Piloting ENT TeleEndoscopy

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Piloting ENT Tele-Endoscopy

• Mr Kim Ah-See
• Consultant ENT Surgeon
• Aberdeen Royal Infirmary

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ENT

• Examination technology rich
• Endoscopy key to full assessment
• Technique easy to learn
• Interpretation of findings longer!

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Shetland

• ENT service
• Pop. 23000
• Remote islands
• 3 day visit
• Every 2 months
• Clinic Operating

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Head Neck Cancer

• Red flag symptoms
• Hoarseness
• Dysphagia
• Odynophagia
• Ulcer
• Neck Lump
• Urgent assessment (62 days Referral to treatment)
• Flight/Boat to Aberdeen (weather!)

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Pilot

• 12 out-patients, 1 in-patient, 1 colleague
• HN symptoms/signs, 1 ear symptoms
• Trained staff Shetland (Anaesthetist, Surgeon)
• Nursing Admin Telehealth Technical staff.
• Patient evaluation - positive

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Video
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Future

• Tele-endoscopy clinic
• every 2 months
• between ENT visits
• other sites in Grampian
• Extend patient profile
• Routine cases
• Ear
• Nose
• ?Children