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Comparing electronic recording with a diagrammatic template versus traditional handwritten recording of tympanomastoid procedures: third audit cycle of 95 cases

  • S Fang (a1), A Habeeb (a1), P Gluckman (a1) and R Kanegoankar (a1)
Abstract Background:

The middle ear and mastoid are complex three-dimensional structures and therefore tympanomastoid procedures require detailed documentation. Traditional written accounts can be inaccurate and difficult to interpret.


This audit of 95 patients compares the completion of essential operative details using: an all-electronic version of a standardised proforma with a diagrammatic template, a non-electronic version with a diagrammatic template, and a traditional handwritten template.


The electronic template resulted in 81 per cent of essential operative items being recorded, compared to 78 per cent (p = 0.3) with a previous non-electronic template and 50 per cent (p = 0.0004) when using simple handwritten recording.


An electronic proforma with a diagrammatic template improves the documentation and interpretation of tympanomastoid procedures compared to traditional handwritten records.

Corresponding author
Address for correspondence: Mr Sean Fang, ENT Department, Medway Maritime Hospital, Windmill Rd, Gillingham ME7 5NY, UK E-mail:
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1 Yung M, Gjuric M, Haeusler R, Van de Heyning PH, Martin C, Swan IR et al. An international otology database. Otol Neurotol 2005;26:1087–92
2 Kum F, Kanegaonkar R. Comparing diagrammatic recording versus traditional written account of tympanomastoid procedures: completion of a second audit cycle of 25 cases: our experience. Clin Otolaryngol 2015;40:266–9
3 Maskell S, Chong D, Gluckman P, Kanegoankar R. Comparison of diagrammatic recording versus traditional written account of tympanomastoid procedures. The Otorhinolaryngologist 2011;3:102–3
4 Wasson J, Kanegaonkar R, Vaz F, Thomas J. How we do it: diagrammatic recording of tympanomastoid procedures. Clin Otolaryngol 2006;31:543–5
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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