insertion of ventilation tubes at primary closure of the cleft palate should be performed only after careful otological and audiological assessment; insertion of ventilation tubes should be offered as an alternative to hearing aids in children with cleft palate who have OME and persistent hearing loss. An IPFR is required for all other circumstances. ENT Health Board E02 Nose -Rhinoplasty Can only be undertaken in line with the WHSSC *also under Plastic E073 Policy on Facial Surgery. Surgery An IPFR is required for all other circumstances. ENT Health Board F32.8 Soft-Palate Implants There are no agreed criteria for use without an for Obstructive IPFR Sleep Apnoea ENT Health Board F34.1>5 Tonsillectomy in Tonsillectomy is one of the five surgical F34.7>9 Children & Adults procedures that the Department of Health monitors as indicators of excess surgical activity. Can be undertaken if patients meet ALL of the following criteria prior to referral: Sore throat is due to tonsillitis Five or more episodes of sore throat per year Symptoms for at least one year Episodes of sore throat are disabling and prevent normal function When in doubt as to whether tonsillectomy would be beneficial, a six-month period of watchful waiting is recommended prior to tonsillectomy to establish firmly the patterns of symptoms and allow the patient to consider fully the implications of the operation.
insertion of ventilation tubes at primary closure of the cleft palate should be performed only after careful otological and audiological assessment; insertion of ventilation tubes should be offered as an alternative to hearing aids in children with cleft palate who have OME and persistent hearing loss. An IPFR is required for all other circumstances. ENT *also under Plastic Surgery Health Board E02 E073 Nose -Rhinoplasty Can only be undertaken in line with the WHSSC Policy on Facial Surgery. An IPFR is required for all other circumstances. ENT Health Board F32.8 Soft-Palate Implants for Obstructive Sleep Apnoea There are no agreed criteria for use without an IPFR ENT Health Board F34.1>5 F34.7>9 Tonsillectomy in Children & Adults Tonsillectomy is one of the five surgical procedures that the Department of Health monitors as indicators of excess surgical activity. Can be undertaken if patients meet ALL of the following criteria prior to referral: Sore throat is due to tonsillitis Five or more episodes of sore throat per year Symptoms for at least one year Episodes of sore throat are disabling and prevent normal function When in doubt as to whether tonsillectomy would be beneficial, a six-month period of watchful waiting is recommended prior to tonsillectomy to establish firmly the patterns of symptoms and allow the patient to consider fully the implications of the operation.
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