Hypnosis, sleep and satisfaction outcomes
Otolaryngologist assessed the feasibility of the procedure through a physician-reported outcome questionnaire. The otolaryngologist and hypnosis practitioner evaluated the compliance of patient, HISE feasibility and performance. The overall score of the patient/practitioner reported outcome questionnaire ranged from 20 (low satisfaction) to 80 (high satisfaction; Figure 2).
The micro-awakenings/annoyance/pain were assessed during the procedure as well as their cause (anatomical location). The patient compliance to hypnosis was evaluated by the hypnosis practitioner who determined the compliance after the first, second or third sessions.
The otolaryngologist reported the findings of the VOTE system for each patient. The VOTE classification encompasses the most usually involved structures and assess the degree of obstruction and configuration of the obstruction. The configuration of obstruction can be described as antero-posterior, lateral or concentric. Antero-posterior obstruction consists of anterior structures moving posteriorly against the posterior wall of pharynx, while lateral obstruction is laterally located structures moving towards the center of the airway. The combination of two previous obstruction is described as concentric [6]. The score of each anatomical region ranges from 0 (no obstruction) to 2 (complete collapse). The otolaryngologist proposed a therapeutic strategy depending on the clinical and HISE findings.
The patient fulfilled a reported-outcome questionnaire assessing hypnosis acceptance, stress, anxiety, pain or discomfort during the nasofibroscopy.