Gen Dent. 2024 Sep-Oct;72(5):70-77.
Cone beam computed tomography (CBCT) frequently captures unexpected structural abnormalities unrelated to the original intent of the diagnostic test. Once identified by dentists, these findings often require appropriate clinical referral for further investigation. This study reviewed recent literature using a comprehensive search to identify and curate common CBCT incidental findings (IFs). Studies were included if they reported CBCT IFs and included more than 10 cases. The review included 16 primary studies in addition to 4 studies described in recent relevant systematic reviews. A total of 51 descriptive terms used to describe key IFs across studies were identified, and terms were organized semantically into 15 core finding categories. Recommendations for management and referral acuity were derived from otolaryngologic clinical practice guidelines and input from practicing otolaryngologists, and the results were integrated into a clinical management algorithm for acuity of referral. This comprehensive review offers practical recommendations to facilitate appropriate clinical management of CBCT IFs via otolaryngologic referral.
锥形束计算机断层扫描（CBCT）经常会捕获与诊断测试最初目的无关的意外结构异常。一旦被牙医发现，这些发现通常需要进行适当的临床转诊以进一步检查。本研究使用全面搜索回顾了最近的文献，以确定和整理常见的 CBCT 偶然发现（IFs）。如果研究报告了 CBCT IFs 并且包含超过 10 个病例，则将其包括在内。该综述包括 16 项主要研究，以及最近相关系统评价中描述的 4 项研究。总共确定了 51 个用于描述研究中关键 IFs 的描述性术语，并根据语义将术语组织成 15 个核心发现类别。管理和转诊紧迫性的建议来自耳鼻喉科临床实践指南和耳鼻喉科医生的意见，并将结果整合到转诊紧迫性的临床管理算法中。这项全面的综述为通过耳鼻喉科转诊来促进 CBCT IFs 的适当临床管理提供了实用建议。
