Systematic method for initial rapid analysis of maxillofacial computed tomography scans for surgeons in training

Area of Science:

• Medical Imaging
• Surgical Anatomy
• Radiology

Background:

• Maxillofacial computed tomography (CT) interpretation is crucial for facial surgeons.
• A standardized surgical approach for reading maxillofacial CT scans is currently lacking in medical literature.
• Training new surgeons in maxillofacial CT analysis presents a significant educational challenge.

Purpose of the Study:

• To introduce a novel, systematic method for the rapid analysis of maxillofacial CT scans from a surgeon's perspective.
• To provide a conceptually simple and applicable approach for surgical trainees.
• To address the educational gap in maxillofacial CT interpretation for early-career surgeons.

Main Methods:

• A composite of common elements and decision points from over 250 face trauma consults was created.
• A conceptual sketch of the skull-face-mandible and a standardized clinical data list were developed.
• Surgical residents were trained using the systematic approach, including sketching identified injuries, followed by a utility survey.

Main Results:

• 100% of surveyed residents found the new technique made reading facial CT easier.
• 100% of residents reported the method was easy to teach to junior colleagues.
• 86% of residents indicated the analysis of facial CT was easier and improved their surgical decision-making.

Conclusions:

• A systematic methodology for surgeons to evaluate maxillofacial CT scans has been presented.
• This represents the first published account of a surgeon-specific methodology for maxillofacial CT analysis.
• The presented method offers a valuable tool for surgical training and practice in interpreting facial CT scans.