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Sore throats cost the National Health Service (NHS) over £120 million per annum with approximately £60 million for general practitioner consultations and medical therapy. From 2011 to 2012, in England alone,1 secondary care costs included £10 million for bed usage by over 37 000 emergency hospital admissions and over £20 million in elective adult tonsillectomy. Upper respiratory tract infections are the most common cause of consultation in the USA.2 The place of tonsillectomy in the management of sore throat remains uncertain. Absolute numbers of tonsillectomy in the UK have fallen …