Pub Date : 2016-01-01Epub Date: 2016-01-29DOI: 10.21767/2471-9633.10004
Ronald Sahyouni, Omid Moshtaghi, Ramin Rajaii, Diem Kieu Tran, David Bustillo, Melissa Huang, Jefferson W Chen
Introduction: CellScope®, an iPhone-enabled otoscope, was introduced into the neurotrauma clinic at an American College of Surgeons certified Level I trauma center. CellScope is an innovative tool that digitally improves optical clarity of the tympanic membrane, providing the acquisition of HIPPA compliant images. We compared the CellScope to the traditional otoscope in teaching medical students, neurosurgery physician assistants, and neurosurgery residents. In addition, the utility of this device in a neurotrauma clinic was specifically examined because of the high frequency of otologic symptoms after head trauma.
Method: CellScope examination of the tympanic membranes was introduced as a standard/routine part of the exam of neurotrauma patients. We retrospectively reviewed the clinic charts of the NeuroTrauma patients during a three-month time period to determine if their otologic symptoms correlated with any CellScope visualized abnormalities. Medical students, P.A.s, residents, and attendings were surveyed before and after using CellScope to assess their comfort and skill in completing an otological exam, as well as their opinion on the utility of CellScope in their medical training.
Results: 18 medical professionals were surveyed before and after the use of CellScope. Surveys were graded on a 1-5 scale and indicated a greater preference for the CellScope (4.7/5.0) versus the otoscope (3.16/5.0). Similarly, there was a preference for the CellScope for medical education (4.7/5.0 versus 2.78/5.0). Finally, surveys showed a greater preference for CellScope in identifying abnormal pathology. The overall score showed a 49% increased preference for CellScope over the traditional otoscope. Six previously undiagnosed abnormalities of the tympanic membrane were identified in a total of 27 neurotrauma patients using CellScope.
Conclusion: The visualization of the tympanic membrane is an important part of the physical examination of the neurotrauma patient. Smartphone-enabled medical instruments like CellScope may facilitate and remove barriers to routine implementation of this part of the physical examination.
CellScope®是一款支持iphone的耳镜，已被引入美国外科医师学会认证的一级创伤中心的神经创伤诊所。CellScope是一种创新的工具，可以通过数字方式提高鼓膜的光学清晰度，提供符合HIPPA的图像采集。我们比较了细胞镜与传统耳镜在医学生教学、神经外科医师助理和神经外科住院医师中的应用。此外，由于头部外伤后耳科症状的高频率，该装置在神经外伤诊所的实用性被专门研究。方法:将鼓膜细胞镜检查作为神经外伤患者常规检查的标准检查内容。我们回顾性地回顾了三个月时间内神经外伤患者的临床图表，以确定他们的耳科症状是否与任何细胞镜显示的异常相关。在使用CellScope之前和之后，对医学生、助理医师、住院医师和主治医师进行了调查，以评估他们在完成耳科检查时的舒适度和技能，以及他们对CellScope在医疗培训中的实用性的看法。结果:对18名医疗专业人员在使用细胞镜前后进行了调查。调查按1-5分进行评分，结果表明细胞镜(4.7/5.0)比耳镜(3.16/5.0)更受欢迎。同样，医学教育更倾向于使用CellScope (4.7/5.0 vs 2.78/5.0)。最后，调查显示在鉴别异常病理时更倾向于使用细胞镜。总体得分显示，与传统耳镜相比，对细胞镜的偏好增加了49%。在27例神经外伤患者中，使用细胞镜发现了6例以前未诊断的鼓膜异常。结论:鼓膜显像是神经外伤患者体格检查的重要组成部分。支持智能手机的医疗器械，如CellScope，可能会促进并消除常规实施这部分身体检查的障碍。
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