{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T11:35:56Z","timestamp":1786448156174,"version":"build-2736575974"},"reference-count":6,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215126104770_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to evaluate outcomes of a high-throughput tonsillectomy pathway using the BiZact\u2122 device and consider its applicability in National Health Service practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126104770_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective service evaluation was undertaken in a UK teaching hospital (April\u2013July 2023). Fifty consecutive patients underwent BiZact\u2122 tonsillectomy across five morning lists. Data included demographics, operative time, blood loss, post-tonsillectomy haemorrhage, pain and satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126104770_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty patients (15 male, 35 female; mean age 24.6 years) underwent surgery. Indications were recurrent tonsillitis (86 per cent), asymmetry (10 per cent) and tonsilloliths (4 per cent). Mean operative time was 5 minutes; blood loss less than 10 ml. No primary haemorrhage occurred. Secondary post-tonsillectomy haemorrhage occurred in 5\/50 (10 per cent): 3\/48 adults (6.3 per cent) and 2\/2 adolescents; three required return to theatre. Of 33 patients completing follow-up, 70 per cent reported severe pain. Four (8 per cent) reattended for analgesia. Waiting time fell from \u223c40 weeks to \u223ctwo weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126104770_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>BiZact\u2122 enabled efficient list turnover but with higher post-tonsillectomy haemorrhage rates, likely reflecting a learning curve.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215126104770","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T10:05:46Z","timestamp":1776852346000},"page":"790-792","source":"Crossref","is-referenced-by-count":0,"title":["A high-throughput tonsillectomy pathway using the BiZact\u2122 device: a prospective service evaluation"],"prefix":"10.1017","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0055-608X","authenticated-orcid":false,"given":"Ayaaz","family":"Habib","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ck0pr88","id-type":"ROR","asserted-by":"publisher"}],"name":"Bradford Royal Infirmary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saibal","family":"Das","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ck0pr88","id-type":"ROR","asserted-by":"publisher"}],"name":"Bradford Royal Infirmary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narendra","family":"Siddaiah","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ck0pr88","id-type":"ROR","asserted-by":"publisher"}],"name":"Bradford Royal Infirmary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Glore","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01ck0pr88","id-type":"ROR","asserted-by":"publisher"}],"name":"Bradford Royal Infirmary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,4,22]]},"reference":[{"key":"S0022215126104770_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13273"},{"key":"S0022215126104770_ref2","doi-asserted-by":"publisher","DOI":"10.1177\/0145561321994995"},{"key":"S0022215126104770_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/coa.14068"},{"key":"S0022215126104770_ref3","first-page":"e23066","article-title":"Coblation versus bipolar diathermy haemostasis in paediatric tonsillectomy: systematic review and meta-analysis","volume":"14","author":"Karam","year":"2022","journal-title":"Cureus"},{"key":"S0022215126104770_ref1","first-page":"CD004619","article-title":"Coblation versus other surgical techniques for tonsillectomy","volume":"8","author":"Pynnonen","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"S0022215126104770_ref6","doi-asserted-by":"publisher","DOI":"10.1111\/coa.14140"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215126104770","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T11:06:00Z","timestamp":1786446360000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215126104770\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,22]]},"references-count":6,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S0022215126104770"],"URL":"https:\/\/doi.org\/10.1017\/s0022215126104770","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,22]]}}}