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Is tympanic infrared thermometry valid in non-naive tympanic membranes? | LitMetric

Is tympanic infrared thermometry valid in non-naive tympanic membranes?

Eur Arch Otorhinolaryngol

Department of Otolaryngology-Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Affiliated to the Sackler School of Medicine, Tel-Aviv University, 6 Weizman Street, 6423906, Tel Aviv, Israel.

Published: February 2023

AI Article Synopsis

  • - The study aimed to examine how tympanostomy tubes (TT) affect the accuracy of infrared tympanic membrane thermometer (ITMT) readings and to review existing research on ITMT results in ears that have received treatment.
  • - Conducted at a university medical center, the research involved comparing temperature measurements from ears with TT to those without, while controlling for factors like earwax removal, using a blinded methodology.
  • - Results indicated a statistically significant difference in ITMT readings between ventilated (TT) and non-ventilated (naïve) ears, confirming that ITMT is a reliable tool for measuring temperatures in ears with TT.

Article Abstract

Objective: To investigate the impact of with tympanostomy tubes (TT) on infrared tympanic membrane thermometer (ITMT) results and to provide a systematic review of ITMT results in non-naïve tympanic membranes.

Study Design: Original prospective blinded case series and systematic literature review.

Settings: A single tertiary university-affiliated medical center.

Methods: ITMT measurements of patients with unilateral TT and contralateral naïve control ear were randomly conducted by a single investigator blinded to the TT side before and after cerumen was removed from the external auditory canals. A systematic literature search of "MEDLINE" via "PubMed," "Embase," and "Google Scholar" on comparable published cases was performed.

Results: The mean paired differences (95% confidence interval [CI]) between ventilated and non-ventilated ears before and after cerumen removal were 0.08 ºC/0.14 ºF (-0.04 to 0.19 ºC/- 0.07º-0.34º) and 0.62 ºC/1.12 ºF (0.04-0.25 ºC/0.07-0.45 ºF), respectively (P < 0.001 and P = 0.01, respectively).

Conclusion: These findings support the validity and accuracy of ITMT in the setting of ventilated ears.

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Source
http://dx.doi.org/10.1007/s00405-022-07488-3DOI Listing

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