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Telemedicine in Otolaryngology Past, Present & Future by Piotr Henryk Skarzyñski,

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Telemedicine in Otolaryngology Past, Present & Future by Piotr Henryk Skarzyñski, Director of Science & Development, Institute of Sensory Organs, Medical University of Warsaw, Poland

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Telemedicine in Otolaryngology Past, Present & Future by Piotr Henryk Skarzyñski,

  1. 1. 1 Ass. Prof. Piotr H. Skarzynski, MD, PhD, MSc Maciej Ludwikowski, Henryk Skarzynski Member of ISfTeH Board
  2. 2. 2 BACKGROUND  Responsibility  Quality of service  Trust in medical service 250 000 medical consultations per year 15 000 – 18 000 surgical procedures per year Costs Clinic capacity
  3. 3. 3 TELEMEDICINE local regional national global All activities for diagnostic and treatment of patient in distant place / other than specialist
  4. 4. 4 DEVELOPMENT OF NEW TECHNOLOGIES Year 2000 TELECONSULTATIONS EXAMINATION ROOM CONSULTATION ROOM
  5. 5. 5 DEVELOPMENT OF NEW TECHNOLOGIES Year 2001 „I CAN HEAR” ~ 20 mln self tested in 82 countries
  6. 6. 6 DEVELOPMENT OF NEW TECHNOLOGIES Year 2002 First life surgery on the Internet (PDT)
  7. 7. 7 DEVELOPMENT OF NEW TECHNOLOGIES Year 2004 HOME REHABILITATION CLINIC
  8. 8. 8 DEVELOPMENT OF NEW TECHNOLOGIES Year 2005 TELEOTOSURGERY
  9. 9. 9 DEVELOPMENT OF NEW TECHNOLOGIES Year 2005 TELEOTOSURGERY
  10. 10. 10 DEVELOPMENT OF NEW TECHNOLOGIES Year 2007 TELEFITTING
  11. 11. 11 TELEFITTING IDEA
  12. 12. 12 EXPERT TELEFITTING MODE – Subsidiaries Selection
  13. 13. 13 KYRGYZSTAN
  14. 14. 14 NORMAL TELEFITTING MODE – Motivation  Normal telefitting procedure:  Local ENT  Local structured interview  Local free field audiometry and speech tests  Remote experts objective measurements (ECAP, ESR, Telemetry)  Remote experts psychophysical measurements  amplitude growth function  threshold detection  Remote experts creation of new map  Remote experts live mode  Remote experts instructions
  15. 15. 15 EXPERT TELEFITTING MODE  Normal telefitting procedure:  Local ENT  Local structured interview  Local free field audiometry and speech tests  Remote experts objective measurements (ECAP, ESR, Telemetry)  Remote experts psychophysical measurements  amplitude growth function  threshold detection  Remote experts creation of new map  Remote experts live mode  Remote experts instructions
  16. 16. 16 NORMAL TELEFITTING MODE – Motivation  Advantages:  Improvement of „quality of service” (travel time, cost, weariness) (like in standard telefitting)  Better access to specialists  Still expert knowledge put into the procedure  Flaws:  Takes to much time – it not a method to save experts time  Is not cost efficient (two specialists working with the patient)  It’s not really a method to cope with growing number of patients
  17. 17. 17 RECOGNITION 21st Century Achievement Awards in The Computerworld Honors Program cathegory – Healthcare, Washington, USA, 2010
  18. 18. 18 GOLD MEDAL– GRAND PRIX of the International Prix Galien Award in category of New Medical Tools for the First in the World NATIONAL NETWORK OF TELEAUDIOLOGY, 2014
  19. 19. 19 DEVELOPMENT OF NEW TECHNOLOGIES Year 2007 – 2014 Over 500 000 school-age children screened in Poland, Europe, Central Asia and Africa
  20. 20. 20 POLISH PRESIDENCY IN EU Brussels, December 2nd, 2011
  21. 21. 21
  22. 22. 22 INTERCONTINENTAL HEARING SCREENING Year 2012 – 2016 WORLD HEARING CENTER Western Syberia Tajikistan Armenia Uzbekistan Kyrgyzstan Azerbejdżan Ivory Coast Senegal Rwanda Tanzania Moldova Ukraine Romania Columbia
  23. 23. 23 PLATFORM FOR SENSE ORGANS SCREENING Gold Medal IENA 2007 Nuremberg Gold Medal Salon International des Inventions Genève 2010 Gold Medal Concours Lépine Paris 2010 Gold Medal „Brussels Eureka” Brussels 2009 Gold Medal „ITEX” Kuala Lumpur 2010  Audiologic Questionnaire  Pure Tone Audiometry  Adaptive Auditory Speech Test (AAST)  Tests of Central Processing Disorders (GIN, DDT)  Tinnitus Questionnaire
  24. 24. 24 REALIZATION REPORTING MODULE DIAGNOSTIC DEVICE INTERNET STATISTICAL MODULE CENTRAL SYSTEM QUESTIONAIRE MODULE MESEURMENT CATALOG
  25. 25. 25 METHODS SENSORY EXAMINATION PLATFORM® PURE TONE AUDIOMETRY Gold Medal Concours Lépine Paris 2010 Gold Medal Salon International des Inventions, Genève 2010 Positive was defined as any hearing impairment greater than 20 dB HL in any ear, at any frequency from 500 to 8000 Hz
  26. 26. 26 TAJIKISTAN  RECTOR PROF. UBAIDULLO AB DULLOEVICH KURBANOV  NOVEMBER 2012  FIRUZA NAVROZSHUEVA, MD  TAJIK STATE MEDICAL UNIVERSITY OF THE NAME AVICENNA  JAMOL KHOLMATOV, MD, PhD
  27. 27. 27 PILOT PROJECT AUDIOLOGIC SCREENING OF SCHOOL-AGE CHILDREN IN DAKAR – SENEGAL March, 2014
  28. 28. 28 SUMMARY PH SKARZYNSKI, J Hear SCI 2014
  29. 29. 29 AWARDS FOR TELEMEDICAL PROJECTS Frankfurt 2000 Sztokholm 2000 Paryż, 2003, 2004, 2005, 2007, 2009, 2010 Bruksela 2002, 2005, 2008, 2009 Norymberga 2007, 2010 Genewa 2007, 2008, 2010 Dublin 2004 Beijing 2008 Kuala Lumpur, Malezja, 2010 Taipei, Taiwan, 2010 Seul, Korea 2010 Sewastopol, Ukraina, 2010 Warszawa, 2012
  30. 30. 30 ORGANIZATION OF THE WORLD’S AND EUROPE’S LARGEST CONGRESSES AND SCIENTIFIC CONFERENCES 2019 II World Congress of Otology 2020 XXXV World Congress of Audiology 22-24 May 2017 1st World Tinnitus Congress XII International Tinnitus Seminar 21-25 May 2017 XXV International Evoked Response Audiometry Study Group Biennial Symposium (IERASG) 6-7 April 2018 4th International Symposium on Otosclerosis and Stapes Surgery
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