• WIPER  (wash hands, introduce yourself, permission, expose patient, reposition) 

  • Ask if the patient is happy to see you




  • Check what the patient understands so far

  • What symptoms are they having and what treatments they have tried so far




  • Ask if they would like to know more about the operation

  • Ask permission to take consent

  • Explain you will outline the procedure, alternatives, risks and benefits, recovery time.

  • ‘If at any point you have any questions feel free to interrupt me, but I’ll also ask you afterwards if you have any questions’




  • Explain procedure

  • Draw diagram if necessary

  • Explain alternatives

  • Intended benefits

  • Potential risks and complications

    • With any operation, risk of bleeding, infection, pain, risk of GA – anaesthetist will be able to go through in more detail. See General Risks below

    • Also specific risks associated with this operation. 

      • Secondary haemorrhage (up to 10 days post-op)

      • Return to theatre

      • Nasal regurgitation (Temporary/Permanent)

      • Altered taste 

      • Uvula asymmetry

      • Palatal asymmetry

      • Foreign body sensation in throat

      • Singing voice change

      • May still get sore throats (pharyngitis not tonsillitis)

    • Individual risks to patient


Post op


  • Most likely to be day case procedure rarely may need overnight stay (depending on local policy)

  • Time off work or school – give sick note

  • Contact department/attend A&E if: any bleeding up to 10 days post-op, fever, pain not responding to analgesics


Follow up advice


  • See back in clinic in X weeks/months




  • Summarise consultation

  • Offer opportunity to ask questions

  • Offer patient information leaflet

  • Thank patient, wash hands and close


General Risks


  • Bleeding and bruising

  • Infection

  • Pain

  • Scar

  • Risk of general anaesthesia

  • Further surgery

  • Return to theatre

  • Recurrence

  • Suboptimal outcome

  • Numbness

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