It is increasingly important that we focus our efforts on the right topics for new reviews and updates, in the context of 'fewer, better reviews'.

Cochrane has identified 300 priority review topics.

We have 10 on the list, all of which are now in progress:

  1. Saline irrigation for allergic rhinitis
  2. Topical and systemic antifungal therapy for chronic rhinosinusitis
  3. Unilateral versus bilateral hearing aids in adults and children
  4. Aural toilet for chronic otitis media 
  5. Systemic antibiotics for chronic otitis media
  6. Systemic antibiotics versus topical antibiotics, without steroids for chronic otitis media
  7. Topical antibiotics, with steroids, for chronic otitis media
  8. Topical antibiotics, without steroids, for chronic otitis media
  9. Topical antiseptics for chronic otitis media
  10. Topical antiseptics versus topical antibiotics, without steroids for chronic otitis media

We have also identified the following as potential high-priority topics:

  • Interventions for unilateral vocal fold paralysis
  • Phonosurgery with or without behavioural therapy for benign vocal cord lesions

  • Antibiotics for otitis media with effusion (update)
  • Adenoidectomy for otitis media in children (update)
  • Interventions for treating functional dysphonia in adults (update)
  • Antibiotics to reduce post-tonsillectomy morbidity (update)

We are also interested in topics where antibiotic use may be reduced, e.g. prophylactics in surgery i.e. head and neck surgery.

While we wait for the outcome of ongoing prioritisation work in ENT in general, we have prioritised our work by carrying out formal scoping exercises in chronic rhinosinusitis and chronic suppurative otitis media, consulting with our editorial panel, looking at which reviews feature in clinical practice guidelines, monitoring our top cited and accessed reviews, and using previous prioritisation exercises.