Avaliação da qualidade da videolaringoscopia com capa de câmera odontológica na presença de lesões de cobertura de prega vocal

Detalhes bibliográficos
Ano de defesa: 2018
Autor(a) principal: Bozo, Marlon Kleber Wutzow lattes
Orientador(a): Fonseca, Vinícius Ribas Carvalho Duarte
Banca de defesa: Polanski, Jose Fernando, Tonocchi, Rita de Cássia
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Tuiuti do Parana
Programa de Pós-Graduação: Mestrado em Distúrbios da Comunicação
Departamento: Distúrbios da Comunicação
País: Brasil
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Resumo em Inglês: The examination of the larynx is one of the steps in the otorhinolaryngological consultation, and can be performed with the aid of instruments, such as the rigid laryngoscope with the chip camera provides a scan of the obtained image, making videolaryngoscopy an effective solution for the diagnosis of laryngeal lesions. Proper reprocessing of endoscopes is imperative to prevent contamination of the device and subsequent risks of cross-contamination and infection of patients. The endoscopic sheaths that cover the laryngoscope are recommended to prevent cross-contamination, but they may hamper visualization, the most important tool in the diagnostic approach to laryngeal disease. It is believed that the use of the Disposable Intraoral Oral Protection Case (CPCIO) can act as a mechanical barrier and prevent contact of the laryngoscope with a patient's mucosa, in the manner and contact occurring only between a CPCIO and the microorganisms of the flora of the patient. The aim of this study was to investigate the maintenance of image quality in traditional videolaryngoscopy examinations, with and without a disposable intraoral camera protection cover, for the execution of the reports of patients with laryngeal lesions. This is a cross-sectional, quantitative and qualitative, and accurate, study on videolaryngoscopy (VDL) images with a disposable intraocular camera protective cap (CPCIO). The images were captured by rigid videolaryngoscopy of the type of digital camera chip on the tip (optometrist) of the Otorhinolaryngology Clinic of the Red Cross Hospital - Paraná, in Curitiba-PR. The participants of the present investigation were some patients of the clinic mentioned above who presented a visible lesion of mucous cover of vocal folds in videolaryngoscopy and who fullfield inclusion and exclusion criteria. The images were collected through videolaryngoscopy with videolaryngoscope with a chip camera on the Scott 960® tip and in two steps: 1) Videolaryngoscopy with the protective cover of the disposable intraoral camera, and 2) Videolaryngoscopy without a protection layer of the disposable intraoral camera. After obtaining the images, the laryngoscope was submitted to processing and disinfection according to the Technical Protocol of the Brazilian Association of Otorhinolaryngology between one participant and another. The images obtained were randomly distributed, and patient identification will be coded. After editing images and videos were randomly presented to each participating professional to evaluate the image quality. The data obtained from the professionals' answers are analyzed by means of descriptive statistics and the application of parametric and non-parametric variables association tests for the relationship between the difference in the reports and the use of CPD.
Link de acesso: http://tede.utp.br:8080/jspui/handle/tede/1607
Resumo: The examination of the larynx is one of the steps in the otorhinolaryngological consultation, and can be performed with the aid of instruments, such as the rigid laryngoscope with the chip camera provides a scan of the obtained image, making videolaryngoscopy an effective solution for the diagnosis of laryngeal lesions. Proper reprocessing of endoscopes is imperative to prevent contamination of the device and subsequent risks of cross-contamination and infection of patients. The endoscopic sheaths that cover the laryngoscope are recommended to prevent cross-contamination, but they may hamper visualization, the most important tool in the diagnostic approach to laryngeal disease. It is believed that the use of the Disposable Intraoral Oral Protection Case (CPCIO) can act as a mechanical barrier and prevent contact of the laryngoscope with a patient's mucosa, in the manner and contact occurring only between a CPCIO and the microorganisms of the flora of the patient. The aim of this study was to investigate the maintenance of image quality in traditional videolaryngoscopy examinations, with and without a disposable intraoral camera protection cover, for the execution of the reports of patients with laryngeal lesions. This is a cross-sectional, quantitative and qualitative, and accurate, study on videolaryngoscopy (VDL) images with a disposable intraocular camera protective cap (CPCIO). The images were captured by rigid videolaryngoscopy of the type of digital camera chip on the tip (optometrist) of the Otorhinolaryngology Clinic of the Red Cross Hospital - Paraná, in Curitiba-PR. The participants of the present investigation were some patients of the clinic mentioned above who presented a visible lesion of mucous cover of vocal folds in videolaryngoscopy and who fullfield inclusion and exclusion criteria. The images were collected through videolaryngoscopy with videolaryngoscope with a chip camera on the Scott 960® tip and in two steps: 1) Videolaryngoscopy with the protective cover of the disposable intraoral camera, and 2) Videolaryngoscopy without a protection layer of the disposable intraoral camera. After obtaining the images, the laryngoscope was submitted to processing and disinfection according to the Technical Protocol of the Brazilian Association of Otorhinolaryngology between one participant and another. The images obtained were randomly distributed, and patient identification will be coded. After editing images and videos were randomly presented to each participating professional to evaluate the image quality. The data obtained from the professionals' answers are analyzed by means of descriptive statistics and the application of parametric and non-parametric variables association tests for the relationship between the difference in the reports and the use of CPD.
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spelling Fonseca, Vinícius Ribas Carvalho DuartePolanski, Jose FernandoTonocchi, Rita de Cássiahttp://lattes.cnpq.br/8463413195976189Bozo, Marlon Kleber Wutzow2018-11-26T15:13:24Z2018-04-25Bozo, Marlon Kleber Wutzow. Avaliação da qualidade da videolaringoscopia com capa de câmera odontológica na presença de lesões de cobertura de prega vocal. 2018. 91 f. Dissertação( Mestrado em Distúrbios da Comunicação) - Universidade Tuiuti do Paraná, Curitiba, 2018.http://tede.utp.br:8080/jspui/handle/tede/1607The examination of the larynx is one of the steps in the otorhinolaryngological consultation, and can be performed with the aid of instruments, such as the rigid laryngoscope with the chip camera provides a scan of the obtained image, making videolaryngoscopy an effective solution for the diagnosis of laryngeal lesions. Proper reprocessing of endoscopes is imperative to prevent contamination of the device and subsequent risks of cross-contamination and infection of patients. The endoscopic sheaths that cover the laryngoscope are recommended to prevent cross-contamination, but they may hamper visualization, the most important tool in the diagnostic approach to laryngeal disease. It is believed that the use of the Disposable Intraoral Oral Protection Case (CPCIO) can act as a mechanical barrier and prevent contact of the laryngoscope with a patient's mucosa, in the manner and contact occurring only between a CPCIO and the microorganisms of the flora of the patient. The aim of this study was to investigate the maintenance of image quality in traditional videolaryngoscopy examinations, with and without a disposable intraoral camera protection cover, for the execution of the reports of patients with laryngeal lesions. This is a cross-sectional, quantitative and qualitative, and accurate, study on videolaryngoscopy (VDL) images with a disposable intraocular camera protective cap (CPCIO). The images were captured by rigid videolaryngoscopy of the type of digital camera chip on the tip (optometrist) of the Otorhinolaryngology Clinic of the Red Cross Hospital - Paraná, in Curitiba-PR. The participants of the present investigation were some patients of the clinic mentioned above who presented a visible lesion of mucous cover of vocal folds in videolaryngoscopy and who fullfield inclusion and exclusion criteria. The images were collected through videolaryngoscopy with videolaryngoscope with a chip camera on the Scott 960® tip and in two steps: 1) Videolaryngoscopy with the protective cover of the disposable intraoral camera, and 2) Videolaryngoscopy without a protection layer of the disposable intraoral camera. After obtaining the images, the laryngoscope was submitted to processing and disinfection according to the Technical Protocol of the Brazilian Association of Otorhinolaryngology between one participant and another. The images obtained were randomly distributed, and patient identification will be coded. After editing images and videos were randomly presented to each participating professional to evaluate the image quality. The data obtained from the professionals' answers are analyzed by means of descriptive statistics and the application of parametric and non-parametric variables association tests for the relationship between the difference in the reports and the use of CPD.O exame da laringe é uma das etapas na consulta otorrinolaringológica e pode ser realizado com o auxílio de instrumentais, como o laringoscópio rígido munido de câmera com chip, denominado videolaringoscopia, o qual proporciona a digitalização da imagem obtida, tornando o exame de videolaringoscopia uma ferramenta eficaz para diagnóstico de lesões laríngeas. O reprocessamento adequado dos endoscópios, como a laringoscopia, é imperativo para prevenir a contaminação do dispositivo, bem como os riscos posteriores de contaminação cruzada e infecção de pacientes. As bainhas endoscópicas que cobrem o laringoscópio são aconselhadas para prevenir a contaminação da ferramenta, mas podem dificultar a visualização dessa ferramenta, que é considerada mais importante na abordagem diagnóstica da doença laríngea. Considera-se que a utilização de Capa de Proteção de Câmera Intraoral descartável (CPCIO) uma barreira mecânica e, assim, possibilita impedir o contato do laringoscópio com a mucosa do paciente, de maneira que o contato ocorra apenas entre a CPCIO e os microrganismos da flora do indivíduo. O presente trabalho objetivou investigar a manutenção da qualidade da imagem em exames de videolaringoscopia tradicional, com e sem CPCIO, para a execução dos laudos dos exames de pacientes com lesões de laringe. Trata-se de estudo com delineamento transversal, de caráter quantitativo e qualitativo, e de acurácia, acerca de imagens de videolaringoscopia (VDL) com e sem CPCIO descartável. As imagens foram capturadas por videolaringoscopia rígida do tipo chip de câmera digital na ponta (chip on the tip) em ambulatório de Otorrinolaringologia do Hospital da Cruz Vermelha – Paraná Geral, em Curitiba-PR. Foram participantes da presente investigação os pacientes em atendimento no referido ambulatório que apresentavam lesão visível de cobertura mucosa de pregas vocais em videolaringoscopia e que atenderam aos critérios de inclusão e exclusão. Para avaliação da qualidade das imagens geradas foram convidados profissionais com experiência em imagens para execução de laudos diagnósticos de videolaringoscopias. As imagens foram coletadas através de videolaringoscopia tradicional com videolaringoscópio munido de câmera com chip na ponta Scott 960®. O processo se deu em duas etapas: 1) Videolaringoscopia com utilização da CPCIO, 2) Videolaringoscopia sem CPCIO. Após a obtenção das imagens, o laringoscópio foi submetido, entre um paciente e outro, a processamento e desinfecção de acordo com o Protocolo Técnico da Associação Brasileira de Otorrinolaringologia. As imagens obtidas foram distribuídas de forma randomizada e a identificação dos pacientes foi codificada. Após edição, as imagens e vídeos foram apresentados, aleatoriamente de maneira unicega, a cada profissional participante para avaliação da qualidade da imagem. Os dados obtidos a partir das respostas dos profissionais foram analisados por meio de estatística descritiva e aplicação de testes paramétricos e não-paramétricos de associação de variáveis, para relação entre a diferença nos laudos e o uso da CPD.Submitted by Divanete Paiva (divanete.paiva@utp.br) on 2018-11-26T15:13:24Z No. of bitstreams: 1 AVALIAÇÃO DA QUALIDADE DA.pdf: 1258905 bytes, checksum: 3930493dd392ee6292c22e0a3c874e03 (MD5)Made available in DSpace on 2018-11-26T15:13:24Z (GMT). No. of bitstreams: 1 AVALIAÇÃO DA QUALIDADE DA.pdf: 1258905 bytes, checksum: 3930493dd392ee6292c22e0a3c874e03 (MD5) Previous issue date: 2018-04-25application/pdfporUniversidade Tuiuti do ParanaMestrado em Distúrbios da ComunicaçãoUTPBrasilDistúrbios da ComunicaçãoLaringoscopiaReprodutibilidade de testesContaminação de equipamentosEquipment contaminationLaryngoscopyReproducibility of resultsCIENCIAS DA SAUDE::FONOAUDIOLOGIAAvaliação da qualidade da videolaringoscopia com capa de câmera odontológica na presença de lesões de cobertura de prega vocalinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-6104338271566220491500500600-1465691230269154980-1446670330325391347info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações do UTPinstname:Universidade Tuiuti do Paranáinstacron:UTPLICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/1607/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51ORIGINALAVALIAÇÃO DA QUALIDADE DA.pdfAVALIAÇÃO DA QUALIDADE DA.pdfapplication/pdf1258905http://localhost:8080/tede/bitstream/tede/1607/2/AVALIA%C3%87%C3%83O+DA+QUALIDADE+DA.pdf3930493dd392ee6292c22e0a3c874e03MD52tede/1607oai:localhost:tede/16072018-11-26 13:13:24.042TEDEtede@utp.brTk9UQTogQ09MT1FVRSBBUVVJIEEgU1VBIFBSw5NQUklBIExJQ0VOw4dBCkVzdGEgbGljZW7Dp2EgZGUgZXhlbXBsbyDDqSBmb3JuZWNpZGEgYXBlbmFzIHBhcmEgZmlucyBpbmZvcm1hdGl2b3MuCgpMSUNFTsOHQSBERSBESVNUUklCVUnDh8ODTyBOw4NPLUVYQ0xVU0lWQQoKQ29tIGEgYXByZXNlbnRhw6fDo28gZGVzdGEgbGljZW7Dp2EsIHZvY8OqIChvIGF1dG9yIChlcykgb3UgbyB0aXR1bGFyIGRvcyBkaXJlaXRvcyBkZSBhdXRvcikgY29uY2VkZSDDoCBVbml2ZXJzaWRhZGUgClhYWCAoU2lnbGEgZGEgVW5pdmVyc2lkYWRlKSBvIGRpcmVpdG8gbsOjby1leGNsdXNpdm8gZGUgcmVwcm9kdXppciwgIHRyYWR1emlyIChjb25mb3JtZSBkZWZpbmlkbyBhYmFpeG8pLCBlL291IApkaXN0cmlidWlyIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyAoaW5jbHVpbmRvIG8gcmVzdW1vKSBwb3IgdG9kbyBvIG11bmRvIG5vIGZvcm1hdG8gaW1wcmVzc28gZSBlbGV0csO0bmljbyBlIAplbSBxdWFscXVlciBtZWlvLCBpbmNsdWluZG8gb3MgZm9ybWF0b3Mgw6F1ZGlvIG91IHbDrWRlby4KClZvY8OqIGNvbmNvcmRhIHF1ZSBhIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSBwb2RlLCBzZW0gYWx0ZXJhciBvIGNvbnRlw7pkbywgdHJhbnNwb3IgYSBzdWEgdGVzZSBvdSBkaXNzZXJ0YcOnw6NvIApwYXJhIHF1YWxxdWVyIG1laW8gb3UgZm9ybWF0byBwYXJhIGZpbnMgZGUgcHJlc2VydmHDp8Ojby4KClZvY8OqIHRhbWLDqW0gY29uY29yZGEgcXVlIGEgU2lnbGEgZGUgVW5pdmVyc2lkYWRlIHBvZGUgbWFudGVyIG1haXMgZGUgdW1hIGPDs3BpYSBhIHN1YSB0ZXNlIG91IApkaXNzZXJ0YcOnw6NvIHBhcmEgZmlucyBkZSBzZWd1cmFuw6dhLCBiYWNrLXVwIGUgcHJlc2VydmHDp8Ojby4KClZvY8OqIGRlY2xhcmEgcXVlIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyDDqSBvcmlnaW5hbCBlIHF1ZSB2b2PDqiB0ZW0gbyBwb2RlciBkZSBjb25jZWRlciBvcyBkaXJlaXRvcyBjb250aWRvcyAKbmVzdGEgbGljZW7Dp2EuIFZvY8OqIHRhbWLDqW0gZGVjbGFyYSBxdWUgbyBkZXDDs3NpdG8gZGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyBuw6NvLCBxdWUgc2VqYSBkZSBzZXUgCmNvbmhlY2ltZW50bywgaW5mcmluZ2UgZGlyZWl0b3MgYXV0b3JhaXMgZGUgbmluZ3XDqW0uCgpDYXNvIGEgc3VhIHRlc2Ugb3UgZGlzc2VydGHDp8OjbyBjb250ZW5oYSBtYXRlcmlhbCBxdWUgdm9jw6ogbsOjbyBwb3NzdWkgYSB0aXR1bGFyaWRhZGUgZG9zIGRpcmVpdG9zIGF1dG9yYWlzLCB2b2PDqiAKZGVjbGFyYSBxdWUgb2J0ZXZlIGEgcGVybWlzc8OjbyBpcnJlc3RyaXRhIGRvIGRldGVudG9yIGRvcyBkaXJlaXRvcyBhdXRvcmFpcyBwYXJhIGNvbmNlZGVyIMOgIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSAKb3MgZGlyZWl0b3MgYXByZXNlbnRhZG9zIG5lc3RhIGxpY2Vuw6dhLCBlIHF1ZSBlc3NlIG1hdGVyaWFsIGRlIHByb3ByaWVkYWRlIGRlIHRlcmNlaXJvcyBlc3TDoSBjbGFyYW1lbnRlIAppZGVudGlmaWNhZG8gZSByZWNvbmhlY2lkbyBubyB0ZXh0byBvdSBubyBjb250ZcO6ZG8gZGEgdGVzZSBvdSBkaXNzZXJ0YcOnw6NvIG9yYSBkZXBvc2l0YWRhLgoKQ0FTTyBBIFRFU0UgT1UgRElTU0VSVEHDh8ODTyBPUkEgREVQT1NJVEFEQSBURU5IQSBTSURPIFJFU1VMVEFETyBERSBVTSBQQVRST0PDjU5JTyBPVSAKQVBPSU8gREUgVU1BIEFHw4pOQ0lBIERFIEZPTUVOVE8gT1UgT1VUUk8gT1JHQU5JU01PIFFVRSBOw4NPIFNFSkEgQSBTSUdMQSBERSAKVU5JVkVSU0lEQURFLCBWT0PDiiBERUNMQVJBIFFVRSBSRVNQRUlUT1UgVE9ET1MgRSBRVUFJU1FVRVIgRElSRUlUT1MgREUgUkVWSVPDg08gQ09NTyAKVEFNQsOJTSBBUyBERU1BSVMgT0JSSUdBw4fDlUVTIEVYSUdJREFTIFBPUiBDT05UUkFUTyBPVSBBQ09SRE8uCgpBIFNpZ2xhIGRlIFVuaXZlcnNpZGFkZSBzZSBjb21wcm9tZXRlIGEgaWRlbnRpZmljYXIgY2xhcmFtZW50ZSBvIHNldSBub21lIChzKSBvdSBvKHMpIG5vbWUocykgZG8ocykgCmRldGVudG9yKGVzKSBkb3MgZGlyZWl0b3MgYXV0b3JhaXMgZGEgdGVzZSBvdSBkaXNzZXJ0YcOnw6NvLCBlIG7Do28gZmFyw6EgcXVhbHF1ZXIgYWx0ZXJhw6fDo28sIGFsw6ltIGRhcXVlbGFzIApjb25jZWRpZGFzIHBvciBlc3RhIGxpY2Vuw6dhLgo=
dc.title.por.fl_str_mv Avaliação da qualidade da videolaringoscopia com capa de câmera odontológica na presença de lesões de cobertura de prega vocal
title Avaliação da qualidade da videolaringoscopia com capa de câmera odontológica na presença de lesões de cobertura de prega vocal
spellingShingle Avaliação da qualidade da videolaringoscopia com capa de câmera odontológica na presença de lesões de cobertura de prega vocal
Bozo, Marlon Kleber Wutzow
Laringoscopia
Reprodutibilidade de testes
Contaminação de equipamentos
Equipment contamination
Laryngoscopy
Reproducibility of results
CIENCIAS DA SAUDE::FONOAUDIOLOGIA
title_short Avaliação da qualidade da videolaringoscopia com capa de câmera odontológica na presença de lesões de cobertura de prega vocal
title_full Avaliação da qualidade da videolaringoscopia com capa de câmera odontológica na presença de lesões de cobertura de prega vocal
title_fullStr Avaliação da qualidade da videolaringoscopia com capa de câmera odontológica na presença de lesões de cobertura de prega vocal
title_full_unstemmed Avaliação da qualidade da videolaringoscopia com capa de câmera odontológica na presença de lesões de cobertura de prega vocal
title_sort Avaliação da qualidade da videolaringoscopia com capa de câmera odontológica na presença de lesões de cobertura de prega vocal
author Bozo, Marlon Kleber Wutzow
author_facet Bozo, Marlon Kleber Wutzow
author_role author
dc.contributor.advisor1.fl_str_mv Fonseca, Vinícius Ribas Carvalho Duarte
dc.contributor.referee1.fl_str_mv Polanski, Jose Fernando
dc.contributor.referee2.fl_str_mv Tonocchi, Rita de Cássia
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/8463413195976189
dc.contributor.author.fl_str_mv Bozo, Marlon Kleber Wutzow
contributor_str_mv Fonseca, Vinícius Ribas Carvalho Duarte
Polanski, Jose Fernando
Tonocchi, Rita de Cássia
dc.subject.por.fl_str_mv Laringoscopia
Reprodutibilidade de testes
Contaminação de equipamentos
Equipment contamination
topic Laringoscopia
Reprodutibilidade de testes
Contaminação de equipamentos
Equipment contamination
Laryngoscopy
Reproducibility of results
CIENCIAS DA SAUDE::FONOAUDIOLOGIA
dc.subject.eng.fl_str_mv Laryngoscopy
Reproducibility of results
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::FONOAUDIOLOGIA
dc.description.abstract.eng.fl_txt_mv The examination of the larynx is one of the steps in the otorhinolaryngological consultation, and can be performed with the aid of instruments, such as the rigid laryngoscope with the chip camera provides a scan of the obtained image, making videolaryngoscopy an effective solution for the diagnosis of laryngeal lesions. Proper reprocessing of endoscopes is imperative to prevent contamination of the device and subsequent risks of cross-contamination and infection of patients. The endoscopic sheaths that cover the laryngoscope are recommended to prevent cross-contamination, but they may hamper visualization, the most important tool in the diagnostic approach to laryngeal disease. It is believed that the use of the Disposable Intraoral Oral Protection Case (CPCIO) can act as a mechanical barrier and prevent contact of the laryngoscope with a patient's mucosa, in the manner and contact occurring only between a CPCIO and the microorganisms of the flora of the patient. The aim of this study was to investigate the maintenance of image quality in traditional videolaryngoscopy examinations, with and without a disposable intraoral camera protection cover, for the execution of the reports of patients with laryngeal lesions. This is a cross-sectional, quantitative and qualitative, and accurate, study on videolaryngoscopy (VDL) images with a disposable intraocular camera protective cap (CPCIO). The images were captured by rigid videolaryngoscopy of the type of digital camera chip on the tip (optometrist) of the Otorhinolaryngology Clinic of the Red Cross Hospital - Paraná, in Curitiba-PR. The participants of the present investigation were some patients of the clinic mentioned above who presented a visible lesion of mucous cover of vocal folds in videolaryngoscopy and who fullfield inclusion and exclusion criteria. The images were collected through videolaryngoscopy with videolaryngoscope with a chip camera on the Scott 960® tip and in two steps: 1) Videolaryngoscopy with the protective cover of the disposable intraoral camera, and 2) Videolaryngoscopy without a protection layer of the disposable intraoral camera. After obtaining the images, the laryngoscope was submitted to processing and disinfection according to the Technical Protocol of the Brazilian Association of Otorhinolaryngology between one participant and another. The images obtained were randomly distributed, and patient identification will be coded. After editing images and videos were randomly presented to each participating professional to evaluate the image quality. The data obtained from the professionals' answers are analyzed by means of descriptive statistics and the application of parametric and non-parametric variables association tests for the relationship between the difference in the reports and the use of CPD.
dc.description.abstract.por.fl_txt_mv O exame da laringe é uma das etapas na consulta otorrinolaringológica e pode ser realizado com o auxílio de instrumentais, como o laringoscópio rígido munido de câmera com chip, denominado videolaringoscopia, o qual proporciona a digitalização da imagem obtida, tornando o exame de videolaringoscopia uma ferramenta eficaz para diagnóstico de lesões laríngeas. O reprocessamento adequado dos endoscópios, como a laringoscopia, é imperativo para prevenir a contaminação do dispositivo, bem como os riscos posteriores de contaminação cruzada e infecção de pacientes. As bainhas endoscópicas que cobrem o laringoscópio são aconselhadas para prevenir a contaminação da ferramenta, mas podem dificultar a visualização dessa ferramenta, que é considerada mais importante na abordagem diagnóstica da doença laríngea. Considera-se que a utilização de Capa de Proteção de Câmera Intraoral descartável (CPCIO) uma barreira mecânica e, assim, possibilita impedir o contato do laringoscópio com a mucosa do paciente, de maneira que o contato ocorra apenas entre a CPCIO e os microrganismos da flora do indivíduo. O presente trabalho objetivou investigar a manutenção da qualidade da imagem em exames de videolaringoscopia tradicional, com e sem CPCIO, para a execução dos laudos dos exames de pacientes com lesões de laringe. Trata-se de estudo com delineamento transversal, de caráter quantitativo e qualitativo, e de acurácia, acerca de imagens de videolaringoscopia (VDL) com e sem CPCIO descartável. As imagens foram capturadas por videolaringoscopia rígida do tipo chip de câmera digital na ponta (chip on the tip) em ambulatório de Otorrinolaringologia do Hospital da Cruz Vermelha – Paraná Geral, em Curitiba-PR. Foram participantes da presente investigação os pacientes em atendimento no referido ambulatório que apresentavam lesão visível de cobertura mucosa de pregas vocais em videolaringoscopia e que atenderam aos critérios de inclusão e exclusão. Para avaliação da qualidade das imagens geradas foram convidados profissionais com experiência em imagens para execução de laudos diagnósticos de videolaringoscopias. As imagens foram coletadas através de videolaringoscopia tradicional com videolaringoscópio munido de câmera com chip na ponta Scott 960®. O processo se deu em duas etapas: 1) Videolaringoscopia com utilização da CPCIO, 2) Videolaringoscopia sem CPCIO. Após a obtenção das imagens, o laringoscópio foi submetido, entre um paciente e outro, a processamento e desinfecção de acordo com o Protocolo Técnico da Associação Brasileira de Otorrinolaringologia. As imagens obtidas foram distribuídas de forma randomizada e a identificação dos pacientes foi codificada. Após edição, as imagens e vídeos foram apresentados, aleatoriamente de maneira unicega, a cada profissional participante para avaliação da qualidade da imagem. Os dados obtidos a partir das respostas dos profissionais foram analisados por meio de estatística descritiva e aplicação de testes paramétricos e não-paramétricos de associação de variáveis, para relação entre a diferença nos laudos e o uso da CPD.
description The examination of the larynx is one of the steps in the otorhinolaryngological consultation, and can be performed with the aid of instruments, such as the rigid laryngoscope with the chip camera provides a scan of the obtained image, making videolaryngoscopy an effective solution for the diagnosis of laryngeal lesions. Proper reprocessing of endoscopes is imperative to prevent contamination of the device and subsequent risks of cross-contamination and infection of patients. The endoscopic sheaths that cover the laryngoscope are recommended to prevent cross-contamination, but they may hamper visualization, the most important tool in the diagnostic approach to laryngeal disease. It is believed that the use of the Disposable Intraoral Oral Protection Case (CPCIO) can act as a mechanical barrier and prevent contact of the laryngoscope with a patient's mucosa, in the manner and contact occurring only between a CPCIO and the microorganisms of the flora of the patient. The aim of this study was to investigate the maintenance of image quality in traditional videolaryngoscopy examinations, with and without a disposable intraoral camera protection cover, for the execution of the reports of patients with laryngeal lesions. This is a cross-sectional, quantitative and qualitative, and accurate, study on videolaryngoscopy (VDL) images with a disposable intraocular camera protective cap (CPCIO). The images were captured by rigid videolaryngoscopy of the type of digital camera chip on the tip (optometrist) of the Otorhinolaryngology Clinic of the Red Cross Hospital - Paraná, in Curitiba-PR. The participants of the present investigation were some patients of the clinic mentioned above who presented a visible lesion of mucous cover of vocal folds in videolaryngoscopy and who fullfield inclusion and exclusion criteria. The images were collected through videolaryngoscopy with videolaryngoscope with a chip camera on the Scott 960® tip and in two steps: 1) Videolaryngoscopy with the protective cover of the disposable intraoral camera, and 2) Videolaryngoscopy without a protection layer of the disposable intraoral camera. After obtaining the images, the laryngoscope was submitted to processing and disinfection according to the Technical Protocol of the Brazilian Association of Otorhinolaryngology between one participant and another. The images obtained were randomly distributed, and patient identification will be coded. After editing images and videos were randomly presented to each participating professional to evaluate the image quality. The data obtained from the professionals' answers are analyzed by means of descriptive statistics and the application of parametric and non-parametric variables association tests for the relationship between the difference in the reports and the use of CPD.
publishDate 2018
dc.date.accessioned.fl_str_mv 2018-11-26T15:13:24Z
dc.date.issued.fl_str_mv 2018-04-25
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
status_str publishedVersion
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dc.identifier.citation.fl_str_mv Bozo, Marlon Kleber Wutzow. Avaliação da qualidade da videolaringoscopia com capa de câmera odontológica na presença de lesões de cobertura de prega vocal. 2018. 91 f. Dissertação( Mestrado em Distúrbios da Comunicação) - Universidade Tuiuti do Paraná, Curitiba, 2018.
dc.identifier.uri.fl_str_mv http://tede.utp.br:8080/jspui/handle/tede/1607
identifier_str_mv Bozo, Marlon Kleber Wutzow. Avaliação da qualidade da videolaringoscopia com capa de câmera odontológica na presença de lesões de cobertura de prega vocal. 2018. 91 f. Dissertação( Mestrado em Distúrbios da Comunicação) - Universidade Tuiuti do Paraná, Curitiba, 2018.
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dc.publisher.none.fl_str_mv Universidade Tuiuti do Parana
dc.publisher.program.fl_str_mv Mestrado em Distúrbios da Comunicação
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dc.publisher.department.fl_str_mv Distúrbios da Comunicação
publisher.none.fl_str_mv Universidade Tuiuti do Parana
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