Avaliação do conhecimento, atitude e prática de otorrinolaringologistas sobre tomografia computadorizada de feixe cônico

Abstract

The use of imaging exams is prevalent among otorhinolaryngologists, driven by the need for diagnosis and surgical interventions in the ear, nose, throat, head and neck areas. Radiographic exams have limitations in terms of resolution and threedimensional capacity. In this context, cone beam computed tomography (CBCT) becomes an alternative for the area of Otorhinolaryngology, as it offers lower radiation dose, improved spatial resolution and reduced operating costs compared to Multidetector Computed Tomography (MDCT). This study aimed to evaluate the knowledge, attitude and practice of Brazilian otorhinolaryngologists in relation to CBCT. The sample included 113 otolaryngologists and 16 residents. The questionnaire developed covered sociodemographic domains, knowledge, attitude and practice (KAP). The results, based on 129 valid responses, highlighted a median score in the dimensions assessed. In the analysis by age group, individuals between 46 and 60 years old showed lower scores in the practical dimension. Regarding time in practice, professionals with less experience scored lower in attitude, while those with more experience had lower performance in practice. Working in the private sector correlated with a higher knowledge score. Regional differences and education levels did not demonstrate a significant impact on scores. The analysis revealed a positive correlation between knowledge and attitude, highlighting the importance of information in the formation of favorable attitudes. However, the practice did not show a significant correlation with the other dimensions. In conclusion, the study points to an average understanding of CBCT among Brazilian otolaryngologists. Specific challenges for more experienced professionals and the need for informed and safe approaches stand out, especially considering radiation exposure. The influence of age and disparities between public and private sectors highlight opportunities for improvement in training and specialization. This study provides valuable insights to improve clinical practice, reinforcing the importance of strategies aligned with CBCT in the Brazilian otorhinolaryngology community.