Against the odds: unlikely COVID-19 recovery.

Background: We present a 67-year-old male, with palliative hypopharyngeal squamous cell carcinoma, who contracted COVID-19 infection while in hospital. Cancer diagnosis, among other clinical features, increases the risk of poor outcome of COVID-19 infection. A recently validated risk calculator (COVID-GRAM) can help to guide prognosis.

The use of visual distraction to improve the tolerability of flexible laryngoscopy.

Background: Flexible laryngoscopy is a commonly performed procedure in otolaryngology. Although this procedure is not considered painful, many patients describe it as uncomfortable. This study investigated the role of visual distraction as a form of pain relief during flexible laryngoscopy.

Implementing a standardised discharge analgesia guideline to reduce paediatric post tonsillectomy pain.

Objectives: To reduce readmission for pain control post-paediatric tonsillectomy.

Introduction: Paediatric tonsillectomy is a common procedure in the UK. Uncontrolled pain at home is a common reason for re-admission and therefore adequate analgesic control following paediatric tonsillectomy is vital for a smooth post-operative recovery.

Unresolved drooling in a previously healthy child caused by a brainstem malignancy.

Drooling occurs commonly in children below the age of two. In a small group of children this persists and an otorhinolaryngology consultation is sought. In children with no neurological abnormality or comorbidity, reassurance and behavioural management is often suggested.