Abstract:
Introduction: The facial bones are prone to severe injuries due to high exposure and the labile nature of the bones, and they are injured in a significant proportion of trauma patients. Varying from simple, common nasal fractures to communited fractures of the face, management of such injuries can be extremely challenging due to fact that these injuries involve a highly vascular zone with proximity to the airway. In spite of being very well trained in surgeries of face and head neck area, with the exception of nasal bones, not many ENT surgeons in India perform facial bone fracture surgeries. Objective: This questionnaire-based study was planned to explore this key issue to understand as why many ENT surgeons do not perform facial trauma surgeries. Method: A cross-sectional questionnaire-based study was conducted over a period of 2 months Responses were obtained from ENT surgeons across various social groups on a Google Form-based questionnaire. The answers were collected and analysed. Result: A total of 240 valid responses were obtained. Most (56.7%) of the ENT surgeons had more than 15 years of practice. Around half (52%) of surgeons never did facial trauma surgery, and 65% of respondents replied that the main reason for their lack of involvement in facial trauma surgery was that they had no exposure to it during postgraduate training. The majority (65%) also wanted to enter this subspeciality if given a chance. Conclusion: To develop facial trauma management as a subspeciality in ENT, more and more ENT departments in medical colleges should include these surgeries as part of their training programmes.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s12070-024-04604-z.
摘要:
简介:面部骨骼由于高暴露和骨骼的不稳定性质,容易受到严重伤害,他们在很大一部分创伤患者中受伤。从简单的不同,常见的鼻骨折到面部的公共骨折,由于这些损伤涉及靠近气道的高度血管区,因此对此类损伤的管理可能极具挑战性。尽管在面部和头颈部区域的手术中接受了很好的训练,除了鼻骨,印度没有多少耳鼻喉科外科医生进行面部骨折手术。目的:这项基于问卷调查的研究旨在探讨这一关键问题,以了解为什么许多耳鼻喉科外科医生不进行面部创伤手术。方法:在2个月的时间内进行了一项基于横断面问卷的研究。通过基于GoogleForm的问卷,从不同社会群体的耳鼻喉科外科医生那里获得了回应。收集并分析了答案。结果:共获得240个有效应答。大多数(56.7%)耳鼻喉科外科医生的执业时间超过15年。大约一半(52%)的外科医生从未做过面部外伤手术,65%的受访者回答说,他们缺乏参与面部创伤手术的主要原因是他们在研究生培训期间没有接触过面部创伤手术。如果有机会,大多数(65%)也希望进入这个子专业。结论:将面部创伤管理作为耳鼻喉科的一个亚专业,越来越多的医学院耳鼻喉科应该将这些手术作为培训计划的一部分。
■在线版本包含补充材料,可在10.1007/s12070-024-04604-z获得。