Teleconsultation of patients with otorhinolaryngologic conditions : a telendoscopic pilot study

摘要: Objective: We have integrated endoscopic equipment with a network of video conference studios to develop remote consultation service for diagnoses patients otorhinolaryngologic conditions. Design: The study was performed as diagnostic test in three phases. During the first phase, general practitioner instructed examination techniques. In second examinations were simulated and results compared from standard examination. third made real telendoscopic examinations. Setting: Signals camera attached endoscope are transmitted primary care center otorhinolaryngologist who is 180 km away via 2-million-bits-per-second circuit. specialist observes on monitor influences control movement by communicating over two-way sound-and-picture connection practitioner. Patients: A convenience sample 24 examined last two Results: Although image compressed before transmission telecommunications network, our show that quality images equivalent Conclusions: Our has shown this method may be used clinic same degree reproducibility conventional situation. This enables us give locations better at lower cost. (Arch Otolaryngol Head Neck Surg. 1994;120:133-136)