Niall D Jefferson

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OBJECTIVE Adult patients with obstructive sleep apnoea can be a therapeutic surgical challenge if other treatments fail or are rejected. We report the outcomes of a series of 17 patients for whom standard device-based treatments failed or could not be used. These patients were considered unsuitable for a lesser operation and therefore underwent multilevel(More)
Ophthalmic manifestations of allergic fungal sinusitis (AFS) are rare, but can occur in advanced disease. A 32-year-old man with advanced AFS presented with severe bilateral vision loss and restricted ocular motility. Magnetic resonance imaging and histological analysis confirmed active chronic AFS. Functional endoscopic sinus surgery was performed, with(More)
Introduction. Congenital nasopharyngeal teratomas are rare tumours that pose difficulties in diagnosis and surgical management. We report the first use of radiofrequency coblation in the management of such tumours. Case Report. A premature baby with a perinatal diagnosis of a large, obstructing nasooropharyngeal mass was referred to the ENT service for(More)
This case describes a cerebrovascular accident (CVA) in a 33 year old with carotid and vertebral artery stenosis following a presentation of submandibular abscess. A 33-year-old male presented to our institution with a left submandibular abscess secondary to dental infection. He had a three-day history of left jaw pain, lethargy , fever and decreased PO(More)
Retropharyngeal abscesses (RPAs) are extremely uncommon in very early infancy and have specific management challenges. A six-week-old thriving, full term male presented to a peripheral emergency department (ED) with a left anterolateral neck swelling. This was associated with overlying erythema and he was febrile at 38.1. The parents of the child did not(More)
BACKGROUND Obstructive sleep apnoea is a common condition that is unfortunately associated with a high rate of patient non-compliance regarding device use. Newer surgical interventions have focused on procedures at the palate level, using variants of palatoplasty and transpalatal advancement. However, the extent of tongue reduction surgery required remains(More)
There is wide variability in the methods of follow up of patients with colorectal cancer. For the majority of patients follow up comprises regular clinical assessment and measurement of carcinoembryonic antigen (CEA) with interval colonoscopy. Regular CT examinations will additionally detect distant disease such as liver and pulmonary metastases as well as(More)
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