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锥形束计算机断层扫描(CBCT)是耳鼻喉科实践中的一种潜在成像工具吗?:印度奥里萨邦耳鼻喉科外科医生的横断面调查。

"Is Cone Beam Computed Tomography (CBCT) a Potential Imaging Tool in ENT Practice?: A Cross-Sectional Survey Among ENT Surgeons in the State of Odisha, India.

作者信息

Lata S, Mohanty S K, Vinay S, Das Abhaya Chandra, Das Sanjib, Choudhury Priyadarshini

机构信息

Department of Conservative Dentistry and Endodontics, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2018 Mar;70(1):130-136. doi: 10.1007/s12070-017-1168-4. Epub 2017 Aug 5.

Abstract

This questioner survey aimed about awareness of the Cone Beam Computed Tomography (CBCT) machine and its various clinical applications in ENT, among the ENT surgeons in the state of Odisha. 150 questioner forms on CBCT were distributed to the all the participating ENT surgeons at a state level ENT conference, out of which the response rate was 110. The participants were asked to answer 30 multiple choice questions, which were divided into 3 parts; general information on CBCT, general approach to CBCT and practice related to CBCT. The statistical analysis of the data collected was carried out by a Chi square test to compare the means at a significance level of  < 0.05. The response rate for this study was 73%. The mean age of the participant ENT surgeons was 47.9 (±19.2). Of the study population, 71.2% (89) did not ever advice CBCT in their practice. Only 33.9% (38) of the population believed that CBCT is more beneficial in the field of ENT. Only 25% (28) knew that CBCT requires lower radiation dose than conventional CT. 28.1% (31) of population believed that the spatial orientation is better in CBCT than CT. 62.5% (69) of the population did not knew that CBCT can be used in imaging sinusitis of dental origins. 75% (83) of the population did not knew that CBCT can be used in diagnosis of obstructive sleep apnoea and visualizing airway space. Only 18.8% (21) of the study population agreed that the CBCT has the potential to replace conventional CT in ENT imaging in future. In the conclusion, this study clearly showed that the number of ENT surgeons advising CBCT imaging in their practice is very less. The knowledge about various advantages and clinical applications of CBCT had been very limited. However, through continuing medical education and conducting various seminars and workshops on CBCT, imparting chapters on CBCT, in the undergraduate and post graduate curriculum will definitely help increase the awareness on CBCT among ENT fraternity.

摘要

这项问卷调查旨在了解奥里萨邦耳鼻喉科医生对锥形束计算机断层扫描(CBCT)机及其在耳鼻喉科各种临床应用的认知情况。在一次州级耳鼻喉科会议上,向所有参与的耳鼻喉科医生分发了150份关于CBCT的问卷,其中有110份得到回复。参与者被要求回答30道多项选择题,这些题目分为三个部分:CBCT的一般信息、CBCT的一般方法以及与CBCT相关的实践。对收集到的数据进行卡方检验统计分析,以在显著性水平<0.05下比较均值。本研究的回复率为73%。参与的耳鼻喉科医生的平均年龄为47.9岁(±19.2)。在研究人群中,71.2%(89人)在其临床实践中从未建议使用CBCT。只有33.9%(38人)的人群认为CBCT在耳鼻喉科领域更有益。只有25%(28人)知道CBCT所需的辐射剂量比传统CT低。28.1%(31人)的人群认为CBCT的空间定位比CT更好。62.5%(69人)的人群不知道CBCT可用于牙源性鼻窦炎的成像。75%(83人)的人群不知道CBCT可用于阻塞性睡眠呼吸暂停的诊断和气道空间的可视化。只有18.8%(21人)的研究人群同意CBCT未来有可能在耳鼻喉科成像中取代传统CT。总之,这项研究清楚地表明,在临床实践中建议使用CBCT成像的耳鼻喉科医生数量非常少。关于CBCT各种优势和临床应用的知识非常有限。然而,通过继续医学教育、举办关于CBCT的各种研讨会和讲习班,以及在本科和研究生课程中讲授CBCT章节,肯定有助于提高耳鼻喉科同仁对CBCT的认识。

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