Danaé Guedj, Nikita Grieder, Catherine Francq, Marion Bourqui, Leila Sahinpasic, Yoan Guilloux, Giuseppe De Maria, Sandrine Morel, Nicolas Dulguerov
{"title":"[Multidisciplinary follow-up in head and neck cancer : principles and perspectives].","authors":"Danaé Guedj, Nikita Grieder, Catherine Francq, Marion Bourqui, Leila Sahinpasic, Yoan Guilloux, Giuseppe De Maria, Sandrine Morel, Nicolas Dulguerov","doi":"10.53738/REVMED.2026.22.977.49066","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.977.49066","url":null,"abstract":"<p><p>Head and neck cancers and their treatments result in functional, nutritional, and psychosocial sequelae that remain insufficiently integrated into conventional oncological follow-up. Systematic integration of standardized functional assessments and Patient-Reported Outcome Measures facilitates early identification of patients' needs, promoting more personalized multidisciplinary approaches. This article reviews the rationale for longitudinal follow-up in head and neck cancer patients, its clinical relevance, actual recommended tools for functional assessment, and practical aspects of its implementation. The experience developed at the HUG illustrates the feasibility of this approach and its potential to improve care coordination, optimize supportive care, and establish a prospective clinical database to support future research.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1566-1570"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"« Healthocide » : l’arme de guerre du 21<sup>e</sup> siècle.","authors":"Sophie Durieux-Paillard","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1602"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Réseaux sociaux et santé mentale des jeunes : entre protection et autonomie.","authors":"Sophia Achab","doi":"10.53738/REVMED.2026.22.977.49157","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.977.49157","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1604"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sibylle Chatelain, Gianmarco Widmer, Dominik Ettlin, Nenad Lukic, Michael Adler, Sandra Van Den Broecke, Martin Broome, Raphaël Heinzer, Karma Lambercy
{"title":"[Custom-made mandibular advancement devices for OSAS and snoring].","authors":"Sibylle Chatelain, Gianmarco Widmer, Dominik Ettlin, Nenad Lukic, Michael Adler, Sandra Van Den Broecke, Martin Broome, Raphaël Heinzer, Karma Lambercy","doi":"10.53738/REVMED.2026.22.977.49323","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.977.49323","url":null,"abstract":"<p><p>Obstructive sleep apnea syndrome (OSAS) remains widely underdiagnosed, despite its well-established cardiovascular and cognitive consequences. Although continuous positive airway pressure (CPAP) remains the first-line treatment for severe OSAS and for moderate OSAS associated with comorbidities, adherence often remains suboptimal. Custom-made mandibular advancement devices (MAD) therefore represent an attractive therapeutic alternative for patients with symptomatic mild to moderate OSAS. Generally better tolerated than CPAP, they are associated with better adherence. This article guides clinicians through the different stages of patient management with MAD : indication, fabrication and treatment follow-up.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1585-1590"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Encore une chose à dire.","authors":"Daniel Widmer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1602-1603"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"« Volume et résultats » en chirurgie des cancers de la tête et du cou.","authors":"Christian Simon, Pascal Senn","doi":"10.53738/REVMED.2026.22.977.49214","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.977.49214","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1563-1564"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Panendoscopy in head and neck oncology : lost art or a sign of changing practice ?]","authors":"Alexandre Waldmeyer, Louis Noël","doi":"10.53738/REVMED.2026.22.977.e49076","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.977.e49076","url":null,"abstract":"<p><p>Since the mid-1970s, panendoscopy has been a cornerstone of the pretherapeutic workup for squamous cell carcinomas of the upper aerodigestive tract. It enables assessment of tumor extent and detection of synchronous cancers, whose incidence has declined, from approximately 25% in the 1990s to around 5% today. This decrease is mainly explained by the rise in human papillomavirus-associated oropharyngeal cancers, which are less frequently associated with synchronous malignancies, as well as by reduced tobacco and alcohol consumption. These developments now raise questions about about the utility of maintaining routine panendoscopy in the pretherapeutic workup. This article reviews the evolution and diagnostic value of panendoscopy and proposes a more individualized approach.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Xanthelasma palpebrum : mortality risk factor or not ?]","authors":"Lucile Lesueur Koshy, Julien Ombelli","doi":"10.53738/REVMED.2026.22.977.49057","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.977.49057","url":null,"abstract":"<p><p>A 44-year old patient presents at the emergencies for a cut above his right eyebrow. Inspection reveals a bilateral bilateral xanthelasma palpebrum (XP). The blood analysis shows a normal cholesterol level: is this enough reassurance as to the patient's cardiovascular and mortality risk? This article reviews evidence showing that XP - a cholesterol papule on the eyelids - is associated with an increased risk for mortality, myocardial infarct and severe atherosclerotic disease, independently from the patient's lipid profile.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1596-1598"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Varénicline et consultation brève favorisent l’abstinence de nicotine vapotée chez les jeunes.","authors":"Emily Nields","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1603"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Alejandra Bonilla Medrano, Tommaso Saccardo, Marcella Pucci, Basile N Landis, Hélène Cao Van
{"title":"[Congenital anosmia : a practical diagnostic approach].","authors":"Maria Alejandra Bonilla Medrano, Tommaso Saccardo, Marcella Pucci, Basile N Landis, Hélène Cao Van","doi":"10.53738/REVMED.2026.22.977.49087","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.977.49087","url":null,"abstract":"<p><p>Congenital anosmia is a rare disorder defined by the absence of the sense of smell since birth. It can mostly be an isolated condition or more rarely part of a syndromic presentation, such as Kallmann syndrome, which predominantly affects males. Diagnosis relies on a targeted medical history, an ENT examination including nasal endoscopy, validated psychophysical olfactory testing and MRI focused on the olfactory pathways. Endocrine and genetic investigations should be guided by associated clinical features. As there is no validated curative treatment, management relies on patient education, prevention of household and dietary risks, and specialist referral for syndromic forms.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 977","pages":"1571-1575"},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}