在鼻腔计算机断层扫描报告中经常被忽视的牙科发现
Annina Wuokko-Landén1, Hanna Välimaa1,2, Karin Blomgren3
1Department of Oral and Maxillofacial Diseases, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
对于鼻炎患者的放射学报告经常错过牙病理学. 在计算机断层扫描 (CT) 和束计算机断层扫描 (CBCT) 中对大牙进行结构化审查对于准确的牙性鼻炎诊断至关重要.
科学领域:
- 放射学 放射学是一门学科.
- 牙科 牙科是指牙科的专业.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 计算机断层扫描 (CT) 和圆束计算机断层扫描 (CBCT) 是鼻炎的主要成像工具.
- 这些成像报告经常缺乏详细的牙科发现,影响了牙性鼻炎 (OS) 诊断.
- 对大牙的评估对于理解OS病因至关重要.
研究的目的:
- 评估CT/CBCT中大牙的初始解释,对鼻炎患者的报道.
- 为了确定这些报告中经常被忽视的特定牙科发现.
- 强调需要在鼻炎成像中改善牙科病理报告的必要性.
主要方法:
- 对300名鼻炎患者CT/CBCT扫描和放射学报告的分析.
- 专注于在报告中识别和评估牙科发现.
- 经验丰富的口腔和面放射科医生对扫描进行重新评估,并使用麦克内马尔测试与原始报告进行比较.
主要成果:
- 只有77.7%的原始报告提到大牙.
- "没有牙顶牙周炎"是最常见的陈述 (42.0%).
- 上牙周炎和严重的膜骨损失显著低于报告 (p < 0.001),重新评估分别在22名和16名患者中确定了这些病例.
结论:
- 对于鼻炎患者的CT/CBCT报告中,牙科病理始终未得到报告.
- 对大牙的例行,结构化的放射检查是必要的,以准确的OS诊断.
- 在这些放射性评估中,对大牙的全面检查应该是标准的做法.
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