Mishra Prasun, Dixit Shivani, Ray Kiran, Raj Ankit, Maskara Somya
Department of ENT, Bharati Vidyapeeth Medical College, Pune, India.
Indian J Otolaryngol Head Neck Surg. 2024 Aug;76(4):3071-3074. doi: 10.1007/s12070-024-04604-z. Epub 2024 Mar 19.
Introduction: The facial bones are prone to severe injuries due to high exposure and the labile nature of the bones, and they are injured in a significant proportion of trauma patients. Varying from simple, common nasal fractures to communited fractures of the face, management of such injuries can be extremely challenging due to fact that these injuries involve a highly vascular zone with proximity to the airway. In spite of being very well trained in surgeries of face and head neck area, with the exception of nasal bones, not many ENT surgeons in India perform facial bone fracture surgeries. Objective: This questionnaire-based study was planned to explore this key issue to understand as why many ENT surgeons do not perform facial trauma surgeries. Method: A cross-sectional questionnaire-based study was conducted over a period of 2 months Responses were obtained from ENT surgeons across various social groups on a Google Form-based questionnaire. The answers were collected and analysed. Result: A total of 240 valid responses were obtained. Most (56.7%) of the ENT surgeons had more than 15 years of practice. Around half (52%) of surgeons never did facial trauma surgery, and 65% of respondents replied that the main reason for their lack of involvement in facial trauma surgery was that they had no exposure to it during postgraduate training. The majority (65%) also wanted to enter this subspeciality if given a chance. Conclusion: To develop facial trauma management as a subspeciality in ENT, more and more ENT departments in medical colleges should include these surgeries as part of their training programmes.
The online version contains supplementary material available at 10.1007/s12070-024-04604-z.
引言：由于面部骨骼暴露程度高且质地脆弱，面部骨骼容易受到严重损伤，在相当一部分创伤患者中都会受伤。从简单常见的鼻骨骨折到面部粉碎性骨折，此类损伤的处理极具挑战性，因为这些损伤涉及一个血管丰富且靠近气道的区域。尽管印度的耳鼻喉科医生在面部和头颈区域手术方面接受了良好的培训，但除鼻骨外，很少有耳鼻喉科医生进行面部骨折手术。目的：本基于问卷调查的研究旨在探讨这一关键问题，以了解为何许多耳鼻喉科医生不进行面部创伤手术。方法：在两个月的时间内进行了一项基于问卷调查的横断面研究。通过基于谷歌表单的问卷，从不同社会群体的耳鼻喉科医生那里获得了回复。对答案进行了收集和分析。结果：共获得240份有效回复。大多数（56.7%）耳鼻喉科医生有超过15年的从业经验。约一半（52%）的外科医生从未做过面部创伤手术，65%的受访者表示他们不参与面部创伤手术的主要原因是在研究生培训期间没有接触过此类手术。大多数（65%）人也表示如果有机会，他们愿意进入这个亚专业领域。结论：为了将面部创伤管理发展成为耳鼻喉科的一个亚专业，医学院越来越多的耳鼻喉科科室应将这些手术纳入其培训计划。
在线版本包含可在10.1007/s12070-024-04604-z获取的补充材料。
