NICE has been notified about this procedure and it is part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
Status Awaiting development
Technology type Procedure
Decision Selected
Reason for decision Anticipate the topic will be of importance to patients, carers, professionals, commissioners and the health of the public to ensure clinical benefit is realised, inequalities in use addressed, and help them make the best use of NHS resources
Process IP
ID number 324
Description Diathermy uses radiofrequency energy applied directly to the tissue, and can be bipolar (current passes between the two tips of the forceps) or monopolar (current passes between the forceps tips and a plate attached to the patient's skin). The heat generated may be used in dissection to incise the mucosa and divide the strands of tissue that bind the tonsil to the pharyngeal wall. It may also be used for haemostasis, by coagulating the vessels that run in these strands and any other bleeding vessels. Coblation involves passing a radiofrequency bipolar electrical current through a medium of normal saline, producing a plasma field of sodium ions that dissects the tissue by disrupting intercellular bonds leading to tissue vaporisation. The capsule of the tonsil can be removed with the tonsil or left behind. Coblation heats surrounding tissue less than diathermy.

Provisional Schedule

IPAC 1 12 January 2023
Interventional procedure consultation 23 February 2023 - 23 March 2023
IPAC 2 11 May 2023
Expected publication 26 July 2023

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Key events during the development of the guidance:

Date Update
23 May 2022 Awaiting development. Status change linked to Topic Selection Decision being set to Selected

For further information on how we develop interventional procedures guidance, please see our IP manual