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Assessment of tympanic membrane perforation size using ImageJ software by ENT clinicians of different grades

Published online by Cambridge University Press:  02 October 2023

Bhargavi Chandrasekar Open the ORCID record for Bhargavi Chandrasekar [Opens in a new window] ,
Kristijonas Milinis ,
Natalie Lowe ,
Sujata De Open the ORCID record for Sujata De [Opens in a new window]  and
Sunil D Sharma
Bhargavi Chandrasekar
Affiliation:
ENT Department, Alder Hey Children's NHS Foundation Trust, Eaton Road, Liverpool, UK
Kristijonas Milinis
Affiliation:
ENT Department, Alder Hey Children's NHS Foundation Trust, Eaton Road, Liverpool, UK
Natalie Lowe
Affiliation:
ENT Department, Alder Hey Children's NHS Foundation Trust, Eaton Road, Liverpool, UK
Sujata De
Affiliation:
ENT Department, Alder Hey Children's NHS Foundation Trust, Eaton Road, Liverpool, UK
Sunil D Sharma*
Affiliation:
ENT Department, Alder Hey Children's NHS Foundation Trust, Eaton Road, Liverpool, UK
*
Corresponding author: Sunil D Sharma; Email: [email protected]
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Abstract

Objective

To compare visual estimation versus ImageJ calculation of tympanic membrane perforation size in the paediatric population between clinicians of different experience.

Methods

Five images of tympanic membrane perforations in children, captured using an otoendoscope, were selected. The gold standard was the ImageJ results by one consultant otologist. Consultants, registrars and Senior House Officers or equivalent were asked to visually estimate and calculate the perforation size using ImageJ software.

Results

The mean difference in variation from gold standard between visual estimation and ImageJ calculation was 12.16 per cent, 95 per cent CI (10.55, 13.78) p < 0.05, with ImageJ providing a more accurate estimation of perforation. Registrars were significantly more accurate at visual estimation than senior house officers. There was no statistically significant difference in ImageJ results between the different grades.

Conclusion

Using ImageJ software is more accurate at estimating tympanic membrane perforation size than visual assessment for all ENT clinicians regardless of experience.

Keywords

Paediatricsotorhinolaryngologyeducationotitis mediainformed consenttechnology
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 4 , April 2024 , pp. 388 - 390
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Sunil D Sharma takes responsibility for the integrity of the content of the paper

Presented at British Association of Paediatric Otolaryngology Annual Meeting, 15–16 September 2022, Bristol, England

References

Lee, P, Kelly, G, Mills, RP. Myringoplasty: does the size of the perforation matter? Clin Otolaryngol Allied Sci 2002;27:331–4CrossRefGoogle ScholarPubMed
Hardman, J, Muzaffar, J, Nankivell, P, Coulson, C. Tympanoplasty for chronic tympanic membrane perforation in children: systematic review and meta-analysis. Otol Neurotol 2015;36:796–804CrossRefGoogle ScholarPubMed
Hampal, S, Padgham, N, Bunt, S, Wright, A. Errors in the assessment of tympanic membrane perforations. Clin Otolaryngol Allied Sci 1993;18:58–62CrossRefGoogle ScholarPubMed
Hsu, CY, Chen, YS, Hwang, JH, Liu, TC. A computer program to calculate the size of tympanic membrane perforations. Clin Otolaryngol Allied Sci 2004;29:340–2CrossRefGoogle ScholarPubMed
Ibekwe, TS, Adeosun, AA, Nwaorgu, OG. Quantitative analysis of tympanic membrane perforation: a simple and reliable method. J Laryngol Otol 2009;123:e2CrossRefGoogle ScholarPubMed
Rasband, WS. ImageJ, US National Institutes of Health, Bethesda, Maryland, USA. 1997–2018. In: https://imagej.nih.gov/ij/Google Scholar
Ibekwe, TS, Nwaorgu, OGB, Adeosun, AA, Kokong, DD, Lawal, HO, Okundia, PO et al. Assessments of the size of tympanic membrane perforations: a comparison of clinical estimations with video-otoscopic calculations. Ear Nose Throat J 2008;87:567–9CrossRefGoogle ScholarPubMed
Jellinge, ME, Kristensen, S, Larsen, K. Spontaneous closure of traumatic tympanic membrane perforations: observational study. J Laryngol Otol 2015;129:950–4CrossRefGoogle ScholarPubMed
Wong, K, Schwam, ZG, Arrighi-Allisan, AE, Fan, CJ, Perez, ER, Cosetti, MK et al. Sharing in-office otoendoscopy recordings may improve patient satisfaction: a prospective cohort study. Patient Educ Couns 2022;105:3160–3CrossRefGoogle ScholarPubMed
Rimon, O, Avraham, Y, Sharabi-Nov, A, Luder, A, Krupik, D, Gilbey, P. Video-otoscopy in children and patient-centered care: a randomized, controlled study. Int J Pediatr Otorhinolaryngol 2015;79:2286–9CrossRefGoogle ScholarPubMed