{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T14:39:29Z","timestamp":1774535969414,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2010,8,1]],"date-time":"2010-08-01T00:00:00Z","timestamp":1280620800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2010,8]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>To determine if store\u2010and\u2010forward telemedicine can be used to accurately plan ear surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>SETTING<\/jats:title><jats:p>Tertiary care hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>SUBJECTS AND METHODS<\/jats:title><jats:p>Charts were reviewed for elective major ear surgeries resulting from telemedicine referrals during a 13\u2010month period. The store\u2010and\u2010forward telemedicine referrals (electronic consultations) included clinical history, digital images, and audiology data. Consultants reviewed each telemedicine case and documented the recommended surgery and estimated operative time. These charts were matched with patients seen in person during a standard evaluation and had identical surgeries recommended. For the telemedicine evaluation and in\u2010person evaluation groups, the recommended surgeries were compared with actual surgeries performed and the estimated time was compared with the actual operative time.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Forty\u2010five ear surgeries were recommended by the telemedicine evaluation and were matched with 45 surgeries from the standard evaluation and included tympanoplasty with or without canalplasty, mastoidectomy, stapes surgery, and myringoplasty. Telemedicine and in\u2010person evaluation accurately predicted the surgery 89 percent and 84 percent of the time, respectively. The average difference of \u201cactual time\u201d and \u201cestimated time\u201d for the actual surgical procedures performed was not statistically different between the two groups: 32\u00a0minutes for the telemedicine evaluation group and 35\u00a0minutes for the in\u2010person evaluation group.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>Store\u2010and\u2010forward telemedicine is as effective as in\u2010person evaluation for planning elective major ear surgery.<\/jats:p><jats:p>\u00a9 2010 American Academy of Otolaryngology\u2010Head and Neck Surgery Foundation. All rights reserved.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2010.04.265","type":"journal-article","created":{"date-parts":[[2010,7,20]],"date-time":"2010-07-20T05:06:20Z","timestamp":1279602380000},"page":"253-257","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Preoperative planning for ear surgery using store\u2010and\u2010forward telemedicine"],"prefix":"10.1002","volume":"143","author":[{"given":"John","family":"Kokesh","sequence":"first","affiliation":[{"name":"Alaska Native Medical Center, Otolaryngology Anchorage AK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A. 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