Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
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Randomized Controlled Trial
The use of lubrication in flexible fibreoptic nasendoscopy: a randomized controlled trial.
To determine how lubrication of the endoscope prior to flexible fibreoptic nasendoscopy affects levels of patient discomfort and pain during endoscopy. To assess the extent to which lubrication affects the ease of nasendoscopy and the quality of the image obtained. ⋯ Lubrication of the endoscope prior to nasendoscopy does not reduce levels of discomfort or pain for the patient, but increases ease in insertion for the operator. However, this may be at the expense of reduced image quality.
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Comparative Study
The impact of recurrent acute otitis media on the quality of life of children and their caregivers.
To assess the quality of life of 384 Dutch children aged 1-7 years with recurrent acute otitis media (AOM), and compare it with that of children from four reference populations: (i) children from a general population; (ii) children with mild-to-moderate asthma, (iii) children with mild-to-moderately severe chronic illness, and (iv) US children with persistent or recurrent otitis media. ⋯ Recurrent AOM has a considerable negative impact on the quality of life of children and causes concern to their caregivers. These effects are proportional to the severity of the condition. Professionals involved in the care of children with OM should be aware that OM not only affects physical functioning but also general well-being of the child and its family. These outcomes should therefore be included in the evaluation of the child with otitis media both in the clinical and research setting.
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Clinical Trial Controlled Clinical Trial
The use of camera mobile phone to assess emergency ENT radiological investigations.
To determine the accuracy of assessment of common ENT emergency radiological investigations using mobile phone digital images. ⋯ The accuracy and confidence of diagnosis of common ENT emergency radiological investigations using mobile phone digital images seem compatible with X-ray box. Financially it is a much cheaper than conventional telemedicine technology. It may be used to augment information sent to non-resident specialists in the management of emergency ENT cases.