References of "ROGISTER, Florence"
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See detailUse of Vandenberg and Kuse mental rotation test to predict practical performance of rhinosinus endoscopy
Pottier, Laurence ULiege; El Haddadi, Ilyas; Defaweux, Valérie ULiege et al

Poster (2021, March 06)

Introduction and Aim: The aim of this work is to assess the predictive value of the Vandenberg and Kuse Mental Rotation Test (MRT) on performance of novice medical student for manipulation of a nasal ... [more ▼]

Introduction and Aim: The aim of this work is to assess the predictive value of the Vandenberg and Kuse Mental Rotation Test (MRT) on performance of novice medical student for manipulation of a nasal endoscope on a cadaveric model. Material and Methods: We randomly selected 39 medical students who had never handled a nasal endoscope and subjected them to the MRT. They were then asked to perform series of cadaveric model exercises using a nasal endoscope. Two judges, using the Lindquist’s scale, evaluated their performance on cadavers. They were also asked to fill in a questionnaire aimed at defining their general profile (personal experience with manual activities and medical manual activities, surgical tropism, etc.) and an anatomic test in order to exclude possible confounding factors. Results: We found that medical students with higher mental rotation skills had significantly increased endoscopic sinus performance (p=0.0251 using univariate regression, and p=0.0002 using multivariate regression adjusted for specialty choice, previous surgical exposure and anatomy knowledge). Higher anatomy knowledge was also associated with better endoscopic sinus performance (p=0.0141). Other parameters had no impact on endoscopic sinus performance measured by the endoscopic scale (p>0.005). Conclusion: The score obtained on the MRT is correlated to the practical performance of manipulating the nasal endoscope in surgery. It could therefore be a useful spatial ability tool for educational purposes for candidates specializing in rhinology. [less ▲]

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See detailUse of Vandenberg and Kuse Mental Rotation Test to Predict Practical Performance of Sinus Endoscopy
ROGISTER, Florence ULiege; Pottier, Laurence ULiege; EL HADDADI, Ilyas et al

in Ear, Nose & Throat Journal (2021)

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See detailIs baseline SNOT-22 able to predict outcome and localize pathology? A prospective multicentre study
Pottier, Laurence ULiege; de Dorlodot, Clotilde; Ansari, Edward et al

in B-ENT (2020)

Objective: To optimize the use of SNOT-22 by predicting the diagnosis of patients and healthy volunteers solely based on the pattern of the baseline SNOT-22. Study Design: Cross-sectional multi-center ... [more ▼]

Objective: To optimize the use of SNOT-22 by predicting the diagnosis of patients and healthy volunteers solely based on the pattern of the baseline SNOT-22. Study Design: Cross-sectional multi-center study. Settings: ENT departments of 3 tertiary referral hospitals. Methods: Baseline SNOT-22 from 66 healthy volunteers and 383 rhinology patients were collected blindly prior to diagnosis. Participants were then categorized in 4 groups according to their diagnosis: control, medical rhinologic condition, functional nose surgery, sinus surgery. Difference between groups was assessed by a multinomial logistic regression adjusted for age, gender, history of nose surgery and trauma. Results: The 22 items of SNOT differed significantly among the 4 groups (p <0.05). Control subjects showed the lowest SNOT-22 scores for all items. Patients requiring sinus surgery and those listed for nose surgery exhibited a specific pattern of SNOT-22 score. Nasal and extranasal rhinology symptoms were more specific to the diagnosis than psychological or sleep dysfunction domains. Conclusion: Distinct SNOT-22 patterns were associated to subjects diagnosis. SNOT-22 was not only able to score severity, but could also localize the disease, orientate the diagnosis and predict the need for surgical treatment. In the era of pandemic risk, SNOT-22 may be the easy telemedicine tool the primary care needs for a better referral pattern. [less ▲]

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See detailImpact of a shift in treatment funding on a multidisciplinary sleep clinic: a cohort study.
VERMEIRE, Pierre ULiege; Fanielle, Julien ULiege; Gilon, Yves ULiege et al

in Acta Neurologica Belgica (2020)

Multidisciplinary Sleep Clinics for sleep apnea have long existed, bringing together neurologists, sleep specialists, dentists, orthodontists and surgeons. In Belgium, a shift in funding for obstructive ... [more ▼]

Multidisciplinary Sleep Clinics for sleep apnea have long existed, bringing together neurologists, sleep specialists, dentists, orthodontists and surgeons. In Belgium, a shift in funding for obstructive sleep apnea treatment was implemented from January 1st, 2017. Funding was allowed for moderate to severe obstructive sleep apnea and the rules shifted for treatments delivery and monitoring by authorised medical opinion. We aimed to assess whether a shift in treatment funding was associated with a change in the multidisciplinary sleep practice. Sample consisted of all patients discussed in the sleep multidisciplinary team meetings of the University Hospital of Liege from January 2016 to December 2018. Interrupted times series, Mann-Whitney U tests and descriptive statistics were produced. There were no differences in patients age, male sex preponderance, body mass index, clinical presentation and level of obstruction. Baseline obstructive sleep apnea severity was significantly lower (mean apnea-hypopnea index and mean oxygen desaturation index lowered with p = 0.0189 and p = 0.0466, respectively) after the funding rules changed. Oral appliance and ENT surgery were more often offered after the shift in funding. The key changes of the new funding rules for obstructive sleep apnea were reflected in the patient selection and management by sleep multidisciplinary team meeting. Funding terms could influence the care we give, not only in treatment options, but also in patients selection. [less ▲]

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See detailTranscutaneous Ultrasound for Maxillary Disease Screening in Intensive Care Unit: a Preliminary Study
Benchimol, Lionel ULiege; PIAZZA, Justine ULiege; ROGISTER, Florence ULiege et al

Conference (2020)

Introduction and Aim: Nosocomial airway infections are common and associated with high morbidity and mortality in Intensive Care Unit. Endotracheal intubation duration is an independent risk factor for ... [more ▼]

Introduction and Aim: Nosocomial airway infections are common and associated with high morbidity and mortality in Intensive Care Unit. Endotracheal intubation duration is an independent risk factor for maxillary sinusitis, which is a frequent gateway for pneumoniae, meningitis or sepsis. Diagnosis remains challenging, as CT imaging is not easily repeated in the daily assessment of unstable patients. Our aim was to evaluate the efficiency of transcutaneous ultrasound to screen maxillary sinus infection. Material and Methods: Patients presenting to our ENT department with a same-day sinus CT scan were prospectively included in this pilot study. Maxillary transcutaneous ultrasounds were performed by two independent examiners and scored in supine and sitting positions, blindly to the CT imaging, the clinical and endoscopic evaluations. Ability to diagnose sinusitis, repeatability in different positions and inter-examiners comparison were studied. Ultrasound scores were compared to Lund-Mackay-derived CT scores. Results: 7 patients (5 men and 2 women, median age 60 [56-64]) were enrolled in this experiment. In total, 14 left and right maxillary sinus were studied by same-day sinus CT scan and ultrasound in prone and sitting positions by 2 blind and independent examiners. Ultrasound was able to detect maxillary pathology the majority of the cases, with a sensitivity of 71.4% and a specificity of 87.5% in sitting position. However, sensitivity dropped to 46.8% in prone position, with a preserved specificity of 84.4%. Agreement between examiners was observed in 85.7% cases. Conclusion: Transcutaneous ultrasound was capable of screening for maxillary sinus disease compared with conventional sinus CT scan. A special attention should be paid to patient position, as sitting position improved the screening accuracy. Agreement between examiners could be improved. Moreover, despite its limitations, it is an attractive method for the screening of maxillary disease, allowing the ability to screen and/or monitor infection in unstable patients. [less ▲]

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See detailImpact of the European Union directive on driving licences on a Multidisciplinary Sleep Clinic: a Cohort Study
POIRRIER, Anne-Lise ULiege; VERMEIRE, Pierre ULiege; BRUWIER, Annick ULiege et al

Poster (2019, June 29)

Introduction: The threat of Obstructive Sleep Apnea (OSA) for motor vehicle accident has led to a revision of annex III of the European Union directive on driving licences that was implemented in all ... [more ▼]

Introduction: The threat of Obstructive Sleep Apnea (OSA) for motor vehicle accident has led to a revision of annex III of the European Union directive on driving licences that was implemented in all member states from December 31, 2015. In Belgium, it was followed by a shift in funding for OSA from January 1, 2017. Funding was allowed for moderate to severe OSA and the rules shifted for treatments delivery and monitoring by authorised medical opinion. Multidisciplinary Sleep Clinics have long existed, bringing together sleep specialists, dentists, orthodontists and surgeons. We aimed to assess whether a shift in treatment funding was associated with a change in the multidisciplinary sleep practice. Material and Methods: Sample consisted of all patients discussed in the sleep multidisciplinary team meetings of the University Hospital of Liege from January 2016 to December 2018. Interrupted times series, Mann-Whitney U tests and descriptive statistics were produced. Results: There were no differences in patients age, male sex preponderance, body mass index, clinical presentation and level of obstruction. Baseline OSA severity was significantly lower (mean apnea-hypopnea index and mean oxygen desaturation index lowered respectively with p = 0.0189 and p = 0.0466) after the funding rules changed. Oral appliance and ENT surgery were more often offered after the shift in funding. Conclusion: Sleep multidisciplinary team meeting changed patient selection and management after the implementation of the new funding rules for OSA. The shift in funding often resulted in treatment options change, reaching more people and offering more options. [less ▲]

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See detailBaseline SNOT-22 as Outcome Predictor: a Powerful Tool just at Hand
POIRRIER, Anne-Lise ULiege; DE DORLODOT, Clotilde; ANSARI, Edward et al

Poster (2019, June 29)

Introduction: SNOT-22 was initially designed for rhinosinusitis, but was recently validated in various nose conditions. We sought to optimize the use of SNOT-22 by predicting the outcome of patients and ... [more ▼]

Introduction: SNOT-22 was initially designed for rhinosinusitis, but was recently validated in various nose conditions. We sought to optimize the use of SNOT-22 by predicting the outcome of patients and healthy volunteers solely based on the pattern of the baseline SNOT-22. Material and Methods: Sixty-six healthy volunteers and 383 patients presenting to the rhinology clinic of 3 ENT academic departments participated in this prospective cross-sectional multi-centre study. SNOT-22 from all participants were collected blindly prior to diagnosis. Participants were then categorized in 4 groups according to their outcome: control, medical rhinologic condition, functional nose surgery, sinus surgery. Difference between groups was assessed by a multinomial logistic regression adjusted for age, gender, history of nose surgery and trauma. Results: The 22 items of SNOT differed significantly among the 4 groups (p <0.05). Control subjects showed the lowest SNOT-22 scores for all items. Patients requiring sinus surgery and those listed for nose surgery exhibited a specific pattern of SNOT-22 score. Nasal and extranasal rhinology symptoms were more specific to the diagnosis than psychological or sleep dysfunction domains. Conclusion: Distinct SNOT-22 patterns were associated to subjects outcome. SNOT-22 was able to differentiate patients from controls, to score severity, and could further provide an accurate description of pathology. Baseline SNOT-22 could help localize pathology in the sinus or in the nose and predict the need for surgical treatment. [less ▲]

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See detailA prospective audit of acute ENT activity in a university teaching hospital
Atta, Lucas; Delrez, Sophie ULiege; Asimakopoulos, Asimakis et al

in B-ENT (2019), 15

Introduction and aim: Acute ENT coverage is available out-of-hours in most hospitals. However, increasing pressure to reduce healthcare cost threatens this 24-hour availability. Our goal was to audit the ... [more ▼]

Introduction and aim: Acute ENT coverage is available out-of-hours in most hospitals. However, increasing pressure to reduce healthcare cost threatens this 24-hour availability. Our goal was to audit the emergency ENT activity in our institution. Methods: A prospective audit of all ENT emergency referrals was carried out over a one-month period in an academic hospital. Descriptive statistics were produced for age, sex, origin, admission time, diagnosis, management, and patient outcome. Results: A total of 190 patients (109 men and 81 women) were referred to the ENT emergency service over the study period (mean, 6.1 cases/day). Mean age was 47.9 (SD ±23.6) years. Most admissions (76.4%) occurred during normal working hours, and 62.0% of patients were self-referred. The mean complaint duration before admission was 7.6 (±13.7) days. One third (33.2% patients) required ambulatory treatment, a quarter (24.7% patients) had a minor ENT procedure, 18 (9.5%) required admission to the ward, and 8 (4.2%) required surgical treatment. Severity of diagnosis or management between patients did not differ with referral by a physician (GP or specialist) and self-referral. At 30 days, 3 (1.6%) patients died, 106 (55.8%) benefitted from an ENT follow-up, 65 (34.2%) were referred to another physician (GP or specialist), and 16 (8.4%) were lost to follow-up. Conclusions: The results of this workload audit suggest that emergency ENT activity is justified in our hospital. Restricting emergency ENT cover to patients referred by a GP or another physician would not improve patient selection. [less ▲]

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See detailENT Surgical Training in 2018: National Cross-sectional Study
ROGISTER, Florence ULiege; CAMBY, Séverine ULiege; ANSARI, Edward et al

in B-ENT (2019), 15

Objectives: This study aimed to draw up an inventory of the current practical training from the surgical trainees’ point of view, identifying strengths and gaps of current training and potential tools to ... [more ▼]

Objectives: This study aimed to draw up an inventory of the current practical training from the surgical trainees’ point of view, identifying strengths and gaps of current training and potential tools to be developed. Methodology: We conducted a broad national survey among ENT Belgian trainees from all universities of the country. The questions included self-assessment, training objectives, training quality and training tools. Results: There were 94 trainees contacted and the overall response rate was 59.5% ; 35.7% of trainees evaluated their level of overall surgical competence at 3/5 compared to an ideal mastery. More than a half (55%) of trainees did not know the training objectives and 73% did not know the basic surgical procedures that a qualified ENT surgeon should be able to perform. The main mode of learning (41%) was the observation of a senior and repetition under supervision (companionship). The results showed mainly logistical and economic drawbacks, on which it seems possible to act using learning methods based on the implementation of organized training sessions, associated with different learning tools such as surgical and procedural simulation. Some of these are already available in our country but remain difficult to access or to develop. Conclusion: This study revealed a real demand and motivation from trainees and could serve as a basis to sketch a teaching scheme improving skills and confidence of future surgeons. Additional studies are needed to identify the most effective ways for implementing this type of teaching within the constraints of the surgical curriculum and teaching hospitals resources. [less ▲]

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See detailEvaluation of Surgical Simulation in Temporal Bone Surgical Radio-Anatomy Learning
ROGISTER, Florence ULiege; SALMON, Caroline ULiege; GHUYSEN, Alexandre ULiege et al

Conference (2019, March 28)

Background Lack of data regarding efficiency of simulation-based teaching, in particular high-fidelity virtual reality, constitutes a major drawback for its implementation in the medical training. However ... [more ▼]

Background Lack of data regarding efficiency of simulation-based teaching, in particular high-fidelity virtual reality, constitutes a major drawback for its implementation in the medical training. However, it provides a structured, safe and supportive environment to familiarize with complex anatomy and practice surgical skills. We aimed to evaluate high-fidelity virtual reality simulation in learning of temporal bone radio-anatomy during ENT residency. Materials and Methods 15 Belgian otorhinolaryngology residents completed 5 sessions of simulation in antro-mastoidectomy using VOXEL-MAN Tempo® surgical simulator. Technical mistakes and surgical parameters were recorded. Before and after training period, residents completed a temporal bone radiological anatomy test available online (http://www.radioanatomie.com). Pre- and post-simulation scores were compared as primary endpoint by non-parametric Wilcoxon test using RCmdr (https://www.r-project.org). As secondary endpoint, residents’ surgical skills following simulation training were blindly assessed on cadaveric human temporal bones using a reproducible scale by seniors otologist surgeons of our department. Correlation between radiological testing and dissection scale were evaluated by Spearman regression. Finally, trainees completed a survey on the device itself. Results Performance on radiological testing significantly increased with a mean improvement of 28 ± 12.12 (Wilcoxon p = 0.0011). Surgical results on cadaveric specimens were not correlated to surgical simulation parameters. Higher results on radiological testing were associated with higher scores on dissection scale, suggesting that subjects who succeeded better at dissection were those who knew best anatomy. Among residents, 80% felt this tool suitable for early surgical education, and 84.6% queried further information on simulation techniques. 100% of trainees would integrate this tool within their learning of temporal bone's radiological and surgical anatomy. Conclusions High-fidelity virtual reality simulator improved temporal bone anatomy teaching and specifically increased knowledge of temporal bone radiological anatomy. Acknowledgement No conflict of interest. [less ▲]

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See detailSurgical Simulation in Temporal Bone Surgical Radio-Anatomy Learning
ROGISTER, Florence ULiege; SALMON, Caroline ULiege; GHUYSEN, Alexandre ULiege et al

in B-ENT (2019, February 23)

Introduction and Aim: We aimed to evaluate high-fidelity virtual reality simulation in learning of temporal bone radio-anatomy during ENT residency. Methods: Fifteen ENT residents completed a radiological ... [more ▼]

Introduction and Aim: We aimed to evaluate high-fidelity virtual reality simulation in learning of temporal bone radio-anatomy during ENT residency. Methods: Fifteen ENT residents completed a radiological temporal bone anatomical testing before and after five training sessions on the VOXEL-MAN Tempo® surgical simulator. Secondary investigation: residents also completed a personal subjective assessment after these training session and residents’ technical skills were assessed on cadaveric temporal bones. Results: Primary outcome: Residents significantly improved their performance on the temporal bone radiological anatomy test after completing virtual training on the simulator. Secondary outcomes: The personal assessment survey indicated that 100% of the residents would integrate this virtual tool within the learning methods. No significant correlation was found between virtual simulator performances and surgical performances on cadaveric model, but a significant correlation was shown between the anatomical testing result and the performances on cadaveric model. Conclusions: This study suggested that a high-fidelity virtual reality simulator, the VOXEL-MAN Tempo® device, improved teaching of temporal bone anatomy and specifically increased trainees’ practical knowledge regarding radiological anatomy of temporal bone. [less ▲]

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See detailResponsiveness of acoustic rhinometry to septorhinoplasty by comparison to rhinomanometry and subjective instruments.
ANSARI, Edward; ROGISTER, Florence ULiege; LEFEBVRE, Philippe ULiege et al

in Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery (2019)

OBJECTIVES: Nose patency measures and instruments assessing subjective health are increasingly being used in rhinology. However, there is very little evidence of comparing existing methods' responsiveness ... [more ▼]

OBJECTIVES: Nose patency measures and instruments assessing subjective health are increasingly being used in rhinology. However, there is very little evidence of comparing existing methods' responsiveness to change. We evaluated the responsiveness of acoustic rhinometry to nasal valve surgery by comparison to rhinomanometry and patient-reported outcome instruments. DESIGN: Prospective case-control study Setting: Tertiary referral University Hospital Participants: Sixty consecutive patients with internal nasal valve dysfunction and 20 healthy volunteers as control group were enrolled. Prospectively collected data included acoustic rhinometry, rhinomanometry, NOSE scale, SNOT-23 questionnaire, visual analogue scale and demographics. MAIN OUTCOME MEASURES: Primary endpoint was the responsiveness of acoustic rhinometry to functionnal septorhinoplasty surgery at 3 months. Secondary endpoints were ability of acoustic rhinometry to reflect "known group" differences and correlation to subjective symptoms. RESULTS: Acoustic rhinometry was highly responsive to septorhinoplasty (p<0.0001) while anterior rhinomanometry was not (p=0.08). Based on the quartiles of the post-operative change in NOSE score, patients were classified as respectively non responders, mild, moderate and good responders to surgery. Logistic regression model showed that acoustic rhinometry was able to discriminate non responders to responders to surgery (p=0.019), while anterior rhinomanometry failed (p=0.611). Sensitivity and specificity of acoustic rhinometry were significantly higher (ROC area=0.76) than rhinomanometry (ROC area =0.48). Acoustic rhinometry was also superior than rhinomanometry to discriminate patients from control subjects, and agreed better with patients-based subjective questionnaires. CONCLUSIONS: Our study confirms and quantifies the responsiveness of acoustic rhinometry to nasal valve surgery, with a higher sensitivity and specificity than rhinomanometry. This article is protected by copyright. All rights reserved. [less ▲]

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See detailImpact of a Shift in Treatment Funding on a Multidisciplinary Sleep Clinic: a Cohort Study
VERMEIRE, Pierre ULiege; FANIELLE, Julien ULiege; BRUWIER, Annick ULiege et al

in B-ENT (2019)

Introduction and Aim: A shift in Obstructive Sleep Apnea (OSA) funding was implemented in Belgium on January 1, 2017. Funding was allowed for moderate to severe OSA and the rules shifted for treatments ... [more ▼]

Introduction and Aim: A shift in Obstructive Sleep Apnea (OSA) funding was implemented in Belgium on January 1, 2017. Funding was allowed for moderate to severe OSA and the rules shifted for treatments delivery and monitoring by authorised medical opinion. Multidisciplinary Sleep Clinics have long existed, bringing together sleep specialists, dentists, orthodontists and surgeons. We aimed to assess whether a shift in treatment funding was associated with a change in the multidisciplinary sleep practice. Material and Methods: Sample consisted of all patients discussed in the sleep multidisciplinary team meetings of the University Hospital of Liege from January 2016 to December 2018. Interrupted times series, Mann-Whitney U tests and descriptive statistics were produced. Results: There were no differences in patients age, male sex preponderance, body mass index, clinical presentation and level of obstruction. Baseline OSA severity was significantly lower (mean apnea-hypopnea index and mean oxygen desaturation index lowered respectively with p = 0.0189 and p = 0.0466) after the funding rules changed. Oral appliance and ENT surgery were more often offered after the shift in funding. Conclusion: Sleep multidisciplinary team meeting changed patient selection and management after the implementation of the new funding rules for OSA. The shift in funding often resulted in treatment options change, reaching more people and offering more options. [less ▲]

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See detailENT Surgical Training in 2018: National Cross-sectional Study
ROGISTER, Florence ULiege; CAMBY, Séverine ULiege; LEFEBVRE, Philippe ULiege et al

in B-ENT (2019)

Introduction and Aim: This study aimed to draw up an inventory of the current practical training from the surgical trainees’ point of view, identifying strengths and gaps of current training and potential ... [more ▼]

Introduction and Aim: This study aimed to draw up an inventory of the current practical training from the surgical trainees’ point of view, identifying strengths and gaps of current training and potential tools to be developed. Material and Methods: We conducted a broad national survey among Belgian population within the North-part and South-part universities of the country. The questions included self-assessment, training objectives, training quality and training tools. Results: 35.7% of trainees evaluated their level of overall surgical competence at 3/5 compared to an ideal mastery. More than a half (55%) of trainees did not know the training objectives and 73% did not know the basic surgical procedures that a qualified ENT surgeon should be able to perform. The main mode of learning (41%) was the observation of a senior and repetition under supervision (companionship). The results showed mainly logistical and economic drawbacks, on which it seems possible to act using learning methods based on the implementation of organized training sessions, associated with different learning tools such as surgical and procedural simulation. Some of these are already available in our country but remain difficult to access or to develop. Conclusion: This study revealed a real demand and motivation from trainees and could serve as a basis to sketch a teaching scheme improving skills and confidence of future surgeons. Additional studies are needed to identify the most effective ways for implementing this type of teaching within the constraints of the surgical curriculum and teaching hospitals resources. [less ▲]

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See detailRhinologic Emergencies: a Prospective Audit in a University Teaching Hospital
ROGISTER, Florence ULiege; ATTA, Lucas; Delrez, Sophie ULiege et al

Conference (2018, April)

Aims: Increasing pressure to reduce healthcare cost threatens the provision of acute ENT coverage round the clock. Our goal was to audit our emergency rhinologic activity over a one-month period. Methods ... [more ▼]

Aims: Increasing pressure to reduce healthcare cost threatens the provision of acute ENT coverage round the clock. Our goal was to audit our emergency rhinologic activity over a one-month period. Methods: A prospective audit for all emergency ENT referrals was carried out from May 1st to May 31th 2017. Descriptive statistics were produced for age, sex, origin, time of arrival, diagnosis and outcome. A specific subgroup analysis was performed for rhinologic emergencies. A basic cost analysis was ran. Results: Over the study period, 190 patients were referred to the ENT emergency service. Twenty percent patients presented with nose or sinus complaint (36.8% with otological or neuro-vestibular primary complaint, 43.2% with laryngeal or neck complaint). Nose and throat complaints were more likely to present at night or on weekends. Ear complaints were more likely to present during business hours. Rhinologic complaint was more likely to require technical or surgical management than ear or throat complaint. Patients with nose complaint required minor procedure in 43.2% cases (35.6% of the total minor procedures), and required surgical procedure in 13.5% cases. Among the total ENT emergency surgical procedures, 62.5% were rhinologic ones, involving the nose (50%) or the sinus (12.5%). Ear or throat initial complaint were more likely to require no treatment or ambulatory management. Conclusion: The emergency rhinologic activity is justified in our hospital. An initial rhinological complaint was more likely to require specific ENT management than other complaints. ENT cover is an efficient service provision, especially for rhinologic emergencies. [less ▲]

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See detailBaseline SNOT-22 as Outcome Predictor: a Powerful Tool just at Hand
ROGISTER, Florence ULiege; DE DORLODOT, Clotilde; ANSARI, Edward et al

Conference (2018, April)

Aims: SNOT-22 was initially designed for rhinosinusitis, but was recenty validated in various nose conditions. Nose or sinus complaint is a common cause of consultation in primary care or ENT clinic ... [more ▼]

Aims: SNOT-22 was initially designed for rhinosinusitis, but was recenty validated in various nose conditions. Nose or sinus complaint is a common cause of consultation in primary care or ENT clinic. Therefore we sought to optimize the simple and versatile instrument SNOT-22. Our aim was to determine the outcome of patients and healthy volunteers solely based on the pattern of the baseline SNOT-22 in a multi-centre study. Methods: Sixty-six healthy volunteers and 383 patients presenting to the rhinology clinic of the ENT academic departments of Godinne, Liege and Brussels participated in this study. SNOT-22 from all participants were collected blindly prior to diagnosis. Participants were then categorized in 5 groups according to their outcome: control, medical rhinologic condition, sinus surgery, functional nose surgery. SNOT-22 items relevant to each group were determined by multinomial logistic regression. Results: Control subjects showed the lowest SNOT-22 scores for all items. Medical rhinologic patients had lower scores than surgical patients. Patients requiring sinus surgery and those listed for nose surgery exhibited a specific pattern of SNOT-22 score. Most relevant items were #1 need to blow nose, #5 post-nasal discharge, #6 thick nasal discharge, #10 facial pain and #21 sense of smell. Conclusions: Distinct SNOT-22 patterns were correlated to subjects outcome. SNOT-22 was able to differentiate patients from controls, to score severity, and could further provide an accurate description of pathology. Baseline SNOT-22 could localize pathology in the sinus or in the nose and predict the need for surgical treatment. [less ▲]

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See detailA Prospective Audit of Acute ENT Activity in a Teaching Hospital.
Goffinet, Maxime ULiege; ATTA, Lucas; Delrez, Sophie ULiege et al

in B-ENT (2018, March 03)

Introduction and aim: Acute ENT coverage is available out-of-hours in most hospitals. However, increasing pressure to reduce healthcare cost threatens this service provision round the clock. Our goal was ... [more ▼]

Introduction and aim: Acute ENT coverage is available out-of-hours in most hospitals. However, increasing pressure to reduce healthcare cost threatens this service provision round the clock. Our goal was to audit the emergency ENT activity in our institution over a one-month period Material and methods: a prospective audit for all ENT referrals from the emergency department was carried out from May 1st to May 31th 2017. Descriptive statistics were produced for age, sex, origin, time of arrival, diagnosis and patient outcome. Results: a total of 190 patients (109 men and 81 women) were referred to the ENT emergency service over the study period (mean 6.1 case per day). Mean age was 47.9 (±23.6)year (range 1-95). Most patients were ambulatory (75.8%) and came from the area. Most admissions occurred during normal working hours (76.4%) and 62.0% patients came by self reference. The mean complaint duration before admission was 7.6 (±13.7) days (range 0-92 days). One third (33.2% patients) required ambulatory treatment. A quarter (24.7% patients) underwent a minor ENT procedure. Eighteen (9.5%) patients required admission to the ward (mostly for intravenous antibiotic). Eight patients (4.2%) required surgical treatment. There was no difference in the severity of diagnosis or management between patients referred by a physician (GP of specialist) and patients presenting spontaneously. At 30 days, 3 (1.6%) patients died (one of ENT cancer, two of unrelated cause), 106 (55.8%) benefited from an ENT follow’up, 65 (34.2%) were referred to another physician (GP or specialist), 16 (8.4%) were lost to follow’up. Conclusions: The workload suggests that emergency ENT activity is justified in our hospital. Restricting emergency ENT cover to patients referred by a GP or another physician would not allow for a better patient selection. [less ▲]

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See detailTreatment Options (focus on Surgery)
POIRRIER, Anne-Lise ULiege; ROGISTER, Florence ULiege

Conference (2017, November)

To avoid empty nose syndrome after turbinoplasty, surgical indication is key. Nose obstruction have many others causes than turbinate hypertrophy. Ensuring a good vision during surgery avoids excessive ... [more ▼]

To avoid empty nose syndrome after turbinoplasty, surgical indication is key. Nose obstruction have many others causes than turbinate hypertrophy. Ensuring a good vision during surgery avoids excessive resection. Minimal resection avoids complications. [less ▲]

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See detailSternohyoid muscles for reconstruction after thyroid cartilage anterior partial resection.
Cruz, Anna Pamela Dela; Remacle, Marc; Keghian, Jerome et al

in Laryngoscope (2017), 127(12), 2903-2906

Detailed reference viewed: 36 (2 ULiège)