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Ann R Coll Surg Engl 2007; 89: 804-807 804Although there have been several studies auditing ENT procedures and their complications, [1][2][3] there have been none in the literature involving a single ENT department monitored prospectively over a 5-year period. We looked initially at the total number of procedures undertaken within the ENT department over a 5-year period and then, more specifically, at the number of procedures in rhinology, which were mostly undertaken by one specialist surgeon over this period. The information was collected prospectively by one of the authors (MI). Patients and MethodsInformation on the number and type of procedures was collected directly from the theatre log-books on a regular monthly basis. The junior doctors on the ward recorded complications as the patients were re-admitted or reviewed. Further complications were also noted by the ENT consultants and SpRs in the out-patient clinic during routine follow-up and forwarded to data co-ordinator (MI). All this information was then presented at the monthly academic day and stored on a database. The total number of procedures and associated complications were recorded. We categorised our complications into major, intermediate and minor. 2This follows the method of classifying complications described in a study undertaken by The Royal College of Surgeons of England in 1992, which looked at nation-wide complications in ENT surgery (Table 1).We looked specifically at the postnasal surgery bleed rate, septal surgery infection rate, septal perforation rate

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