Conclusion
Telephone clinics have an important role to play in the review and
assessment of new otology referrals and have been a useful tool in our
response to the COVID19 pandemic. However, they are limited by a lack of
clinical examination and audiometric assessment. As a result, the
follow-up rate is significantly higher, with fewer patients either
discharged or added to a waiting list for treatment, when compared to
patients seen directly in a face-to-face clinic. Furthermore, patients
require more appointments, on average, to reach a definitive management
outcome. Further research is required on the role of a telemedicine
pathway in otology which utilises endoscopic examination of the ear
alongside audiometry, followed by asynchronous assessment by a
consultant otologist. This may maximise the benefits of telemedicine
whilst ensuring that a high proportion of patients receive a definitive
management decision at their initial appointment, whilst reducing
unnecessary follow-up.