Reliquet Benjamin, Folia Mireille, Elhomsy Paul, Aho-Ludwig Serge, Guigou Caroline
Department of Otolaryngology-Head and Neck Surgery, Dijon University Hospital, 21000 Dijon, France.
Anesthesiology and Critical Care Department, Dijon University Hospital, 21000 Dijon, France.
J Clin Med. 2024 Sep 23;13(18):5651. doi: 10.3390/jcm13185651.
: This study aimed to characterize the information delivery during preoperative consultations for cholesteatoma removal surgery in 2024. The secondary objective was to identify any factors influencing the information delivered. : This study was a practice survey which included 33 closed-ended questions and 1 open-ended question. Seven questions concerned the participants' characteristics and 2 questions concerned the physiopathology of cholesteatoma. Nine questions focused on surgical information, six questions focused on the procedure modalities and ten questions focused on the risks of complications from the intervention. : Eighty-two surgeons answered the survey. In 75% of the cases, an information form written by a professional society was provided. The risk of recurrence or residual post-operative cholesteatoma was systematically stated in 78% of cases (n = 64), while the risk of aesthetic sequelae was only stated in 1% (n = 1). Participants working in a university hospital were more likely to inform patients about the risks of vertigo ( = 0.04), aesthetic risks ( = 0.04), poor functional outcomes ( = 0.04), surgical revision ( = 0.05) and the risk of peripheral facial paralysis ( = 0.05). Surgeons who mainly practiced otology were more likely to inform patients about the risks of recurrence and/or residual cholesteatoma ( = 0.02) and taste disturbances ( = 0.02). : Cholesteatoma surgery was well explained to patients during the preoperative consultation, mostly with written support, even if the information given was not the same for all complication risks. It could be useful to create an information form dedicated to cholesteatoma surgery to improve comprehensive information and maintain a trustworthy relationship with patients.
本研究旨在描述2024年胆脂瘤切除术前咨询期间的信息传递情况。次要目标是确定影响所传递信息的任何因素。本研究是一项实践调查,包括33个封闭式问题和1个开放式问题。7个问题涉及参与者的特征,2个问题涉及胆脂瘤的生理病理学。9个问题聚焦于手术信息,6个问题聚焦于手术方式,10个问题聚焦于干预并发症的风险。82名外科医生回答了该调查。在75%的病例中,提供了由专业协会编写的信息表。78%的病例(n = 64)系统地说明了术后胆脂瘤复发或残留的风险,而美容后遗症的风险仅在1%的病例(n = 1)中提及。在大学医院工作的参与者更有可能告知患者眩晕风险(P = 0.04)、美容风险(P = 0.04)、功能预后不良(P = 0.04)、手术翻修(P = 0.05)和周围性面瘫风险(P = 0.05)。主要从事耳科手术的外科医生更有可能告知患者复发和/或残留胆脂瘤风险(P = 0.02)以及味觉障碍风险(P = 0.02)。在术前咨询期间,向患者很好地解释了胆脂瘤手术,大多有书面材料支持,即使对于所有并发症风险所提供的信息并不相同。创建一份专门针对胆脂瘤手术的信息表可能有助于改善全面信息,并与患者保持可信赖的关系。