Tam A, Yen A, Lee I, et al. choice transparency coordination and quality among direct to consumer telemedicine websites and apps treating skin disease. JAMA Dermatol. 2016;152:768-75.

Neubeck L, Lowres N, Benjamin EJ, Freedman SB, Coorey G, Redfern J. the mobile revolution using smartphone apps to prevent cardiovascular disease. Nat Rev Cardiol. 2015;12:350-60.

Petrovic M, Gaggioli A. digital mental health tools for caregivers of older adults as coping review. Front Public Health. 2020;8:128.

Ceccato JC, Duran MJ, Swanepoel W, Smits C, De Sousa KC, Gledhill L, et al. french version of the anti phasic digits in noise test for smartphone hearing screening. Front Public Health. 2021;9:725.

Dai Z, Wang Y, Hang C, Zhu K, Meng X. Telemedicine for ear diseases with the smartphone otoscopes via we chat in the covid-19 era. Am J Otolaryngol. 2021;42:102.

Mousseau S, Lapointe A, Gravel J. Diagnosing acute otitis media using a smartphone otoscope a randomized controlled trial. Am J Emerg Med. 2018; 36:1796-801.

Don DM, Koempel JA, Fisher LM, Wee CP, Osterbauer B. Prospective evaluation of a smartphone otoscope for home tympanostomy tube surveillance a pilot study. Ann Otol Rhinol Laryngol. 2021;130:125-32.

Navaratnam AV, Halai A, Chandrasekharan D, Mistry R, Rogel-Salazar J,Manjaly JG, et al. Utilisation of a smartphone enabled video otoscope to train novices in ontological examination and procedural skills. J Laryngol Otol. 2021;136:314-20.

Schuster-Bruce JR, Ali A, Van M, Rogel-Salazar J, Ofo E, Shamil E, et al. A randomised trial to assess the educational benefit of a smart phone otoscope in undergraduate medical training. Eur Arch Otorhinolaryngol. 2021;278:1799-804.

Freitag FAV, Muehlbauer E, Martini R, Froes TR, Duque JCM. Smartphone otoscope an alternative technique for intubation in rabbits. Vet Anaesth Analg. 2020;47:281-4.

Meng X, Dai Z, Wang Y, Hua X, Gu X, Guo J, et al. Application of smartphone otoscope in telemedicine in rural medical consortium in eastern china in the covid19 era. Front. Public Health. 2022;10:879.

Bayoumy AB, Veugen CCAFM, van Rijssen LB, Bok JWM, Borgstein J. Self monitoring of the tympanic membrane an opportunity for telemedicine during times of covid19 and beyond. J Otol. 2021;16:120-2.

Meng X, Deng Y, Dai Z, Meng Z. Covid19 and anosmia are view based on up to date knowledge. Am J Otolaryngol. 2020;41:102.

Meng X, Pan Y. Covid19 and anosmia the story so far. Ear Nose Throat J. 2021;23:32-9.

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Published

2023-12-30

How to Cite

Shyamlal, Y. S., Bhatnagar, A., Oberoi, A., & Gianchand, S. (2023). Effectiveness of smartphone otoscope in management of ear ailments at primary healthcare level. International Journal Of Community Medicine And Public Health, 11(1), 318–322. https://doi.org/10.18203/2394-6040.ijcmph20234145

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Original Research Articles