Microlaryngobronchoscopy in Children with Recurrent Croup: Are We Performing Too Many?
Introduction: Recurrent croup is a frequent indication for referral to paediatric ENT, yet the role of routine microlaryngobronchoscopy (MLB) remains uncertain. We evaluated the prevalence of airway abnormalities, associated risk factors, management and clinical outcomes in children undergoing MLB for recurrent croup. Methods: A retrospective review was performed of children undergoing MLB for recurrent croup […]
Cumulative corticosteroid exposure in paediatric subglottic stenosis
Main theme: Airway/General Introduction: Systemic glucocorticoids are integral to the management of acute exacerbations of subglottic stenosis (SGS), but long-term use carries well-documented adverse effects. Emerging adult evidence links cumulative lifetime doses of 500–1000 mg prednisolone-equivalent to increased systemic risk, while emerging paediatric literature proposes an annualised threshold of 100 mg/year, reflecting the greater relevance […]
Transitioning adolescent tracheostomy patients to adult care: A national survey of current practice
Main theme: General Introduction Transitioning adolescents with tracheostomies to adult care presents significant challenges, including variation in service provision, equipment and multidisciplinary support. This is, to our knowledge, the first study to explore tracheostomy transitioning practice. Methods We conducted a multi-centre questionnaire-based cross-sectional study. 30 clinicians from 21 centres across Great Britain completed a 13-item […]
Multidisciplinary Paediatric Airway Guide and Simulation Training
Main Theme: Airway Introduction Paediatric airway emergencies are low frequency but high risk. There exists a huge variation in clinician experience and confidence. Aside from optional infrequent courses, clinicians lack exposure to regular rigid bronchoscopy simulation training. Our aim is to create a clear concise video resource and app to improve multidisciplinary competence managing the […]
Endoscopic vs External Paediatric DCR: A Systematic Review and Meta-analysis
IntroductionThe optimal approach for paediatric dacryocystorhinostomy (DCR) remains debated with increasing adoption of endoscopic techniques despite variable outcome reporting. This study compared success, revision and complication rates between endoscopic and external paediatric DCR. MethodsA PRISMA-guided systematic review identified studies reporting outcomes following primary paediatric (<18 years) endoscopic or external DCR. Random-effects meta-analysis was performed to […]
Paediatric one stop neck lump clinic: A pilot service evaluation
Introduction:- Neck lumps are a common paediatric referral causing significant parental anxiety. One-stop clinics integrating same-day assessment and ultrasound reduce appointments and time to diagnosis. 1 Evidence derives predominantly from adult cohorts; paediatric data remain scarce. Biopsy underpins most adult models but is poorly tolerated and often unnecessary given the predominantly benign aetiology of paediatric […]
Preliminary Safety and Efficacy of AK-OTOF Gene Therapy for Otoferlin Gene (OTOF)-mediated Hearing Loss
Main Theme: Otology Introduction: The otoferlin gene (OTOF) encodes otoferlin, a protein critical for signaling at the inner hair cell synapse. Individuals with OTOF-mediated hearing loss typically present with congenital, severe to profound sensorineural hearing loss, with preserved otoacoustic emissions early in life. Recent advances in gene therapy and intracochlear delivery support the potential to […]
Paediatric Eustachian Tube Balloon Dilatation: The First UK Experience
Theme: Paediatric Otology Introduction Eustachian tube balloon dilatation is a minimally invasive procedure for the treatment of eustachian tube dysfunction (ETD). Although widely adopted in adults, its use within paediatric patients remains limited with no UK-based published series. Eustachian tube balloon dilatation may be indicated in children with persistent otological symptoms despite conventional management. This […]
Patterns and Predictors of Hearing Aid Rejection in Paediatric Patients: A Single-Centre Experience
Main Theme: Otology Introduction: Consistent auditory stimulation is essential for speech and language development. Non surgical bone conduction hearing aids (NSBCHAs) are widely used in paediatric patients with conductive or unilateral hearing loss, yet reasons for device rejection in children remain poorly described. Methods: Retrospective review of paediatric patients referred for NSBCHAs assessment at a […]
Paediatric ENT litigation in England: a retrospective analysis of NHS Resolution claims notified 2018–2023
INTRODUCTION: Paediatric ENT clinical negligence litigation carries significant financial and governance implications, yet remains poorly characterised. This study aimed to characterise the nature, cause, and cost of paediatric ENT claims notified to NHS Resolution and identify themes amenable to risk reduction. METHODS: Retrospective analysis of NHS Resolution data for paediatric ENT claims (aged 0–17) notified […]