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Ear, nose and throat conditions

About

What is covered

This pathway covers ear, nose and throat (ENT) conditions.
To find other information about ear, nose and throat conditions, including evidence from NICE Accredited sources, visit NICE Evidence Search.

Updates

Updates to this pathway

12 December 2016 XprESS multi-sinus dilation system for treating chronic sinusitis (NICE medical technologies guidance 30) added to sinusitis.
22 March 2016 Corticosteroid-eluting bioabsorbable stent or spacer insertion during endoscopic sinus surgery to treat chronic rhinosinusitis (NICE interventional procedure guidance 551) added to sinusitis.
24 February 2015 Thoracoscopic aortopexy for severe primary tracheomalacia (NICE interventional procedure guidance 243) and translaryngeal tracheostomy (NICE interventional procedure guidance 462) added to tracheal conditions; and flexible endoscopic treatment of a pharyngeal pouch (NICE interventional procedure guidance 513) added to pharyngeal pouch.
22 July 2014 Powered microdebrider turbinoplasty for inferior turbinate hypertrophy (NICE interventional procedure guidance 498) added to nasal obstruction.
24 June 2014 Radiofrequency tissue reduction for turbinate hypertrophy (NICE interventional procedure guidance 495) added to nasal obstruction.

Your responsibility

Guidelines

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take these recommendations fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this interactive flowchart is not mandatory and does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the interactive flowchart to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this interactive flowchart should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Technology appraisals

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take these recommendations fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this interactive flowchart is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Commissioners and/or providers have a responsibility to provide the funding required to enable the recommendations to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Medical technologies guidance, diagnostics guidance and interventional procedures guidance

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take these recommendations fully into account. However, the interactive flowchart does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.
Commissioners and/or providers have a responsibility to implement the recommendations, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this interactive flowchart should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Person-centred care

People have the right to be involved in discussions and make informed decisions about their care, as described in your care.
Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off label use), professional guidelines, standards and laws (including on consent and mental capacity), and safeguarding.

Short Text

Everything NICE has said on ear, nose and throat conditions in an interactive flowchart

What is covered

This pathway covers ear, nose and throat (ENT) conditions.
To find other information about ear, nose and throat conditions, including evidence from NICE Accredited sources, visit NICE Evidence Search.

Updates

Updates to this pathway

12 December 2016 XprESS multi-sinus dilation system for treating chronic sinusitis (NICE medical technologies guidance 30) added to sinusitis.
22 March 2016 Corticosteroid-eluting bioabsorbable stent or spacer insertion during endoscopic sinus surgery to treat chronic rhinosinusitis (NICE interventional procedure guidance 551) added to sinusitis.
24 February 2015 Thoracoscopic aortopexy for severe primary tracheomalacia (NICE interventional procedure guidance 243) and translaryngeal tracheostomy (NICE interventional procedure guidance 462) added to tracheal conditions; and flexible endoscopic treatment of a pharyngeal pouch (NICE interventional procedure guidance 513) added to pharyngeal pouch.
22 July 2014 Powered microdebrider turbinoplasty for inferior turbinate hypertrophy (NICE interventional procedure guidance 498) added to nasal obstruction.
24 June 2014 Radiofrequency tissue reduction for turbinate hypertrophy (NICE interventional procedure guidance 495) added to nasal obstruction.

Sources

NICE guidance and other sources used to create this interactive flowchart.
Flexible endoscopic treatment of a pharyngeal pouch (2015) NICE interventional procedures guidance 513
Powered microdebrider turbinoplasty for inferior turbinate hypertrophy (2014) NICE interventional procedures guidance 498
Radiofrequency tissue reduction for turbinate hypertrophy (2014) NICE interventional procedures guidance 495
Radiofrequency ablation of the soft palate for snoring (2014) NICE interventional procedures guidance 476
Translaryngeal tracheostomy (2013) NICE interventional procedures guidance 462
Radiofrequency cold ablation for respiratory papillomatosis (2012) NICE interventional procedures guidance 434
Micropressure therapy for refractory Ménière's disease (2012) NICE interventional procedures guidance 426
Endoscopic balloon dilatation for subglottic or tracheal stenosis (2012) NICE interventional procedures guidance 425
Incisionless otoplasty (2012) NICE interventional procedures guidance 422
Balloon dilatation of the Eustachian tube (2011) NICE interventional procedures guidance 409
Suction diathermy adenoidectomy (2009) NICE interventional procedures guidance 328
Balloon catheter dilation of paranasal sinus ostia for chronic sinusitis (2008) NICE interventional procedures guidance 273
Treating malignant parotid tumours using photodynamic therapy (2008) NICE interventional procedures guidance 259
Intraoperative nerve monitoring during thyroid surgery (2008) NICE interventional procedures guidance 255
Thoracoscopic aortopexy for severe primary tracheomalacia (2007) NICE interventional procedures guidance 243
Soft-palate implants for obstructive sleep apnoea (2007) NICE interventional procedures guidance 241
Soft-palate implants for simple snoring (2007) NICE interventional procedures guidance 240
Therapeutic sialendoscopy (2007) NICE interventional procedures guidance 218
Tonsillectomy using laser (2006) NICE interventional procedures guidance 186
Tonsillectomy using ultrasonic scalpel (2006) NICE interventional procedures guidance 178
Electrosurgery (diathermy and coblation) for tonsillectomy (2005) NICE interventional procedures guidance 150
Collagen injection for vocal cord augmentation (2005) NICE interventional procedures guidance 130
Endoscopic dacryocystorhinostomy (2005) NICE interventional procedures guidance 113
Auditory brain stem implants (2005) NICE interventional procedures guidance 108
Cyanoacrylate instillation for occlusion of parotid sinuses (2004) NICE interventional procedures guidance 42
Endoscopic stapling of pharyngeal pouch (2003) NICE interventional procedures guidance 22
XprESS multi-sinus dilation system for treating chronic sinusitis (2016) NICE medical technologies guidance 30

Quality standards

Quality statements

Effective interventions library

Effective interventions library

Successful effective interventions library details

Implementation

Information for the public

NICE produces information for the public that summarises, in plain English, the recommendations that NICE makes to healthcare and other professionals.
NICE has written information for the public explaining its guidance on each of the following topics.

Pathway information

Your responsibility

Guidelines

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take these recommendations fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this interactive flowchart is not mandatory and does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the interactive flowchart to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this interactive flowchart should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Technology appraisals

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take these recommendations fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this interactive flowchart is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Commissioners and/or providers have a responsibility to provide the funding required to enable the recommendations to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Medical technologies guidance, diagnostics guidance and interventional procedures guidance

The recommendations in this interactive flowchart represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take these recommendations fully into account. However, the interactive flowchart does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.
Commissioners and/or providers have a responsibility to implement the recommendations, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this interactive flowchart should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Person-centred care

People have the right to be involved in discussions and make informed decisions about their care, as described in your care.
Making decisions using NICE guidelines explains how we use words to show the strength (or certainty) of our recommendations, and has information about prescribing medicines (including off label use), professional guidelines, standards and laws (including on consent and mental capacity), and safeguarding.

Supporting information

Glossary

Paths in this pathway

Pathway created: November 2013 Last updated: May 2016

© NICE 2017

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