Coblation intracapsular tonsillectomy in a paediatric tertiary centre: Revision surgery rates over a nine-year period.

Objectives: Coblation intracapsular tonsillectomy (ICT) is increasingly being used in the paediatric population because of the rapid recovery and low rates of complications associated with it. There is, however, a risk of symptomatic regrowth with this technique. The objective of our study is to establish the rate of, and risks for, revision surgery over time in a major tertiary referral centre with a large cohort of paediatric Coblation ICT cases.

Coblation intracapsular tonsillectomy: A cohort study of NHS practice in England using Hospital Episode Statistics.

Objectives: To identify paediatric intracapsular Coblation tonsillectomy procedures from routine administrative data in England, and determine their safety.

Design: Retrospective observational cohort study of four ENT centres using routine data from Hospital Episode Statistics (HES).

Setting: Acute NHS trusts in England conducting exclusively intracapsular Coblation tonsillectomy.

Coblation intracapsular tonsillectomy in children: A prospective study of 1257 consecutive cases with long-term follow-up.

Objectives: Intracapsular tonsillectomy (ICT) is increasingly adopted by paediatric centres worldwide due to its association with reduced pain, fast recovery and low risks of post-operative complications. Questions still surround its role in patients with recurrent tonsillitis, as well as tonsillar regrowth requiring revision surgery.

Design: Prospective consecutive case series from March 2013 to April 2020.

Reconstruction of the nasal septum using perforated and unperforated polydioxanone foil.

Objective: To present our experience of reconstruction of the nasal septum using perforated and unperforated foils, particularly with respect to functional and aesthetic sequelae.

Methods: A retrospective medical record review of a prospectively conducted case series was undertaken of all consecutive patients who underwent septal reconstruction using polydioxanone foil in a 4-year period. Procedures included septorhinoplasty and isolated septoplasty via external and endonasal approaches using corporeal and extracorporeal techniques.

Partial adenoidectomy by suction diathermy in children with cleft palate, to avoid velopharyngeal insufficiency.

Objectives: Adenoidectomy is indicated for the relief of paediatric nasal obstruction, sleep-disordered breathing and otitis media with effusion (OME). Velopharyngeal insufficiency (VPI) is a rare complication. The main risk factor is the presence of pre-existing velopharyngeal closure-impaired mechanisms, including submucosal or overt cleft palate.

Neurovascular anatomy and variation in the fourth, fifth, and sixth intercostal spaces in the mid-axillary line: a cadaveric study in respect of chest drain insertion.

Chest drains are normally inserted in the fifth intercostal space in the mid-axillary line. The classical technique for chest drain insertion involves locating the drain in an interspace just superior to the inferior rib, so as to avoid the neurovascular bundle. While teaching thoracic wall anatomy on cadavers, considerable variation was noted in the position of the neurovascular bundles, frequently lying well away from the generally accepted subcostal groove.