{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:44:33Z","timestamp":1761007473319,"version":"build-2065373602"},"reference-count":5,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2012,1,27]],"date-time":"2012-01-27T00:00:00Z","timestamp":1327622400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess if patients can safely self\u2010assess their need for ear, nose, and throat (ENT) review following initial emergency department attendance for nasal trauma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>This prospective study was divided into 2 parts. The initial part evaluated an information sheet for patients to lead them through a self\u2010assessment to establish if they require ENT review following nasal injury. The second part of the study investigated outcomes following the introduction of the self\u2010assessment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>This work was conducted at a District General Hospital in Scotland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Forty\u2010nine consecutive patients underwent self\u2010assessment plus blinded otolaryngology assessment, after which self\u2010assessment was introduced as routine. This was evaluated comparing outcomes of 49\u00a0new consecutive nasal injuries against the original group using subjective patient scores of nasal cosmesis and nasal airway following injury and any subsequent treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no significant difference in outcome between the 2 study periods. After the introduction of self\u2010assessment, there was a large reduction in the nonattendance rate for nasal injuries and in the attendances of patients with nasal injuries not requiring manipulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In our institution, patients can be relied on to safely self\u2010assess their nasal injuries to decide if they need ENT review when provided with appropriate information. This reduces the outpatient burden on the ENT department with no deterioration in subjective patient outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599811435892","type":"journal-article","created":{"date-parts":[[2012,1,28]],"date-time":"2012-01-28T03:43:35Z","timestamp":1327722215000},"page":"913-917","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Patient Self\u2010assessment of Nasal Fractures and Self\u2010referral to an Ear, Nose, and Throat Department"],"prefix":"10.1002","volume":"146","author":[{"given":"David E. C.","family":"Baring","sequence":"first","affiliation":[{"name":"Southern General Hospital Glasgow Scotland UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duncan J.","family":"Bowyer","sequence":"additional","affiliation":[{"name":"St John\u2019s Hospital at Howden Livingston UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Adamson","sequence":"additional","affiliation":[{"name":"St John\u2019s Hospital at Howden Livingston UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,1,27]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.PRS.0000096705.64545.69"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/archfami.9.8.738"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1984.00800380027008"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200210000-00001"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2004.11.006"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599811435892","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599811435892","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599811435892","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:23:49Z","timestamp":1760966629000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599811435892"}},"subtitle":["A Prospective Study"],"short-title":[],"issued":{"date-parts":[[2012,1,27]]},"references-count":5,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2012,6]]}},"alternative-id":["10.1177\/0194599811435892"],"URL":"https:\/\/doi.org\/10.1177\/0194599811435892","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2012,1,27]]},"assertion":[{"value":"2011-07-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2011-12-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-01-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}