Slide 1

1TELEMEDICINE IN OTOLARYNGOLOGY PAST, PRESENT, FUTUREAss. Prof. Piotr H. Skarzynski, MD, PhD, MScMaciej Ludwikowski, Henryk SkarzynskiMember of ISfTeH Board

2BACKGROUNDResponsibility

Quality of service

Trust in medical service

250 000 medical consultations per year

15 000 18 000 surgical procedures per year

Costs

Clinic capacity

3TELEMEDICINE

local

regional

national

global

All activities for diagnostic and treatment of patient in distant place / other than specialist

4DEVELOPMENT OF NEW TECHNOLOGIES Year 2000 TELECONSULTATIONSEXAMINATION ROOM CONSULTATION ROOM

5DEVELOPMENT OF NEW TECHNOLOGIES Year 2001 I CAN HEAR

~ 20 mln self tested in 82 countries

6DEVELOPMENT OF NEW TECHNOLOGIES Year 2002 First life surgery on the Internet (PDT)

7DEVELOPMENT OF NEW TECHNOLOGIES Year 2004 HOME REHABILITATION CLINIC

8DEVELOPMENT OF NEW TECHNOLOGIES Year 2005 TELEOTOSURGERY

9DEVELOPMENT OF NEW TECHNOLOGIES Year 2005 TELEOTOSURGERY

10DEVELOPMENT OF NEW TECHNOLOGIES Year 2007 TELEFITTING

11TELEFITTING IDEA

12EXPERT TELEFITTING MODE Subsidiaries Selection

13KYRGYZSTAN

14NORMAL TELEFITTING MODE MotivationNormal telefitting procedure: Local ENTLocal structured interviewLocal free field audiometry and speech testsRemote experts objective measurements (ECAP, ESR, Telemetry)Remote experts psychophysical measurements amplitude growth functionthreshold detectionRemote experts creation of new mapRemote experts live modeRemote experts instructions

15EXPERT TELEFITTING MODE Normal telefitting procedure: Local ENTLocal structured interviewLocal free field audiometry and speech testsRemote experts objective measurements (ECAP, ESR, Telemetry)Remote experts psychophysical measurements amplitude growth functionthreshold detectionRemote experts creation of new mapRemote experts live modeRemote experts instructions

16NORMAL TELEFITTING MODE MotivationAdvantages:Improvement of quality of service (travel time, cost, weariness) (like in standard telefitting)Better access to specialistsStill expert knowledge put into the procedureFlaws:Takes to much time it not a method to save experts timeIs not cost efficient (two specialists working with the patient)Its not really a method to cope with growing number of patients

17RECOGNITION21st Century Achievement Awards in The Computerworld Honors Program cathegory Healthcare, Washington, USA, 2010

18GOLD MEDAL GRAND PRIX of the InternationalPrix Galien Award in category of New Medical Tools for the First in the World NATIONAL NETWORK OF TELEAUDIOLOGY, 2014

19DEVELOPMENT OF NEW TECHNOLOGIES Year 2007 2014 Over 500 000 school-age children screened in Poland, Europe, Central Asia and Africa

20POLISH PRESIDENCY IN EU

Brussels, December 2nd, 2011

21

22INTERCONTINENTAL HEARING SCREENING Year 2012 2016

WORLD HEARING CENTERWestern Syberia TajikistanArmeniaUzbekistanKyrgyzstanAzerbejdan

Ivory CoastSenegalRwandaTanzaniaMoldovaUkraineRomania

Columbia

23PLATFORM FOR SENSE ORGANS SCREENING

Gold MedalIENA 2007NurembergGold MedalSalon International des InventionsGenve 2010

Gold Medal Concours LpineParis 2010

Gold MedalBrussels EurekaBrussels 2009

Gold MedalITEXKuala Lumpur 2010

Audiologic QuestionnairePure Tone AudiometryAdaptive Auditory Speech Test (AAST)Tests of Central Processing Disorders (GIN, DDT)Tinnitus Questionnaire

24REALIZATIONREPORTING MODULE

DIAGNOSTIC DEVICEINTERNET

STATISTICAL MODULECENTRAL SYSTEMQUESTIONAIRE MODULEMESEURMENT CATALOG

25METHODSSENSORY EXAMINATION PLATFORM

PURE TONE AUDIOMETRY

Gold Medal Concours LpineParis 2010

Gold Medal Salon International des Inventions, Genve 2010

Positive was defined as any hearing impairment greater than 20 dB HL in any ear, at any frequency from 500 to 8000 Hz

26TAJIKISTAN

RECTOR PROF. UBAIDULLO ABDULLOEVICH KURBANOV

NOVEMBER 2012FIRUZA NAVROZSHUEVA, MDTAJIK STATE MEDICAL UNIVERSITY OF THE NAME AVICENNAJAMOL KHOLMATOV, MD, PhD

27PILOT PROJECT AUDIOLOGIC SCREENING OF SCHOOL-AGE CHILDREN IN DAKAR SENEGAL March, 2014

28SUMMARY

PH SKARZYNSKI, J Hear SCI 2014

29AWARDS FOR TELEMEDICAL PROJECTS

Frankfurt 2000

Sztokholm 2000Pary, 2003, 2004,2005, 2007, 2009, 2010Bruksela 2002, 2005, 2008, 2009Norymberga 2007, 2010Genewa 2007, 2008, 2010

Dublin 2004

Beijing 2008

Kuala Lumpur, Malezja, 2010

Taipei, Taiwan, 2010

Seul, Korea2010

Sewastopol, Ukraina, 2010

Warszawa, 2012

30ORGANIZATION OF THE WORLDS AND EUROPES LARGEST CONGRESSES AND SCIENTIFIC CONFERENCES

2019II World Congress of Otology

2020XXXV World Congress of Audiology

22-24 May 20171st World Tinnitus CongressXII International Tinnitus Seminar21-25 May 2017XXV International Evoked Response Audiometry Study Group Biennial Symposium (IERASG)6-7 April 20184th International Symposium on Otosclerosis and Stapes Surgery

31THANK YOU