Evidence map›Paper›PMID 31565683›Full record

ArticleOTO open

Smartphone Otoscopy Sans Attachment: A Paradigm Shift in Diagnosing Ear Pathologies.

Kranti Bhavana, Majaz Ahmad, Piyush Sharma

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in OTO open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05813119 (Comparison of Efficacy in Diagnosing of Middle Ear Pathology Between Digital Otoscope and Otoendoscope.), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05813119 completednot on this map

Comparison of Efficacy in Diagnosing of Middle Ear Pathology Between Digital Otoscope and Otoendoscope.

TypeobservationalSponsorChiang Mai UniversityRan2022 to 2023Enrolled56ConditionsMiddle Ear Disease, Diagnosis
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Optical Identification of Middle Ear Infection.Molecules (Basel, Switzerland) · 2020
    Review
  7. Article
  8. Article
  9. Telemedicine-Enabled Otoscopes as Catalysts for Accessible and Preventive Ear Health Care: Systematic Review and Meta-analysis.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Kranti BhavanaDepartment of Otorhinolaryngology, All India Institute of Medical Sciences Patna, Patna, Bihar, India.
Majaz AhmadDepartment of Otorhinolaryngology, All India Institute of Medical Sciences Patna, Patna, Bihar, India.
Piyush SharmaDepartment of Otorhinolaryngology, All India Institute of Medical Sciences Patna, Patna, Bihar, India.
All India Institute of Medical Sciences · INPatna Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the validity of smartphone otoscopy.

settingEar, nose, and throat (ENT) outpatient clinic of a tertiary care hospital in eastern India. STUDY

designExperimental study design to compare the efficacy of smartphone otoscopy with otoendoscopes. SUBJECTS AND

methodsOne hundred tympanic membranes (TMs) of 50 patients were examined and photographed by third-year senior residents (6 years of ENT training) using a zero-degree otoendoscope. The same 100 ears were then examined using a smartphone. Assistive light of the phone was used to illuminate the ear canal. The camera of the phone was focused to visualize and photograph the TM.

resultsCompared with the gold-standard otoendoscopes, smartphones could correctly diagnose 75% of the cases. Sensitivity and specificity of smartphone otoscopy were 87.8% and 80%, respectively. Positive predictive value was 90.6%, whereas negative predictive value was 75%. Smartphone otoscopy could correctly diagnose 88.57% of normal TMs, 86.36% of retracted TMs, and 82.85% of perforated TMs.

conclusionThis modality of "smart otoscopy" has no added cost and can be used by most doctors after minimal training. It is an excellent teaching tool and can be used universally even in resource-limited settings.

Indexed as

cellscopesotoendoscopessmartphone otoscopyteleoto-laryngology

Identifiers

PMID31565683
PMCPMC6755863
OpenAlexW2883681735

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.