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Otolaryngology Assessment

Use when asked to administer, score, or explain an Otolaryngology Assessment — general ENT consultation using the SNOT-22 symptom score — grounded in FormExamples/form-examples.

General ear-nose-throat (otolaryngology) consultation assessment covering presenting complaint, history, examination findings, and the SNOT-22 symptom score to quantify sinonasal quality of life and guide ENT management.

Scoring

Instrument: SNOT-22 (Sino-Nasal Outcome Test) + ENT Review of Systems. Range 0–110.

  • Mild (0–7) — minimal impact on daily life.
  • Moderate (8–19) — moderate impact; targeted management advised.
  • Severe (20+) — significant impact; consider specialist referral or surgery.

What it covers

Demographics; presenting complaint (ear/nose/throat/neck); history of present illness; past ENT history and surgery; the SNOT-22 questionnaire; external examination; otoscopy; anterior rhinoscopy; oropharyngeal and neck examination; and clinical impression with a management plan.

Common pitfalls

  • Using SNOT-22 for non-sinonasal ENT complaints — it's specifically validated for sinonasal symptoms; an ear- or throat-predominant complaint needs its own targeted history and exam, not a SNOT-22 score standing in for the whole assessment.
  • Skipping a neck examination in a general ENT review — neck findings (lymphadenopathy, masses) can be the most clinically significant finding and are easy to omit if the visit is framed narrowly around the presenting complaint.
  • Treating a "Mild" SNOT-22 score as ruling out a need for examination — the score measures quality-of-life impact, not disease presence; a structurally significant finding can coexist with a low symptom-impact score.

Learn more

View otolaryngology-assessment/SKILL.md on GitHub