Diagnosis of Acoustic Neuroma through Telemedicine

Ali, Mubasheer; Nazneen, Ayesha

doi:10.4103/jihs.jihs_26_20

Cited by 1 publication

(2 citation statements)

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“…Visit Indications Amenable to Virtual Televideo Visits Our data suggest evaluation by virtual visit may be particularly useful for a range of neurotologic conditions, including vestibular schwannomas, meningiomas, and sensorineural hearing loss (Table 2). Vestibular schwannomas and meningiomas may be more conducive to virtual platforms since evaluation and surgical consideration relies mainly on patient report of symptoms, audiometric data, and neuroimaging, and less often on in-person physical examination (15,17,18,25). Though MRI and audiometric testing cannot be obtained without a visit to a center performing specialized testing, these tests are frequently ordered by local physicians and the results are forwarded to tertiary care centers for review.…”

Section: Telehealth For Neurotologic Carementioning

confidence: 99%

“…In addition, many otologic and neurotologic disorders are suitable for telemedicine since diagnosis and treatment plans for common conditions are often determined by temporal bone and neuroimaging, audiogram results, and patient history, which are conducive to being evaluated during a virtual visit (15)(16)(17)(18). The primary exception may be chronic ear disorders which may require otoscopic examination for diagnosis and in-office care.…”

Section: Introductionmentioning

confidence: 99%

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Experience with Telemedicine in a Tertiary Academic Otologic Clinic During the COVID-19 Pandemic

et al. 2022

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Objective To examine the utility of telemedicine in a tertiary otologic practice. Study Design Retrospective case series. Setting Tertiary neurotology clinic. Patients Consecutive adult patients presenting via video visit between January 2020 and January 2021. Intervention(s) Televideo modality to conduct visits with patients seeking evaluation for new concerns, second opinions, or routine follow-up for established conditions. Main Outcome Measure(s) Success of the televideo visit defined by the televideo visit being sufficient for determining a definitive plan and not requiring deferment of recommendations for a subsequent in-person visit. Results A total of 102 televideo visits were performed among 100 unique patients. Of those, 92 (90.2%) visits were for second opinions or evaluation of new concerns, most commonly for vestibular schwannoma (n = 32, 31.4%), followed by sensorineural hearing loss (n = 20, 19.6%). Other visits were conducted for early postoperative follow-up and established general follow-up. In 91.2% of cases (n = 93), patients were successfully evaluated and provided recommendations from the initial video visit. All visits with patients having a diagnosis of meningioma (n = 7), and nearly all with vestibular Schwannoma (97%, n = 31) and sensorineural hearing loss (95%, n = 19) were successful. Of the 79 patients offered surgery as one potential treatment option, 31 patients underwent surgery at our institution by time of review. Patients with unsuccessful visits (n = 9, 8.8%) were advised to schedule additional in-person diagnostic imaging, vestibular testing, or cochlear implant candidacy evaluation to establish a more definitive care plan. Conclusion Virtual televideo visits were successful for a high percentage of selected patients seen at a tertiary neurotology practice, particularly those seeking evaluation of vestibular schwannoma or sensorineural hearing loss.

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Section: Telehealth For Neurotologic Carementioning

confidence: 99%