CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2022; 26(02): e289
DOI: 10.1055/s-0042-1744526
Letter to the Editor

Smartphone, Vestibular Hypofunction, Teleconsultation and COVID-19 Pandemic

1   Private Academic Consultant, Bangkok Thailand
2   Honorary professor, Dr DY Patil University, Pune, India
› Institutsangaben

Dear editor, we would like to share ideas on “The Role of the Smartphone in the Diagnosis of Vestibular Hypofunction: A Clinical Strategy for Teleconsultation during the COVID-19 Pandemic and Beyond.[1]”. Barreto et al. concluded that “The creation of a digital vestibular management algorithm for the identification, counseling, … during the COVID-19 pandemic and beyond. [1].” During pandemic, alternative telecare service is useful but there is a necessity for training and selection of subjects for telecare. Indeed, using telemonitoring tool might be possible in case of high educated people, but it might not be possible for the poor and low educated patients. Basically, availability of communication network and affordability to telecommunication are main factors to support a good telehealth care.[2] Additionally, since the telecare usually takes time, it might not applicable for service a lot of cases.[3] Additionally, it requires a safety system for patient identification for prevention of possible medical error. Finally, using of telecommunication might be associated with some unwanted health effects. Non-standard tool might cause eye problem and there is a report that telemedicine users are prone to have increased seizure rate.[4]


Eingereicht: 15. November 2021

Angenommen: 27. Januar 2022

Artikel online veröffentlicht:
20. Mai 2022

© 2022. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil