- Ear Surgery and Otitis Media
- Tracheal and airway disorders
- Obstructive Sleep Apnea Research
- Head and Neck Anomalies
- Hearing, Cochlea, Tinnitus, Genetics
- Healthcare Systems and Technology
- Cleft Lip and Palate Research
- Forensic Toxicology and Drug Analysis
- Nasal Surgery and Airway Studies
- Thyroid and Parathyroid Surgery
- Infant Health and Development
- Neuroscience of respiration and sleep
- Reconstructive Facial Surgery Techniques
- Patient Satisfaction in Healthcare
- Voice and Speech Disorders
- Hematological disorders and diagnostics
- Meningioma and schwannoma management
- Drug-Induced Adverse Reactions
- Calcium signaling and nucleotide metabolism
- Parathyroid Disorders and Treatments
- Vascular Malformations Diagnosis and Treatment
- Global Health Care Issues
- Neuroblastoma Research and Treatments
- Pancreatitis Pathology and Treatment
- Foreign Body Medical Cases
Manchester Academic Health Science Centre
2018-2022
Manchester University
2022
Health Education North West
2019
Royal Manchester Children's Hospital
2018
Lancashire Teaching Hospitals NHS Foundation Trust
2018
Wrightington, Wigan and Leigh NHS Foundation Trust
2017
Manchester Royal Infirmary
2015-2016
Salford Royal Hospital
2016
Nepal Red Cross Society
2014
North Manchester General Hospital
2013
Hearing impairment is a significant burden in the developing world. However, no suitable quality of life (QoL) measures exist for use Nepal. We aimed to amend and translate Glasgow Health Status Inventory (GHSI), assessing QoL at any given time, Benefit (GBI), change following intervention, into Nepali assess impact ear disease effect surgery on QoL.The GHSI GBI were translated independently verified. The was administered by interview patients before surgery, 6 months after surgery....
Objective: To review the outcomes of cochlear implants (CI) in patients with neurofibromatosis type 2 (NF2) a large cohort, and identify factors associated poor hearing benefit. Study Design: Fifteen-year retrospective national observational case series. Setting: United Kingdom regional NF2 multidisciplinary teams. Patients: Consecutive receiving CI. Interventions: CI for rehabilitation. Main outcome measures: 1) Audiometric performance at 9 to 12 months after implantation using City...
Inclusion cell disease (I-cell) is a rare autosomal recessive metabolic involving multiple organ systems, associated with severely restricted life expectancy. No curative therapy currently available, management aimed at symptom palliation.We present retrospective, single-centre, case series of children referred to tertiary paediatric service. The clinical presentation, demographics, genetics and natural history the condition are investigated.Five patients I-cell were over 10-year period. All...
Abstract This project aims to assess the impact of introduction a hepatobiliary and pancreatic (HPB) Quality Improvement Program (QIP) on postoperative complications following liver, biliary surgery. A prospective analysis over six month period was performed. Complications were analysed graded according internationally agreed definitions. Justification sought errors identified. Weekly meetings performed review each complication enabling an action plan be created prevent future recurrence....
A 60 year old former steelworker mentions to his general practitioner that family is complaining the television too loud. ### Hearing difficulties Associated ear, nose, and throat (ENT) symptoms Risk factors for otological disease Red flags #### Box 1 ##### Sudden onset or rapidly progressive hearing loss
Bilateral neck swelling in patients following valsalva manouveres could lead to a diagnosis of either pharyngocele or laryngocele. Distinguishing between them can be complicated but is vital given the possibility for an acute airway with laryngoceles. A 20-year-old trumpet player presents 5-year history swelling. Clinical suspicion that imaging introduces some confusion diagnosis. Both pharyngoceles and laryngoceles occur as result prolonged positive pressure. Accurate assessment fibreoptic...
Obstructive sleep apnoea (OSA) is part of a spectrum sleep-disordered breathing diseases. This ranges from benign simple snoring, affecting up to 12% children, severe upper airways resistance and OSA, which affects 1–2% children.1 Paediatric OSA can be associated with serious consequences including cor pulmonale, right ventricular hypertrophy, systemic hypertension, if left untreated.1,2 The majority paediatric caused by adenotonsillar hypertrophy in children no pre-existing medical...
Objective This project aims to assess the role of a standardised process data collection improve morbidity and mortality across region. Design Six hospitals within North West (UK) were recruited adopted ENT Quality Improvement Program (QIP) into their daily practice. Monthly anonymous sent back reviewer for trend analysis. Outcome measures Four outcome defined: (1) number cases recorded region each month; (2) assessment severity trends; (3) action plans reviewing any changes in practice made...
Objectives Admissions clerking proformas are commonly used in hospitals to aid complete patient assessment. Much variation remains the format of these forms and they frequently fail account for local-specific specialty-specific factors. We developed piloted use a novel ear, nose throat (ENT) clinic admissions proforma created national online ‘clerking collaborative’. Methods Doctors completed ‘mock clerkings’ 6 common acute ENT presentations by both traditional methods (freehand) using our...
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