Sabrina De Stefano1, Matteo Cavara2, Matteo Goldoni3, Giulia Donati2, Enrico Pasanisi2, Filippo Di Lella2. 1. Otorhinolaryngology and Otoneurosurgery Department, University Hospital of Parma, via A. Gramsci 14, 43126, Parma, Italy. sbrndestefano@gmail.com. 2. Otorhinolaryngology and Otoneurosurgery Department, University Hospital of Parma, via A. Gramsci 14, 43126, Parma, Italy. 3. Department of Medicine and Surgery, University of Parma, via A. Gramsci 14, 43126, Parma, Italy.
Abstract
PURPOSE: Aim of the study was to evaluate if the introduction of the imaging checklist TeSLANO would improve the identification of crucial anatomical findings from temporal bone computed tomography (TBCT) scans among a cohort of Otolaryngology residents. STUDY DESIGN: Single-blinded prospective cohort study. SETTING: Tertiary care university hospital and referral center for otology and skull base surgery. METHODS: The cohort was composed by eight Otorhinolaryngology residents (four junior and four senior) that were individually asked to identify all relevant anatomic findings from preoperative TBCT scans. Supervising surgeon showed to each resident four TBCT scans before and four after the introduction of a systematic checklist evaluation system based on the TeSLANO acronym. Statistical analysis was performed using McNemar's test and results were considered significant with a P value < 0.05. RESULTS: Introduction of the checklist improved global identification of critical anatomical structures from 48.75 to 89.17% (P < 0.05). The postimplementation identification percentage improved for both the senior and junior groups (P < 0.05). CONCLUSIONS: The imaging checklist TeSLANO allows a systematic approach to review TBCT scans and significantly improves identification of critical anatomical structures in Otorhinolaryngology residents.
PURPOSE: Aim of the study was to evaluate if the introduction of the imaging checklist TeSLANO would improve the identification of crucial anatomical findings from temporal bone computed tomography (TBCT) scans among a cohort of Otolaryngology residents. STUDY DESIGN: Single-blinded prospective cohort study. SETTING: Tertiary care university hospital and referral center for otology and skull base surgery. METHODS: The cohort was composed by eight Otorhinolaryngology residents (four junior and four senior) that were individually asked to identify all relevant anatomic findings from preoperative TBCT scans. Supervising surgeon showed to each resident four TBCT scans before and four after the introduction of a systematic checklist evaluation system based on the TeSLANO acronym. Statistical analysis was performed using McNemar's test and results were considered significant with a P value < 0.05. RESULTS: Introduction of the checklist improved global identification of critical anatomical structures from 48.75 to 89.17% (P < 0.05). The postimplementation identification percentage improved for both the senior and junior groups (P < 0.05). CONCLUSIONS: The imaging checklist TeSLANO allows a systematic approach to review TBCT scans and significantly improves identification of critical anatomical structures in Otorhinolaryngology residents.
Authors: Zachary M Soler; David A Poetker; Luke Rudmik; Alkis J Psaltis; John D Clinger; Jess C Mace; Timothy L Smith Journal: Laryngoscope Date: 2012-07-09 Impact factor: 3.325
Authors: Nikhil Panda; Luca Koritsanszky; Megan Delisle; Theophilus T K Anyomih; Eesha V Desai; Yves Sonnay; George Molina; Katayoun Madani; Dominique Vervoort; Thomas G Weiser; Evan M Benjamin; Alex B Haynes Journal: World J Surg Date: 2020-09 Impact factor: 3.352