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Letters Paediatric ENT surgery

Evidence above vitriol

BMJ 2010; 341 doi: (Published 20 December 2010) Cite this as: BMJ 2010;341:c7295
  1. Peter J Robb, consultant ENT surgeon and former president, British Association for Paediatric Otorhinolaryngology1
  1. 1Epsom and St Helier University Hospitals, Surrey KT18 7EG, UK
  1. peter.robb{at}

In his diatribe, Spence states that common paediatric ear, nose, and throat operations are ineffective, with no evidence for them.1

The National Institute for Health and Clinical Excellence guideline concluded that if hearing loss persisted, grommet surgery is the only effective remedy.2 The Cochrane review is not new, but an updated literature search.3 Of trials meeting inclusion criteria for …

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