Department of Otolaryngology, Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153, USA.
Department of Public Health Services, Henry Ford Health System, One Ford Place, Detroit, MI 48202, USA.
Am J Otolaryngol. 2020 Nov-Dec;41(6):102635. doi: 10.1016/j.amjoto.2020.102635. Epub 2020 Jul 4.
Odontogenic sinusitis is underrepresented in sinusitis literature as well as in the otolaryngology teaching curriculum sponsored by the American Academy of Otolaryngology-Head and Neck Surgery. Otolaryngologists and residents in training may therefore have a decreased awareness of the condition. The objective of this study was to survey otolaryngology chief residents toward the ends of their training to determine how often they considered odontogenic sinusitis as a cause of unilateral sinus disease.
An online REDCap survey was conducted from December 2018 to January 2019. Online surveys were emailed to 119 Otolaryngology residency program directors in the United States of America, which were then forwarded to their chief residents. Surveys included 3 demographic and 4 clinical questions. Clinical questions included 3 computed tomography-based questions requiring either differential diagnoses or most likely diagnosis, and 1 question on residents' perceived prevalence of odontogenic sinusitis as a cause of unilateral sinus opacification. Answer choices were tabulated and compared based on geographic region and post-residency career plans.
Of 293 chief residents emailed, 94 completed the survey (32.1%). While answer choices on imaging-based questions varied, odontogenic sinusitis was generally underrecognized. Approximately 70% of residents felt odontogenic sinusitis represented 0%-40% of unilateral sinus opacification. There were no statistically significant differences in answers based on geographic distribution or post-residency career plans.
Otolaryngology chief residents recognized odontogenic sinusitis with variable accuracy on imaging, and generally underestimated its prevalence as a cause of unilateral sinus opacification. Efforts should be made to teach otolaryngology residents about odontogenic sinusitis.
牙源性鼻窦炎在鼻窦炎文献中以及美国耳鼻喉科学会-头颈外科学会赞助的耳鼻喉科学教学课程中都没有得到充分体现。因此，耳鼻喉科医生和受训住院医师可能对这种情况的认识有所下降。本研究的目的是调查耳鼻喉科住院医师培训结束时对牙源性鼻窦炎的认识，以确定他们认为牙源性鼻窦炎是单侧鼻窦疾病的原因的频率。
2018 年 12 月至 2019 年 1 月进行了在线 REDCap 调查。向美国 119 个耳鼻喉科住院医师培训计划主任发送了在线调查，然后由他们转发给他们的住院医师。调查包括 3 个人口统计学和 4 个临床问题。临床问题包括 3 个基于计算机断层扫描的问题，需要进行鉴别诊断或最可能的诊断，以及一个关于住院医师认为牙源性鼻窦炎是单侧鼻窦混浊的原因的流行程度的问题。根据地理位置和毕业后职业规划对答案进行了制表和比较。
在发送电子邮件的 293 名住院医师中，有 94 名完成了调查（32.1%）。虽然基于影像学的问题的答案各不相同，但牙源性鼻窦炎普遍被低估。大约 70%的住院医师认为牙源性鼻窦炎占单侧鼻窦混浊的 0%-40%。答案基于地理位置分布或毕业后职业规划没有统计学上的显著差异。
耳鼻喉科住院医师在影像学上对牙源性鼻窦炎的认识存在不同程度的准确性，普遍低估了其作为单侧鼻窦混浊原因的流行程度。应努力向耳鼻喉科住院医师教授牙源性鼻窦炎。
