ENT features
Task shifting in public hospital rhinology new patient assessment
Nurse-led rhinology clinics and CBCT imaging streamline assessment, improve equity and expand capacity in a resource-constrained public hospital setting. In the ENT department at Waikato Hospital, New Zealand, we have faced problems that are no doubt well known to many...
Between sirens and silence: the burden on otorhinolaryngologists in wartime Ukraine
Ukrainian ENT teams continue life-saving and routine care under air raid alerts, with staff shortages, strained resources and the long psychological toll of war. War reshapes medicine long before it destroys hospitals. It alters the rhythm of clinical work, the...
The Journal of the Colleges of Medicine of South Africa (JCMSA): a model for sharing research from low- and middle-income countries
A new open-access journal from South Africa offers a sustainable model to amplify research from low- and middle-income countries and rebalance global health knowledge. More than 80% of the world’s population lives in low- and middle-income countries (LMICs). Yet high-income...
GIRFT: improving ENT care through standardised clinical pathways
Clinical pathways can help to ensure consistency of approach and efficient use of resources. We hear about new developments in the UK. Variation in ENT care In today’s data-driven healthcare landscape, significant variation persists in the provision of ENT services...
Making the case for multidisciplinary ENT vasculitis clinics
How can combined ENT vasculitis clinics improve diagnosis, treatment and ongoing care for patients with AAV? This article outlines a multidisciplinary approach. Antineutrophil cytoplasmic antibody (ANCA)-associated vasculitides (AAV) are a group of rare autoimmune conditions characterised by inflammation of small-...
The MACRO Trial: defining best management of chronic rhinosinusitis
A major UK trial in The Lancet finds ESS provides greater symptom relief than long-term macrolides for adults with CRS, supporting earlier surgery and fewer antibiotics. The MACRO Programme was established in 2016 when the UK National Institute of Health...
Management of olfactory dysfunction
An evidence-based update on olfactory dysfunction: who to image, how to test and what works – OT, CRS surgery, biologics and PRP. Olfactory dysfunction (OD) is highly prevalent, affecting more than 20% of the adult population with a clear age-related...
A brief overview on chronic facial pain in rhinology practice
Chronic facial pain is a common yet complex issue in rhinology, often neurologic in origin and frequently misattributed to sinus disease. Facial pain is a very common complaint in the rhinology clinic. In a community-based ENT practice where patient symptoms...
First UK Genio Nyxoah bilateral hypoglossal nerve stimulator implant for obstructive sleep apnoea
Obstructive sleep apnoea remains a very challenging condition to treat, but more options are becoming available. An estimated eight million adults in the UK suffer from obstructive sleep apnoea (OSA) and experience symptoms of troublesome snoring, daytime sleepiness and witnessed...
Advanced in-office awake rhinology
In-office awake rhinology transforms sinonasal care, offering safe, cost-effective, minimally invasive procedures with rapid recovery and high patient satisfaction. In recent years, the landscape of otolaryngological surgery has undergone a remarkable transformation with the advent of in-office awake surgical procedures....
Cocaine-induced ENT pseudo-GPA (CIEpGPA): an underdiagnosed entity
Cocaine-induced ENT pseudo-GPA is increasingly seen in our ENT clinics. The authors of a new ENT UK guideline offer a concise overview for day-to-day recognition and management. Use of cocaine has steadily increased in Europe since 2010 and now represents...
Sustainability guidelines to reduce single-use items in ENT outpatients
ENT surgery generates significant waste, with single-use instruments and packaging as key contributors. This article outlines recommendations on sustainable practice that can be adopted into ENT departments. Climate change is one of the greatest threats to human health in the...
