CT-PNS报告中我们是否遗漏了什么?-一项有关牙齿疾病及鼻窦炎可能病因的CT扫描报告率的观察性研究。

IF 2 4区 医学 Q4 Medicine Journal of the Belgian Society of Radiology Pub Date : 2022-11-15 eCollection Date: 2022-01-01 DOI:10.5334/jbsr.2740
Siddharth Vijayakumar, Sanchanaa Sree Balakrishnan, Rajeev Pulimi
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摘要

目的:确定(i)牙齿疾病的患病率,(ii)确定可能被认为是牙源性鼻窦炎病例的比例,以及(iii)在覆盖上颌牙齿和鼻窦的CT扫描的放射学报告中,审核偶然牙齿疾病和牙源性鼻窦炎的诊断率。材料和方法:我们回顾性审核了在我们机构进行的涵盖鼻窦和上颌的CT研究的图像和报告,以记录与上颌鼻窦炎和上颌牙病有关的发现。排除创伤病例、无牙儿童患者和无上颌鼻窦炎或牙病患者。上颌鼻窦炎的病因被定义为可能牙源性鼻窦炎、不确定鼻窦炎和鼻源性鼻窦炎。只有磨牙和前磨牙疾病被认为是最常见的直接接触上颌窦底。结果:回顾了160个CT研究。龋齿患病率为80.6%,根尖周透光率为15.0%。鼻窦炎的病因可能是牙源性的占30.0%,鼻源性的占33.1%,来源不明的占36.9%。报告牙齿检查结果或提出牙源性鼻窦炎怀疑的比率为8.5% (n = 14)。结论:漏报牙病和牙源性鼻窦炎是常见的。早期识别可以提高挽救患病牙齿的机会,预防并发症并提供适当的治疗。放射学界迫切需要共同努力,以认识到报告牙齿病理的重要性,即使是在其他指征的CT扫描中也是如此。
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Are We Missing Something in the CT-PNS Report? - an Observational Study on the Rate of Reporting the Presence of Dental Disease and the Probable Etiology of Sinusitis on CT Scans.

Objectives: To (i) identify the prevalence of dental disease, (ii) identify the proportion of sinusitis cases that could be considered odontogenic in origin and, (iii) audit the rate of diagnosis of incidental dental disease and odontogenic sinusitis in radiology reports on CT scans covering the maxillary teeth and sinuses.

Materials and methods: Images and reports of CT studies performed in our institution that covered the paranasal sinuses and maxilla were retrospectively audited for documentation of findings pertaining to maxillary sinusitis and maxillary dental disease. Trauma cases, edentulous and pediatric patients and patients without maxillary sinusitis or dental disease were excluded. The etiologies of maxillary sinusitis was defined as likely odontogenic, indeterminate and rhinogenic sinusitis. Only molar and pre-molar tooth disease were considered as these are most commonly in direct contact with the floor of the maxillary sinus.

Results: One-hundred sixty CT studies were reviewed. The prevalence of dental caries and periapical lucency was 80.6% and 15.0%, respectively. The cause of sinusitis was determined to be likely odontogenic in 30.0%, rhinogenic in 33.1% and of indeterminate origin in 36.9%. The rate of reporting dental findings or raising the suspicion of odontogenic sinusitis was 8.5% (n = 14).

Conclusions: Under-reporting of dental disease and odontogenic sinusitis is common. Early recognition results in higher chances of salvaging the diseased tooth, preventing complications and providing appropriate treatment. An urgent and collective effort by the radiological fraternity is warranted to recognize the significance of reporting of dental pathologies, even in CT scans done for other indications.

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来源期刊
Journal of the Belgian Society of Radiology
Journal of the Belgian Society of Radiology Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
0.60
自引率
5.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: The purpose of the Journal of the Belgian Society of Radiology is the publication of articles dealing with diagnostic and interventional radiology, related imaging techniques, allied sciences, and continuing education.
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