Abstract
            A return to normal surgical practice following the first wave of the COVID-19 pandemic was expected to be limited by extra precautions put in place to mitigate the risks posed by the Sars-Cov2 virus to patients and theatre staff.      Rates of COVID-19 infection within the local authority area remained well below national levels from August 2020-February 2021 despite a surge in cases during the second wave.      Despite low levels of COVID-19 infection there was a 16.2% reduction in the number of operating lists and a 31.2% reduction in the number of surgical procedures performed.      There was a significant increase in the number of cancellations (p=0.011) year on year.      The results suggest that the ability of Otolaryngological departments to clear the backlog of cases caused by the postponement of non-urgent surgery during 2020 will be limited as long as the extra precautions remain.      
  					  					
    			                                                                                                         
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