Non-accidental injury of the head and neck

Ear, nose and throat surgeons see a higher proportion of children than any specialty other than paediatricians and specialist paediatric surgeons. It is vital that a person working in the speciality is aware of specific otolaryngological and head and neck signs that may suggest non-accidental injury, such as pinna bruising, but also have an awareness of other findings that may raise concerns of abuse or neglect. This article discusses specific findings in head and neck injuries associated with non-accidental injury, as well as the management of other safeguarding issues that may present to the otolaryngologist.