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Impact of cone-beam computed tomography for the identification and management of an oral portal of entry in patients with infective endocarditis. A Delphi study

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Impact of cone-beam computed tomography for the identification and management of an oral portal of entry in patients with infective endocarditis. A Delphi study

dc.contributor.author	Cloitre, Alexandra	es
dc.contributor.author	Hascoët, Emilie	es
dc.contributor.author	Iung, Bernard	es
dc.contributor.author	Duval, Xavier	es
dc.contributor.author	Lesclous, Philippe	es
dc.date.accessioned	2023-06-16T08:36:46Z
dc.date.available	2023-06-16T08:36:46Z
dc.date.issued	2022	es
dc.identifier.citation	Cloitre, A., Hascoët, E., Iung, B., Duval, X., & Lesclous, P. (2022). Impact of cone-beam computed tomography for the identification and management of an oral portal of entry in patients with infective endocarditis. A Delphi study. En Medicina Oral Patología Oral y Cirugia Bucal (pp. e42-e50). Medicina Oral, S.L. https://doi.org/10.4317/medoral.24885	es
dc.identifier.uri	https://hdl.handle.net/10550/88096
dc.description.abstract	Infective endocarditis (IE) is a rare and life-threatening disease. Cutaneous portal of entry (POE) is predominant for IE, but an oral POE is the second most frequent source. Thus looking for and treating an oral POE in IE patients is of critical importance in order to reduce the risk of IE relapse or recurrence. The objectives of this study were: 1) To reach a consensus on decision-making following the detection of an oral POE on cone-beam computed tomography (CBCT) while they were not identified using the current recommended approach in IE patients (oral examination and orthopantomogram: OPT). 2) To determine whether this consensus differs when regarding the microbiology of IE. Twenty oral or maxillofacial surgeons participated to this Delphi study. The questionnaire was based on five radiological cases (OPT and matching CBCT) with two scenarios according to the objectives of detecting oral POE in an IE patient (curative in case of oral causative microorganism, and preventive if not) and different therapeutic approaches (surgical or conservative treatment, no treatment) for each of them. Consensus was defined as an agreement rate of ?75%. The response rate was?85%. After four rounds, consensus was achieved for all proposals. CBCT changed the decision-making of experts in four cases. In one case, the decision was influenced by the IE microbiology toward a more radical approach in case of oral causative microorganism. In IE patients, CBCT changed markedly the decision-making of experts by eradicating more oral POE than when using OPT. This could reduce the risk of IE relapse and recurrence.	es
dc.subject	angina bullosa haemorrhagica	es
dc.subject	diagnosis	es
dc.subject	oral mucosa blisters	es
dc.title	Impact of cone-beam computed tomography for the identification and management of an oral portal of entry in patients with infective endocarditis. A Delphi study	es
dc.type	journal article	es_ES
dc.subject.unesco	UNESCO:CIENCIAS MÉDICAS	es
dc.identifier.doi	10.4317/medoral.24885	es
dc.type.hasVersion	VoR	es_ES
dc.identifier.url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8719786/