Sidebottom A J, Lord T C
Regional Maxillofacial Unit, Fazakerley Hospital, Liverpool, UK.
Int J Oral Maxillofac Surg. 1998 Oct;27(5):356-7. doi: 10.1016/s0901-5027(98)80064-7.
Sidebottom et al. have previously shown that one occipitomental 15 degrees view (OM15) is sufficient for screening the majority of cases of midfacial injury. This audit study investigates the effect of introducing a one-view OM15 screening policy into the Accident & Emergency department (A&E) of a district general hospital. Six hundred and twenty-one patients had midfacial radiographic screening over a one-year period. Six hundred and one patients had all notes and radiographs available. Only eight required further views to confirm diagnosis. Thirty-eight fractures were diagnosed with two insignificant fractures of the antral wall missed. The cost saving was Pound Sterling 2082.50 for films alone. Eighty hours of radiographer time were additionally saved. There was no increase in referrals to the maxillofacial team. Single-view radiographic screening for midfacial injuries in A&E attenders is both safe and economical. Extrapolated to the UK population as a whole this would amount to a cost saving to the National Health Service of Pound Sterling 500000.
赛德博特姆等人此前已表明，一张枕颏15度视图（OM15）足以筛查大多数面中部损伤病例。这项审计研究调查了在一家区综合医院的急诊科引入单视图OM15筛查政策的效果。在一年时间里，有621名患者接受了面中部影像学筛查。601名患者的所有病历和X光片都可用。只有8名患者需要进一步的视图来确诊。共诊断出38处骨折，漏诊了2处无明显意义的窦壁骨折。仅胶片费用就节省了2082.50英镑。此外还节省了放射技师80小时的时间。转介到颌面外科团队的病例没有增加。对急诊科就诊患者进行单视图影像学筛查面中部损伤既安全又经济。推算到整个英国人口，这将为国民医疗服务体系节省50万英镑。
