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Common indications of the need for tonsillar surgery in adolescents: Therapeutic Recurrent and chronic tonsillitis as per SIGN guidelines Halitosis with tonsillar crypts Persisting swollen and enlarged tonsils causing obstructive problems Previous quinsy Febrile seizures Obstructive sleep apnoea with sleep-related disordered breathing Diagnostic Asymmetrical tonsil (See Figure 1) Access to parapharyngeal space or styloid process (rarely) Good discharge advice is important for a speedy recovery: Rest for two weeks, avoiding strenuous activity Dont be alarmed at the appearance of the throat

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Combined with an increased capacity of 18ml, the Geek Bar Pulse X generates an estimated 25,000 puffs in lower wattage modes and 15,000 in when you turn up the wick in the boosted mode

Since the early 1900s, tobacco companies have advertised their products to promote tobacco initiation and use, and youth-targeted tobacco advertising has been found to influence youth smoking 16-18