“…We looked at the UK contribution to 10 ENT journals, including Annals of Otology, Rhinology and Laryngology and Head and Neck , which were omitted from the 2001 study 1 . We accept that, by including these extra journals, the annual publication rates between 1985 and 1989 only rose from 216.2 1,2 to 224.2 3 . In the following 5 years, this rose to 258.6 (corresponding to approximately 250 per year from the eight journals), peaking at 273 articles per year emanating from the UK in 1991 3 .…”