Are We Overlooking Vascular Anomalies in Oral and Maxillofacial Surgical Training?

Abstract

Purpose: Treating vascular anomalies (VAs) in the head and neck is challenging for resident physicians due to evolving educational approaches. This survey assessed oral and maxillofacial surgery (OMFS) residents' exposure, education, and comfort in managing patients with VAs.

Methods: The Boston Children's Hospital Vascular Anomalies Center distributed a 15-question survey to 108 program/fellowship directors and 633 OMFS residents in the U.S. The survey included questions on demographics, education, exposure, VA management, and the role of oral health professionals. It was sent on 5/10/2022, with a reminder on 5/17/2022. Statistical significance set at p < 0.05.

Results: Of 633 residents contacted, 98 (15.5%) responded, with 91 (14.4%) completing the survey. Among them, 57.1% were in dual degree programs, and 42.9% in single degree programs. Over half (56%) had no experience with VA care teams, and 35.2% lacked specific VA education. Only 23.1% trained at facilities with interdisciplinary VA clinics. While 67% had VA case exposure, 33% felt unconfident in treating head and neck vascular lesions or managing oral health for VA patients.

Conclusion: The study highlights limited exposure and education on VAs among OMFS residents, underscoring the need to include VAs in the OMFS curriculum and expand interdisciplinary VA clinics in OMFS programs.