Early diagnosis and treatment of preventable ear diseases will reduce the complications of these diseases and possible deafness. This study investigates the reliability and diagnostic compatibility of otolaryngologists in examining video-otoscopic images and patient history data in a remote diagnostic approach versus a face-to-face approach. A total of 180 patients were examined at the ENT clinic by an ENT specialist, and their diagnosis and history were recorded as the gold standard for participants. Then, video-otoscopic images were taken by a facilitator. The images, along with patient history data, were uploaded to the tele-otology web application and evaluated by two otolaryngologists over 2 months. Finally, remote diagnoses were compared with face-to-face diagnoses. This study showed the quality of 77% of video-otoscopic images was acceptable. There was a significant agreement between the video-otoscopic diagnoses compared to the face-to-face diagnoses. This study showed inter- and intra-rater reliabilities were above 70%, and both sensitivity and specificity were constantly above 80%. The results of our first experiment with telecommunication system implementation showed a significant agreement between remote detection and face-to-face detection. Increasing Internet access is expanding tele-ology. The use of this system due to its reliability, non-invasiveness, and portability should be considered by service providers and policy makers.

早期诊断和治疗可预防的耳部疾病将减少这些疾病的并发症和可能的耳聋。本研究调查了耳鼻喉科医师通过远程诊断方法与面对面方法检查视频耳镜图像和患者病史数据的可靠性和诊断兼容性。共有 180 名患者在耳鼻喉科诊所接受了耳鼻喉科专家的检查，他们的诊断和病史被记录为参与者的金标准。然后，辅导员拍摄了视频耳镜图像。这些图像以及患者病史数据被上传到远程耳科网络应用程序，并由两名耳鼻喉科医生在两个月内进行评估。最后，将远程诊断与面对面诊断进行比较。这项研究表明 77% 的视频耳镜图像的质量是可以接受的。与面对面诊断相比，视频耳镜诊断之间存在显着一致性。这项研究表明，评估者间和评估者内部的可靠性均高于 70%，敏感性和特异性始终高于 80%。我们第一次电信系统实施实验的结果表明，远程检测和面对面检测之间存在显着的一致性。互联网接入的增加正在扩大远程学。由于该系统的可靠性、非侵入性和便携性，服务提供商和政策制定者应考虑使用该系统。