Niall David Jefferson

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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)
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)
Subglottic stenosis (SGS) is a congenital or acquired condition characterized by a narrowing of the upper airway extending from just below the vocal folds to the lower border of the cricoid cartilage. With the introduction of prolonged intubation in neonates (mid 1960s), acquired SGS became the most frequent cause of laryngeal stenosis; unlike congenital(More)
OBJECTIVES Adult supraglottitis is a potentially life-threatening airway infection. We reviewed the management and outcome of supraglottitis in 169 adults admitted to Liverpool Hospital between 1999 and 2009. METHODS A retrospective review was conducted of all admissions with supraglottitis in patients at least 18 years of age. The diagnosis was confirmed(More)
OBJECTIVES/HYPOTHESIS To review the use of the laryngeal mask airway (LMA) in otorhinolaryngology, as well as the advantages and disadvantages across the range of procedures typically performed. STUDY DESIGN Contemporary review. METHODS Published articles identified through PubMed, Medline, and conference proceedings were reviewed. RESULTS With only(More)
Reconstruction of cutaneous nasal defects is often a challenging problem with multiple solutions. Many factors must be considered when deciding on the appropriate reconstructive procedure, including optimally matching donor site skin to the original recipient site skin. To the best of our knowledge no objective study has been undertaken to examine which(More)
BACKGROUND Treadmill injuries in children tend to be severe and are becoming increasingly common. We present an overview of this problem to promote public awareness, education, and to advocate a prevention strategy for this preventable injury. METHODS Medical records of all children with treadmill-related injuries during a 6-year period (January(More)
OBJECTIVE To report our experience of patients with type 1 laryngeal cleft, (including low inter-arytenoid height) who failed conservative management over a five year period. We describe the diagnostic elements of the history, examination at laryngobronchoscopy and provide a management algorithm including the use of inter-arytenoid submucosal injection of(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)