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The role of structured reporting and structured operation planning in functional endoscopic sinus surgery
Benjamin Philipp Ernst1, Manuel René Reissig1, Sebastian Strieth2
1Department of Otorhinolaryngology, University Medical Center Mainz, Mainz, Rhineland-Palatinate, Germany.
Structured reporting and operation planning significantly improve preoperative computed tomography (CT) scan analysis for functional endoscopic sinus surgeries (FESS). This enhances surgical planning accuracy and potentially reduces risks for patients undergoing FESS.
Area of Science:
- Radiology and Otolaryngology
- Medical Imaging Analysis
- Surgical Planning
Background:
- Computed tomography (CT) scans are crucial for planning functional endoscopic sinus surgeries (FESS).
- Discrepancies exist between radiologists' and otolaryngologists' interpretations of CT scans.
- Residents often face challenges in CT reporting and surgical planning for FESS.
Purpose of the Study:
- To compare the completeness of structured reports (SR) and structured operation planning (SOP) against conventional reports (CR) and conventional operation planning (COP).
- To evaluate the impact of SR and SOP on preoperative CT scan interpretation for FESS.
- To enhance individual treatment decisions and potentially improve surgical outcomes in FESS.
Main Methods:
- Thirty preoperative CT scans for FESS were analyzed by radiology residents using SR and CR.
- Otolaryngology residents performed COP (free text) and SOP (template-based) on the same CT scans.
- Experienced FESS surgeons assessed the completeness of all reports and planning documents.
- User satisfaction was measured using visual analogue scales (VAS).
Main Results:
- SR significantly increased the completeness of radiology reports for surgically important structures compared to CR (84.4% vs. 22.0%, p<0.001).
- SOP significantly improved completeness for pathologies and anatomical variances versus COP (97% vs. 39.4%, p<0.001).
- Time efficiency was not significantly affected by SR implementation (148s vs. 160s, p=0.61).
- User satisfaction was significantly higher for SOP (VAS 8.1 vs. 4.1, p<0.001).
Conclusions:
- Implementing structured reporting (SR) and structured operation planning (SOP) significantly enhances the completeness of radiological reports and surgical plans for FESS.
- The combined use of SR and SOP facilitates more accurate surgical planning.
- This approach may lead to a decrease in potential risks associated with FESS.
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