This section of the website provides you with guidelines and a list of benchmarks for you to use to locally at your hospital.

Please check this page regularly for updated guidelines and more information on a regular basis, if you have any ideas or additional information, we would love to hear from you!

Consensus studies and guidelines

ENT UK COVID-19 Consensus

• ENTUK Guidelines for changes in ENT during COVID-19 Pandemic

• Aerosol-generating procedures in ENT

• FESS in the COVID Era The Microscope Drape Method to Reduce Aerosolization

• Anosmia as a potential marker of COVID-19 infection – an update

• COVID-19 Epistaxis Management

• Loss of sense of smell as marker of COVID-19 infection

• Nasal endoscopy and laryngoscopy examination of ENT patients

Chronic rhinosinusitis 

• European Position Paper on Rhinosinusitis and Nasal Polyps 2020. Rhinology. 2020 Feb 20;58(Suppl S29):1-464. doi: 10.4193/Rhin20.600. 

Comprehensive review of the current evidence base of acute and chronic rhinosinusitis in children and adults. The paper includes important definitions, new classification systems, new biologic treatment options, epidemiology, predisposing factors, inflammatory mechanisms, genetics, cystic fibrosis, aspirin exacerbated respiratory disease, immunodeficiencies, allergic fungal rhinosinusitis.

• EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. Rhinology (supplement). 2012; 23:3.

Allergic Rhinitis

• Allergic Rhinitis and its impact on Asthma (ARIA) guidelines – 2016 revision.

• Updated recommendations (from 2010) on the pharmacologic management of allergic rhinitis.

• EAACI guidelines on allergen immunotherapy: Hymenoptera venom allergy. Allergy. 2018 Apr;73(4):744-64.

• EAACI guidelines on allergen immunotherapy: prevention of allergy. Pediatric Allergy and Immunology. 2017 Dec;28(8):728-45.

• Guidance for immunotherapy for patients with severe allergic rhinitis and also wasp and bee sting allergy’s

Sinonasal and nasopharyngeal malignancy

• Head and Neck Cancer: United Kingdom National Multidisciplinary Guidelines. Journal of Laryngology and Otology. 2016;130 (S2).

• Evidence based guidelines on the management of Head and Neck Cancer, inclusive of sinonasal, nasopharyngeal and non-melanoma skin cancer.

•  World Health Organisation Classification of head and neck tumours (4th Edition). 2017. 

• Reference of diagnostic criteria, pathological features, epidemiology, clinical features, prognostic factors of head and neck tumours inclusive of sinonasal and nasopharyngeal neoplasms.

Hereditary Haemorrhagic Telangiectasia

• International guidelines for the diagnosis and management of hereditary haemorrhagic telangiectasia. Journal of Medical Genetics. 2011; 48(2): 73-87.

• Evidence based consensus guidelines on the diagnosis, treatment and prevention of complications of Hereditary Haemorrhagic Telangiectasia.

• European Reference Network for Rare Vascular Diseases (VASCERN) outcome measures for hereditary haemorrhagic telangiectasia (HHT). Orphanet journal of rare diseases. 2018 Dec;13(1):136.

• Guidance for the management and investigations of patients with HHT 

Epistaxis

• The British Rhinological Society multidisciplinary consensus recommendations on the hospital management of epistaxis. Journal of Laryngology & Otology. 2017; 131: 1142–1156. 

Consensus guidelines on the management of patients requiring admission for epistaxis across five domains: initial assessment, cautery, intranasal agents, haematological factors, and surgery and radiological intervention.

• Guideline for the management of idiopathic epistaxis in adults. ENTUK. 2019. 

ENTUK guidelines on the management of adults (outpatient and inpatient) with epistaxis.

Periorbital cellulitis

•  Guidelines on the management of orbital cellulitis. ENTUK. 2017.

Revised guidelines from ENTUK on the management of orbital cellulitis in adults and children.

• Orbital cellulitis. Guidelines from the American Academy of Ophthalmology.

Comprehensive guidelines from the American Academy of Ophthalmology on the management of patients requiring management of periorbital cellulitis (Last accessed October 2019).

Terminology

• European position paper on the anatomical terminology of the internal nose and paranasal sinuses. Rhinology (supplement). 2014; 24.

A summary of the anatomic structures encountered during endoscopic sinus surgery providing a consensus on terminology in English.

Facial plastics

Bell’s Palsy

• Early treatment with prednisolone of acyclovir in Bell’s Palsy. New England Journal of Medicine. 2007; 357:1598-1607.

Hallmark study highlighting the benefit of early administration of prednisolone for idiopathic lower motor neurone facial palsy.

• Guideline for the management of Bell’s palsy in adults. ENTUK (2019)

Guidelines from ENTUK for the management of adults with idiopathic lower motor neurone facial palsy.

Basal Cell Carcinoma and Cutaneous Squamous Cell Carcinoma

• Guidelines for the management of basal cell carcinoma. British Journal of Dermatology. 2008; 159: 35-48.

Guidance on the multi-disciplinary management of basal cell carcinoma. 

• Multi-professional Guidelines for the Management of the Patient with Primary Cutaneous Squamous Cell Carcinoma. British Association of Dermatology. 2009

Guidance on the multi-disciplinary management of primary cutaneous squamous cell carcinoma. A further update by the British Association of Dermatology is currently in progress.

• Head and Neck Cancer: United Kingdom National Multidisciplinary Guidelines. Journal of Laryngology and Otology. 2016;130 (S2).

Evidence based guidelines on the management of Head and Neck Cancer, inclusive of sinonasal, nasopharyngeal and non-melanoma skin cancer.

Melanoma

• Revised UK guidelines for the management of cutaneous melanoma 2010. British Journal of Dermatolgy. 2010; 163: 238-256.

Guidance on the management multi-disciplinary management of melanoma produced by the British Association of Dermatologists. Further guidance has been produced by the National Institute for Health and Care Research (NICE): Melanoma: assessment and management (NG14)

Anterior Skull Base

• European Society of Endocrinology Clinical Practice Guidelines for the management of aggressive pituitary tumours and carcinomas. European journal of endocrinology

Raverot G, Burman P, McCormack A, Heaney A, Petersenn S, Popovic V, Trouillas J, Dekkers OM.. 2018 Jan 1;178(1):G1-24.

Pituitary tumours are common and easily treated by surgery or medical treatment in most cases. The European Society of Endocrinology (ESE) guideline aims to provide clinical guidance on diagnosis, treatment and follow-up in aggressive pituitary tumours and carcinomas.

• • UK guidelines for the management of pituitary apoplexy

Rajasekaran S, Vanderpump M, Baldeweg S, Drake W, Reddy N, Lanyon M, Markey A, Plant G, Powell M, Sinha S, Wass J.. Clinical endocrinology. 2011 Jan;74(1):9-20.

This guidance will provide guidance for physicians and surgeons. The purpose of the guidelines is to encourage the widespread adoption of harmonized good practice in the diagnosis and management of patients with pituitary apoplexy.

• • Endoscopic transsphenoidal pituitary adenoma resection. NICE Guidance 2003 IPG 32.

This is an interventional procedure guidance recommendation based on the safety and efficacy of the procedure.

• • Meningioma guidance. Brain tumours (primary) and brain metastases in adults. Nice guidelines (NG 99) 2018.

This guideline covers diagnosing, monitoring and managing any type of primary brain tumour or brain metastases in people aged 16 or over. It aims to improve diagnosis and care, including standardising the care people have, how information and support are provided, and palliative care.

 audits and quality improvement 

National audits

1. The national comparative audit of surgery for nasal polyposis and chronic rhinosinusitis. Clinical Otolayngology. 2006 Oct;31(5):390-8.

National audit reviewing the safety and efficacy of sinonasal surgery for nasal polyposis and chronic rhinosinusitis.

2. Epistaxis 2016: national audit of management. Journal of Laryngology and Otology. 2017; 131(12): 1131-1141.

National trainee-led audit reviewing the management of patients with epistaxis.