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评估耳鼻喉科医生对牙科创伤管理的知识和态度。

Assessment of the knowledge and attitudes about the management of dental trauma among ear, nose and throat physicians.

机构信息

Faculty of Dentistry, Department of Pedodontics, Istanbul Medipol University, Fatih, 34083, Istanbul, Turkey.

Department of Otorhinolaryngology, Health Sciences University, Haseki Training and Research Hospital, Istanbul, Turkey.

出版信息

Eur Arch Otorhinolaryngol. 2021 Dec;278(12):5069-5075. doi: 10.1007/s00405-021-06880-9. Epub 2021 May 16.

DOI:10.1007/s00405-021-06880-9
PMID:33993345
Abstract

PURPOSE

Ear, nose and throat physicians (ENTp) encounter dental trauma (DT) when patients refer to the emergency department, as well as during operations such as tonsillectomy and suspension laryngoscopy. This study aimed to investigate the attitudes and knowledge of ENTp about managing DT, and motivation for further education.

METHODS

This study was a cross-sectional observational survey on a sample of ENTp from 15 different private/public hospitals. A questionnaire of 22 questions was divided into three parts: the level of professional experience and the frequency of encountering DT; specific questions on the management of DT; self-assessment of educational approach and level of knowledge regarding DT.

RESULTS

A total of 128 surveys were accomplished and included in the evaluation. A larger percentage (96.9%) of the participants have experienced at least one case in the practice, and one-third (31.3%) have encountered more than ten DT cases. Although the duration of experience significantly affected the total number of correct responses to knowledge and attitudes regarding DT questions (p:0.028), more than half of the participants (44.38%) responded incorrectly to the questions. The majority of participants (97.7%) stated that they had no education on DT, and 90.6% were willing to receive DT training.

CONCLUSIONS

The results of this study emphasize the deficiency of ENTp' knowledge level about the management of DT. In addition, results demonstrated the enthusiasm of ENTp for further training, which can contribute to the requirement of education for providing appropriate management of DT cases.

摘要

目的

耳鼻喉科医师(ENTp)在患者就诊急诊部门时以及在扁桃体切除术和悬雍垂喉镜检查等手术中会遇到牙科外伤(DT)。本研究旨在调查 ENTp 管理 DT 的态度和知识水平,以及进一步接受教育的动机。

方法

这是一项针对来自 15 家不同私人/公立医院的 ENTp 样本的横断面观察性调查。问卷由 22 个问题组成,分为三个部分:专业经验水平和遇到 DT 的频率;DT 管理的具体问题;自我评估 DT 教育方法和知识水平。

结果

共完成并纳入评估 128 份调查。较大比例(96.9%)的参与者在实践中至少遇到过一例,三分之一(31.3%)遇到过超过十例 DT 病例。尽管经验持续时间显著影响 DT 问题的知识和态度的总正确回答数(p:0.028),但超过一半的参与者(44.38%)对问题的回答不正确。大多数参与者(97.7%)表示他们没有接受过 DT 教育,90.6%愿意接受 DT 培训。

结论

本研究的结果强调了 ENTp 对 DT 管理知识水平的不足。此外,结果表明 ENTp 对进一步培训的积极性很高,这有助于为提供适当的 DT 病例管理而对教育的要求。

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本文引用的文献

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International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations.国际牙外伤学会牙外伤处理指南:1. 骨折与牙脱位。
Dent Traumatol. 2020 Aug;36(4):314-330. doi: 10.1111/edt.12578. Epub 2020 Jul 17.
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国际牙外伤学会牙外伤管理指南:3. 乳牙列损伤
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Knowledge about emergency procedure in case of dental trauma among paediatricians in Croatia.克罗地亚儿科医生对牙科外伤急救程序的认知。
Eur J Paediatr Dent. 2018 Dec;19(4):277-281. doi: 10.23804/ejpd.2018.19.04.5.
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Dent Traumatol. 2019 Feb;35(1):20-26. doi: 10.1111/edt.12440. Epub 2018 Nov 12.
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Tonsillotomy versus tonsillectomy in adults suffering from tonsil-related afflictions: a systematic review.扁桃体切除术与扁桃体剥离术治疗成人扁桃体相关疾病的系统评价
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Massachusetts emergency departments' resources and physicians' knowledge of management of traumatic dental injuries.马萨诸塞州急诊部门的资源和医生对创伤性牙损伤处理的知识。
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