Developing a Checklist-Based Radiology Reporting Framework for Maxillofacial Trauma: A Multispecialty Delphi Study

Area of Science:

• Radiology
• Medical Imaging
• Trauma Surgery

Background:

• Computed tomography (CT) is essential for diagnosing maxillofacial trauma.
• Variability in radiology report structure and terminology hinders effective communication and optimal patient care.

Purpose of the Study:

• To compare subspecialty perspectives on maxillofacial trauma reporting.
• To achieve expert consensus on essential elements for a standardized CT reporting protocol.

Main Methods:

• A Delphi process involving 13 national experts over two survey rounds.
• Evaluated reporting practices for fracture subsites and terminology.
• Assessed the utility of a checklist-based reporting template.

Main Results:

• Consensus (≥75% agreement) was reached on reporting elements for common fracture patterns (e.g., zygomaticomaxillary complex, naso-orbito-ethmoid, Le Fort).
• Areas lacking consensus included routine use of structured templates and reporting of inferred findings like extraocular muscle entrapment.

Conclusions:

• A multispecialty, consensus-derived framework was developed to standardize CT reporting for maxillofacial trauma.
• This framework aims to improve clarity and consistency in radiological assessments of facial injuries.