Klinik Araştırma
BibTex RIS Kaynak Göster

Ayrımı Aşmak: Çin’in Hunan Eyaletinde Klinisyenler ve Halk Arasında Kraniyomaksillofasiyal Cerrahi Farkındalığının Karşılaştırmalı Analizi

Yıl 2025, Cilt: 8 Sayı: 2, 48 - 61, 28.08.2025

Öz

AMAÇ: Ağız, diş ve çene cerrahisi (ADÇC) disiplini, Çin Halk Cumhuriyeti’nde önemli bir evrim geçirmiş olmasına rağmen, kapsamı hem sağlık
hizmeti sağlayıcıları hem de halk tarafından belirsiz bir şekilde anlaşılmaktadır. Bu çalışma, Hunan eyaletinin önemli bir kentsel merkezi olan
Changsha’da ADÇC bilgisini, algısını ve farkındalığını haritalamayı amaçlamıştır.
GEREÇ ve YÖNTEM: Kesitsel bir anket tasarımı kullanılarak beş farklı grup ele alındı: diş hekimliği stajyerleri, genel diş hekimleri, tıp
stajyerleri, genel tıp pratisyenleri ve halk. Her grup için yaklaşık 250 kişilik bir hedef örneklem belirlendi (%5 anlamlılık düzeyi ve %90
istatistiksel güç öngörüsüyle). Anketler Eylül-Aralık 2023 arasında dağıtıldı. Katılımcılardan, 15 farklı klinik senaryo için ADÇC, plastik cerrahi
ve kulak burun boğaz (KBB) dahil olmak üzere en uygun uzmanlık dalını seçmeleri istendi.
BULGULAR: Toplam 1.288 tam yanıt analiz edildi. Bulgular, önemli bir bilgi boşluğunu ortaya koydu. Diş hekimliği profesyonelleri ADÇC’yi
yetkin bir şekilde anlarken, tıp profesyonelleri ve halk, özellikle travma ve rekonstrüktif alanlarda temel ADÇC prosedürlerini sıklıkla yanlış
atfetti ve çoğunlukla plastik cerrahi veya KBB’yi tercih etti. Özellikle, halkın önemli bir kısmı bu uzmanlık dalının adına aşina değildi ve birçok
profesyonel kapsamını hafife aldı.
SONUÇ: Bu araştırma, ADÇC’nin görünürlüğünü artırmak, böylece bölge genelinde sevk süreçlerini optimize etmek ve hasta bakım sonuçlarını
iyileştirmek için hedefli eğitim girişimlerinin kritik gerekliliğini vurgulamaktadır.

Etik Beyan

Changsha Estetik ve Rekonstrüktif Hastanesi Kurumsal İnceleme Kurulu’ndan etik onay alındı (ref: CARHIRB- 2023-047).

Kaynakça

  • 1. Akinmoladun VI, Gbolahan OO, Akadiri OA, Akinyamoju CA. Evaluation of the scope and practice of oral and maxillofacial surgery in Nigeria. Niger J Clin Pract. 2015; 18: 282-286.
  • 2. Rocha NS, Laureano Filho JR, Silva ED, Almeida RC. Perception of oral maxillofacial surgery by health-care professionals. Int J Oral Maxillofac Surg. 2008; 37: 41-46.
  • 3. Ren K, Miao L, Lyu J. The temporal trend of road traffic mortality in China from 2004 to 2020. SSM Popul Health. 2023; 24: 101527.
  • 4. Wu M, Chen H, Zhang W, Feng X, Zhang S. Trends, levels, and projections of Head and Neck Cancer in China between 2000 and 2021: Findings from the Global Burden of Disease 2021. PLoS One. 2025; 20: e0322533.
  • 5. Sun B, Gan C, Tang Y, Xu Q, Wang K, Zhu F. Identification and validation of a prognostic model based on three TLSRelated genes in oral squamous cell carcinoma. Cancer Cell Int. 2024; 24: 350.
  • 6. Alrashdan MS, Darwazeh AMG, Hassona Y, Bader DH, Khader YS. Awareness of oral medicine among medical practitioners, evidence of the unbridged interdisciplinary gap. J Eval Clin Pract. 2019; 25: 142-147.
  • 7. Elnaem IS, Alghris AM, Alenzi LH. Knowledge, Perception, and Awareness of the Specialty of Oral and Maxillofacial Surgery Among the Public and Medical Field in Hail, Saudi Arabia: A Cross-Sectional Study. Cureus. 2024; 16: e64334.
  • 8. Adewole RA, Akinwande JA. Public and professional perception of oral and maxillofacial surgery (a pilot study). Nig Q J Hosp Med. 2007; 17: 8-12.
  • 9. Ameerally P, Fordyce AM, Martin IC. So you think they know what we do? The public and professional perception of oral and maxillofacial surgery. Br J Oral Maxillofac Surg. 1994; 32: 142-145.
  • 10. Mane R, Sharpe-Davidson WF, De Silva H, Choi JJE. The perception of the scope of oral and maxillofacial surgery and differentiation from similar specialities among dental students, medical students, trainee interns and prevocational junior doctors. Oral Maxillofac Surg. 2024; 28: 1339-1351.
  • 11. Subhashraj K, Subramaniam B. Awareness of the specialty of oral and maxillofacial surgery among health care professionals in Pondicherry, India. J Oral Maxillofac Surg. 2008; 66: 2330-2334.
  • 12. Alduosari M, Albuloshi T, Alsaber A, Al Saeed F, Alkandari A, Anbar A, et al. Influence of social media on cosmetic facial surgeries among individuals in Kuwait: employing the theory of planned behavior. Front Digit Health. 2025; 7: 1546128.
  • 13. Lwanga SK, Lemeshow S. Sample Size Determination in Health Studies: A Practical Manual. Geneva: World Health Organization; 1991.
  • 14. Hunter MJ, Rubeiz T, Rose L. Recognition of the scope of oral and maxillofacial surgery by the public and health care professionals. J Oral Maxillofac Surg. 1996; 54: 1227- 1232; discussion 1233.
  • 15. Guerrero AV, Elo JA, Sun HB, Herford AS, Workgroup OMSVO. What Name Best Represents Our Specialty? Oral and Maxillofacial Surgeon Versus Oral and Facial Surgeon. J Oral Maxillofac Surg. 2017; 75: 9-20.
  • 16. Fitzpatrick BN. Rosa alio nomine (a rose by any other name). Br J Oral Maxillofac Surg. 1999; 37: 78.
  • 17. Panthee A, Pokhrel P, Panthee A, Khapung A. Knowledge of scope of oral and maxillofacial surgery amongst medical students at a tertiary hospital in Kathmandu, Nepal. Journal of Kathmandu Medical College. 2023; 12: 25-31.
  • 18. Cottrell DA, Reebye UN, Blyer SM, Hunter MJ, Mehta N. Referral patterns of general dental practitioners for oral surgical procedures. J Oral Maxillofac Surg. 2007; 65: 686-690.
  • 19. Wu Y, Mulkens S, Alleva JM. Body image and acceptance of cosmetic surgery in China and the Netherlands: A qualitative study on cultural differences and similarities. Body Image. 2022; 40: 30-49.
  • 20. Alnofaie H, Alchawaf B, AlKindi M. Knowledge, awareness, and perception of oral and maxillofacial surgery among the public and professionals in Saudi Arabia: a cross-sectional study. Int J Oral Maxillofac Surg. 2019; 48: 1597-1603.

Navigating the Divide: A Provincial Assessment of Craniomaxillofacial Surgery Awareness Among Clinicians and the Citizenry in Hunan, China

Yıl 2025, Cilt: 8 Sayı: 2, 48 - 61, 28.08.2025

Öz

OBJECTIVE: The discipline of oral and maxillofacial surgery (OMS) has undergone significant evolution within the People’s Republic of China,
yet its scope remains ambiguously understood by both healthcare providers and the public. This study aimed to chart the landscape of
knowledge, perception, and awareness of OMS in Changsha, a major urban center in Hunan province.
MATERIALS and METHODS: Employing a cross-sectional survey design, we engaged five distinct cohorts: dental interns, general dental
practitioners, medical interns, general medical practitioners, and the lay public. A target sample of approximately 250 individuals per cohort
was established, predicated on a 5% significance level and 90% statistical power. Surveys were disseminated from September to December
2023. Respondents were tasked with selecting the most appropriate specialty -from a choice including OMS, plastic surgery, and otolaryngology
(ENT)- for 15 distinct clinical scenarios.
RESULTS: A total of 1,288 complete responses were analyzed. The findings reveal a significant information gap. While dental professionals
demonstrated a competent understanding of OMS, medical professionals and the public frequently misattributed core OMS procedures,
particularly in trauma and reconstructive domains, often favoring plastic surgery or ENT. Notably, a considerable portion of the public was
unfamiliar with the specialty's name, and many professionals underestimated its breadth.
CONCLUSION: This investigation underscores a critical necessity for targeted educational initiatives to bolster the visibility of OMS, thereby
optimizing referral pathways and enhancing patient care outcomes throughout the region.

Etik Beyan

Ethical approval was obtained from the Institutional Review Board of Changsha Aesthetic & Reconstructive Hospital (ref: CARH-IRB-2023-047).

Kaynakça

  • 1. Akinmoladun VI, Gbolahan OO, Akadiri OA, Akinyamoju CA. Evaluation of the scope and practice of oral and maxillofacial surgery in Nigeria. Niger J Clin Pract. 2015; 18: 282-286.
  • 2. Rocha NS, Laureano Filho JR, Silva ED, Almeida RC. Perception of oral maxillofacial surgery by health-care professionals. Int J Oral Maxillofac Surg. 2008; 37: 41-46.
  • 3. Ren K, Miao L, Lyu J. The temporal trend of road traffic mortality in China from 2004 to 2020. SSM Popul Health. 2023; 24: 101527.
  • 4. Wu M, Chen H, Zhang W, Feng X, Zhang S. Trends, levels, and projections of Head and Neck Cancer in China between 2000 and 2021: Findings from the Global Burden of Disease 2021. PLoS One. 2025; 20: e0322533.
  • 5. Sun B, Gan C, Tang Y, Xu Q, Wang K, Zhu F. Identification and validation of a prognostic model based on three TLSRelated genes in oral squamous cell carcinoma. Cancer Cell Int. 2024; 24: 350.
  • 6. Alrashdan MS, Darwazeh AMG, Hassona Y, Bader DH, Khader YS. Awareness of oral medicine among medical practitioners, evidence of the unbridged interdisciplinary gap. J Eval Clin Pract. 2019; 25: 142-147.
  • 7. Elnaem IS, Alghris AM, Alenzi LH. Knowledge, Perception, and Awareness of the Specialty of Oral and Maxillofacial Surgery Among the Public and Medical Field in Hail, Saudi Arabia: A Cross-Sectional Study. Cureus. 2024; 16: e64334.
  • 8. Adewole RA, Akinwande JA. Public and professional perception of oral and maxillofacial surgery (a pilot study). Nig Q J Hosp Med. 2007; 17: 8-12.
  • 9. Ameerally P, Fordyce AM, Martin IC. So you think they know what we do? The public and professional perception of oral and maxillofacial surgery. Br J Oral Maxillofac Surg. 1994; 32: 142-145.
  • 10. Mane R, Sharpe-Davidson WF, De Silva H, Choi JJE. The perception of the scope of oral and maxillofacial surgery and differentiation from similar specialities among dental students, medical students, trainee interns and prevocational junior doctors. Oral Maxillofac Surg. 2024; 28: 1339-1351.
  • 11. Subhashraj K, Subramaniam B. Awareness of the specialty of oral and maxillofacial surgery among health care professionals in Pondicherry, India. J Oral Maxillofac Surg. 2008; 66: 2330-2334.
  • 12. Alduosari M, Albuloshi T, Alsaber A, Al Saeed F, Alkandari A, Anbar A, et al. Influence of social media on cosmetic facial surgeries among individuals in Kuwait: employing the theory of planned behavior. Front Digit Health. 2025; 7: 1546128.
  • 13. Lwanga SK, Lemeshow S. Sample Size Determination in Health Studies: A Practical Manual. Geneva: World Health Organization; 1991.
  • 14. Hunter MJ, Rubeiz T, Rose L. Recognition of the scope of oral and maxillofacial surgery by the public and health care professionals. J Oral Maxillofac Surg. 1996; 54: 1227- 1232; discussion 1233.
  • 15. Guerrero AV, Elo JA, Sun HB, Herford AS, Workgroup OMSVO. What Name Best Represents Our Specialty? Oral and Maxillofacial Surgeon Versus Oral and Facial Surgeon. J Oral Maxillofac Surg. 2017; 75: 9-20.
  • 16. Fitzpatrick BN. Rosa alio nomine (a rose by any other name). Br J Oral Maxillofac Surg. 1999; 37: 78.
  • 17. Panthee A, Pokhrel P, Panthee A, Khapung A. Knowledge of scope of oral and maxillofacial surgery amongst medical students at a tertiary hospital in Kathmandu, Nepal. Journal of Kathmandu Medical College. 2023; 12: 25-31.
  • 18. Cottrell DA, Reebye UN, Blyer SM, Hunter MJ, Mehta N. Referral patterns of general dental practitioners for oral surgical procedures. J Oral Maxillofac Surg. 2007; 65: 686-690.
  • 19. Wu Y, Mulkens S, Alleva JM. Body image and acceptance of cosmetic surgery in China and the Netherlands: A qualitative study on cultural differences and similarities. Body Image. 2022; 40: 30-49.
  • 20. Alnofaie H, Alchawaf B, AlKindi M. Knowledge, awareness, and perception of oral and maxillofacial surgery among the public and professionals in Saudi Arabia: a cross-sectional study. Int J Oral Maxillofac Surg. 2019; 48: 1597-1603.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi (Diğer)
Bölüm Klinik Araştırma
Yazarlar

Peng Zhi 0009-0000-0657-2331

Li Wei 0009-0002-0380-8585

Ma Jun 0009-0001-5681-1879

Guo Bin 0009-0000-7479-5254

Gönderilme Tarihi 30 Haziran 2025
Kabul Tarihi 2 Ağustos 2025
Yayımlanma Tarihi 28 Ağustos 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 8 Sayı: 2

Kaynak Göster

EndNote Zhi P, Wei L, Jun M, Bin G (01 Ağustos 2025) Navigating the Divide: A Provincial Assessment of Craniomaxillofacial Surgery Awareness Among Clinicians and the Citizenry in Hunan, China. Ege Tıp Bilimleri Dergisi 8 2 48–61.

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