Nieves-Rivera Angélica, Benchetrit Liliya, Kan Krystal, Tucker Steven, Johnson Michael, Edwards Heather
Department of Otolaryngology - Head and Neck Surgery, Boston University School of Medicine, Boston Medical Center, 850 Harrison Ave, Boston, MA 02118, United States of America; Department of General Surgery, UMass Chan Medical School, 55 N Lake Ave, Worcester, MA 01655, United States of America.
Department of Otolaryngology - Head and Neck Surgery, Boston University School of Medicine, Boston Medical Center, 850 Harrison Ave, Boston, MA 02118, United States of America.
Am J Otolaryngol. 2023 Mar-Apr;44(2):103765. doi: 10.1016/j.amjoto.2022.103765. Epub 2022 Dec 23.
To assess the use of tongue base palpation during cancer screening exams by Oral Healthcare Providers (OHPs) and explore attitudes about (1) the usefulness of oral cancer screening (OCS) in detecting early, asymptomatic lesions and (2) routine OCS of the general population.
Survey study.
Private and hospital-based clinical practices of OHPs located in Massachusetts and Connecticut, United States.
An anonymous, online 9-item survey assessing beliefs and practice patterns about cancer screening exams was distributed to OHPs with practices in Massachusetts and Connecticut from August 2020 to June 2021. Data were analyzed using chi-square tests and Pearson correlations. Statistically significant levels were established at P < .050.
One hundred seventy-one responses were analyzed (response rate 17 %). Tongue base palpation was performed as part of a routine cancer screening exam by 55 % of otolaryngologists, 34 % of dentists and 29 % of OMFS (P = .030). Providers who palpated the tongue base were also more likely to use palpation as an exam technique in the tonsils (r = 0.52 [95 % CI 0.40-0.62]; P < .001) among other intra-and extra-oral anatomical subsites. Almost all dentists (92 %) and OMFS (98 %) but only 58 % of otolaryngologists considered OCS useful for detection of early, asymptomatic malignant lesions in the oral cavity (P < .001).
While tongue base palpation can detect oropharyngeal cancers in a pre-symptomatic stage, it is underutilized during routine cancer screening exams. Considering the rising incidence of oropharyngeal cancer, tongue base palpation should be established as a routine part of cancer screening by OHPs.
评估口腔医疗服务提供者（OHPs）在癌症筛查检查中进行舌根触诊的情况，并探讨他们对（1）口腔癌筛查（OCS）在检测早期无症状病变方面的有用性以及（2）对普通人群进行常规OCS的态度。
调查研究。
美国马萨诸塞州和康涅狄格州OHPs的私立和医院临床实践机构。
2020年8月至2021年6月，向马萨诸塞州和康涅狄格州有临床实践的OHPs发放了一份包含9个项目的匿名在线调查问卷，评估其对癌症筛查检查的信念和实践模式。使用卡方检验和Pearson相关性分析数据。设定统计学显著性水平为P < 0.050。
共分析了171份回复（回复率17%）。55%的耳鼻喉科医生、34%的牙医和29%的口腔颌面外科医生（OMFS）在常规癌症筛查检查中进行舌根触诊（P = 0.030）。在其他口腔内外解剖亚部位中，进行舌根触诊的提供者也更有可能在扁桃体检查中使用触诊作为检查技术（r = 0.52 [95% CI 0.40 - 0.62]；P < 0.001）。几乎所有牙医（92%）和OMFS（98%），但只有58%的耳鼻喉科医生认为OCS对检测口腔早期无症状恶性病变有用（P < 0.001）。
虽然舌根触诊可以在症状前阶段检测口咽癌，但在常规癌症筛查检查中未得到充分利用。考虑到口咽癌发病率的上升，舌根触诊应被确立为OHPs癌症筛查的常规组成部分。
