“Is Cone Beam Computed Tomography (CBCT) a Potential Imaging Tool in ENT Practice?: A Cross-Sectional Survey Among ENT Surgeons in the State of Odisha, India

  • S. Lata
  • S. K. Mohanty
  • S. Vinay
  • Abhaya Chandra Das
  • Sanjib Das
  • Priyadarshini Choudhury
Original Article
  • 17 Downloads

Abstract

This questioner survey aimed about awareness of the Cone Beam Computed Tomography (CBCT) machine and its various clinical applications in ENT, among the ENT surgeons in the state of Odisha. 150 questioner forms on CBCT were distributed to the all the participating ENT surgeons at a state level ENT conference, out of which the response rate was 110. The participants were asked to answer 30 multiple choice questions, which were divided into 3 parts; general information on CBCT, general approach to CBCT and practice related to CBCT. The statistical analysis of the data collected was carried out by a Chi square test to compare the means at a significance level of P < 0.05. The response rate for this study was 73%. The mean age of the participant ENT surgeons was 47.9 (±19.2). Of the study population, 71.2% (89) did not ever advice CBCT in their practice. Only 33.9% (38) of the population believed that CBCT is more beneficial in the field of ENT. Only 25% (28) knew that CBCT requires lower radiation dose than conventional CT. 28.1% (31) of population believed that the spatial orientation is better in CBCT than CT. 62.5% (69) of the population did not knew that CBCT can be used in imaging sinusitis of dental origins. 75% (83) of the population did not knew that CBCT can be used in diagnosis of obstructive sleep apnoea and visualizing airway space. Only 18.8% (21) of the study population agreed that the CBCT has the potential to replace conventional CT in ENT imaging in future. In the conclusion, this study clearly showed that the number of ENT surgeons advising CBCT imaging in their practice is very less. The knowledge about various advantages and clinical applications of CBCT had been very limited. However, through continuing medical education and conducting various seminars and workshops on CBCT, imparting chapters on CBCT, in the undergraduate and post graduate curriculum will definitely help increase the awareness on CBCT among ENT fraternity.

Keywords

CBCT in ENT CT 3D imaging CBCT in dentistry 

Supplementary material

12070_2017_1168_MOESM1_ESM.docx (15 kb)
Supplementary material 1 (DOCX 14 kb)

References

  1. 1.
    Jacobs R (2011) Dental cone beam CT and its justified use in oral health care. JBR-BTR 94(5):254–265PubMedGoogle Scholar
  2. 2.
    Scarfe WC, Farman AG (2016) Cone beam computed tomography:Volume acquisition. In: White SC, Pharaoh MJ (eds) Oral radiology principles and interpretations. First south Asia edition. Elsevier, New DelhiGoogle Scholar
  3. 3.
    Soumalainen A (2010) Cone beam radiology in oral radiology. Academic dissertation, HelsinkyGoogle Scholar
  4. 4.
    Quereshy FA, Savell TA, Palomo JM (2008) Application s of cone beam tomography in the practice of oral and maxillofacial surgery. J Oral and Maxillofac Surg 66(4):791–796CrossRefGoogle Scholar
  5. 5.
    De Vos W, Casselman J, Swennen GR (2009) Cone beam computerised tomography (CBCT) imaging of oral and maxillofacial region: a systemic review of literature. Int J Oral Maxillofac Surg 38(6):609–625CrossRefPubMedGoogle Scholar
  6. 6.
    Buket A, Kamburoglu K (2014) Use of cone beam tomography in periodontology. World J Radiol 6(5):139–147CrossRefGoogle Scholar
  7. 7.
    EC, European Commission (2012) Radiation protection no. 172: Evidence based guidelines on cone beam CT for dental and maxillo- facial radiology. Luxembourg: Office for Official Publications of the European Communities. http://ec.europa.eu/energy/ nuclear/radiation_protection/doc/publication/172.pdf. Accessed 19 Sept 2014
  8. 8.
    Chennupati SK, Woodwoth BA, Palmer JN et al (2008) Intraopertive IGS/CT updates for complex endoscopic frontal sinus surgery. ORL J Otorhinolaryngol Relat Spec 70:268–270CrossRefPubMedGoogle Scholar
  9. 9.
    Zoumalan RA, Lebowitz RA, Wang E et al (2009) Flat panel cone beam computed tomography of the sinuses. Otolaryngol Head Neck Surg 140:841–844CrossRefPubMedGoogle Scholar
  10. 10.
    Miracle AC, Mukherji BK (2009) Cone beam CT of head and neck part 2: clinical application. Am J Neuro Radiol 30:1285–1292CrossRefGoogle Scholar
  11. 11.
    Pohlenz P, Blessman M, Blake F et al (2007) Clinical indication and perspectives of intraoperative cone beam computed tomography in oral and maxillofacial surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103:412–417CrossRefPubMedGoogle Scholar
  12. 12.
    Hussain AM, Pakota G, Major PW et al (2008) Role of different modality in tempermandibular joint erosions and osteophytes: a systematic review. Dentomaxillofac Radiol 37:63–71CrossRefPubMedGoogle Scholar
  13. 13.
    Gagey N, Ambrosini P (2010) Traumatologie dento-maxillo-faciale place de l imagerie cone beam. In: Hodez C, Bravetti P (eds) Imagerie dento- maxilla- faciale par faisceau conique cone beam. Montpallier, Sauramps MedicalGoogle Scholar
  14. 14.
    Reiland M, Schultz D, Blake F et al (2005) Intraoperative imaging of zygomaticomaxillary complex fractures using a 3D C-arm system. Int J Oral Maxillofac Surg 34:369–375CrossRefGoogle Scholar
  15. 15.
    Dahmani causse M, Marx M, Deguine O, Frassey B (2011) Morphologic examination of temporal bone by cone beam computed tomography: comparison with multislice helical computed tomography. Eur Ann Otolaryng Head Neck Des 128:230–235CrossRefGoogle Scholar
  16. 16.
    Miracle AC, Mukherji BK (2009) cone beam CT of head and neck part 2; clinical application. Am J Neuroradiol 30:1285–1292CrossRefPubMedGoogle Scholar
  17. 17.
    Dalchow CV, Weber AL, Bien S et al (2006) Value of digital volume tomography in patients with conductive hearing loss. Eur Arch Otorhinolaryngol 263:92–99CrossRefPubMedGoogle Scholar
  18. 18.
    Ei AS, EI H, Palomo JM, Baur DA (2011) A 3 dimensional airway analysis of an obstructive sleep apnoea surgical correction with cone beam computed tomography. J Oral Maxillofac Surg 69:2424–2436CrossRefGoogle Scholar
  19. 19.
    Guijarro-Martinez R, Swennen GRJ (2011) Cone beam computerised tomography imaging and analysis of upper airway; a systematic review of the literature. J Oral Maxillofac Surg 40(11):1227–1237CrossRefGoogle Scholar
  20. 20.
    Aboudara C, Nielson IB, Huang JC, Maki K, Miller AJ, Hatcher D (2009) Comparison of airway space with conventional lateral head films and 3 dimensional reconstruction from cone beam computed tomography. Am J Orthod Dentofacial Orthop 135(4):468–479CrossRefPubMedGoogle Scholar
  21. 21.
    Yoshihara M, Terajima M, Yanagita N, Hyakutake H, Kanomi R, Kitahara T, Takahashi (2012) Three dimensional analysis of the pharyngeal airway morphology in growing Japanese girls with or without cleft lip and palate. Am J Orthod Dentofacial Orthop 141:S12–S101CrossRefGoogle Scholar
  22. 22.
    Li B, Long X, Cheng Y, Wang S (2011) Cone beam CT sialography of stafne bone cavity. Dentomaxillofac Radiol 40:519–523CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Dresiedler T, Ritter L, Rothanmel D, Naugebauer J, Naugebauer J, Naugebauer J, Scheer M, Mischkowski RA (2010) Salivary calculus diagnosis with 3 dimensional cone beam tomography. Oral Maxillofacial Radiol 110:94–100Google Scholar

Copyright information

© Association of Otolaryngologists of India 2017

Authors and Affiliations

  • S. Lata
    • 1
  • S. K. Mohanty
    • 1
  • S. Vinay
    • 1
  • Abhaya Chandra Das
    • 1
  • Sanjib Das
    • 1
  • Priyadarshini Choudhury
    • 1
  1. 1.Department of Conservative Dentistry and Endodontics, Kalinga Institute of Dental SciencesKIIT UniversityBhubaneswarIndia

Personalised recommendations