RÉSUMÉ
OBJECTIVE: The ai/m of this study was to compare the self-reported confidence of novices in using a smartphone-enabled video otoscope, a microscope and loupes for ear examination and external ear canal procedures. METHOD: Medical students (n = 29) undertook a pre-study questionnaire to ascertain their knowledge of techniques for otoscopy and aural microsuction. Participants underwent teaching on ear anatomy, examination and procedural techniques using a microscope, loupes and smartphone-enabled video otoscopes. Confidence and preference using each modality was rated using a Likert-like questionnaire. RESULTS: After teaching, all modalities demonstrated a significant increase in confidence in ear examination (p < 0.0001). Confidence in using the smartphone-enabled otoscope post-teaching was highest (p = 0.015). Overall, the smartphone-enabled video otoscope was the preferred method in all other parameters assessed including learning anatomy or pathology (51.72 per cent) and learning microsuction (65.51 per cent). CONCLUSION: Smartphone-enabled video otoscopes provide an alternative approach to ear examination and aural microsuction that can be undertaken outside of a traditional clinical setting and can be used by novices.
Sujet(s)
Otoscopes , Étudiant médecine , Humains , Otoscopie/méthodes , Autorapport , OrdiphoneSujet(s)
Colle de fibrine/usage thérapeutique , Complications postopératoires/prévention et contrôle , Maladies de la thyroïde/chirurgie , Thyroïdectomie/effets indésirables , Adhésifs tissulaires/usage thérapeutique , Adulte , Drainage , Femelle , Humains , Mâle , Adulte d'âge moyen , Complications postopératoires/étiologie , Études rétrospectivesRÉSUMÉ
OBJECTIVE: To report a rare case of a symptomatic malleo-incudal osteoma, and to highlight the difficulties in making the clinical diagnosis. METHOD: Case report and literature review. RESULTS: Malleo-incudal osteoma is a rare cause of unilateral conductive hearing loss. Its symptoms may mimic those of other otological causes of conductive hearing loss, such as otosclerosis. CONCLUSION: This case report highlights the challenges involved in establishing a clinical diagnosis of malleo-incudal osteoma. It also emphasises the importance of assessing the mobility of the divided ossicular chain during a planned stapedectomy.