A5091351470- Airway Management and Intubation Techniques
- Thyroid Cancer Diagnosis and Treatment
- Tracheal and airway disorders
- Thyroid and Parathyroid Surgery
- Sinusitis and nasal conditions
- Head and Neck Surgical Oncology
- Head and Neck Anomalies
- Voice and Speech Disorders
- Trauma Management and Diagnosis
- Dysphagia Assessment and Management
- Asthma and respiratory diseases
- Restraint-Related Deaths
- Ear and Head Tumors
- Salivary Gland Tumors Diagnosis and Treatment
- Nasal Surgery and Airway Studies
- Obstructive Sleep Apnea Research
- Ear Surgery and Otitis Media
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Vagus Nerve Stimulation Research
- Otolaryngology and Infectious Diseases
- Cleft Lip and Palate Research
- Dental Education, Practice, Research
- Surgical Simulation and Training
- Congenital Diaphragmatic Hernia Studies
- EEG and Brain-Computer Interfaces
Queen Elizabeth University Hospital
2019-2025
Glasgow Royal Infirmary
2011-2024
NHS Greater Glasgow and Clyde
2013-2024
Gartnavel General Hospital
2013-2018
Laryngograph (United Kingdom)
2014-2017
University of Aberdeen
2013-2016
University Hospital Crosshouse
2016
Salisbury University
2016
Council of Economic Advisers
2013-2015
Liverpool College
2013-2015
Recent animal studies demonstrate that vagus nerve stimulation (VNS) paired with movement induces movement-specific plasticity in motor cortex and improves forelimb function after stroke. We conducted a randomized controlled clinical pilot study of VNS rehabilitation on upper-limb ischemic stroke.Twenty-one participants stroke >6 months before moderate to severe impairment were plus or alone. Rehabilitation consisted three 2-hour sessions per week for 6 weeks, each involving >400 trials. In...
Abstract Objective To report a case of cutaneous tumour seeding following core biopsy thyroid malignancy. Methods This paper presents and review the literature concerning role, risks, fine needle aspiration in diagnostic evaluation neck lumps. Results A 75-year-old woman presented with left-sided level IV lump adjacent to left lobe thyroid. Fine revealed that contained follicular epithelial cell groups; however, nuclear grooves pseudo-inclusions could not exclude diagnosis papillary...
Asthmatic smokers have poor symptom control and accelerated decline in lung function. A reduced ratio of matrix metalloproteinase (MMP)-9/tissue inhibitors metalloproteinases (TIMPs) nonsmokers with asthma has been implicated airway remodelling. We tested the hypothesis that sputum MMP-9 activity/TIMPs ratios are compared never-smokers associated function altered computed tomography (CT) measures wall dimensions. Lung function, dimensions by CT, induced concentrations (and activity) TIMP-1...
Abstract Background Arachidonic acid metabolites are implicated in the pathogenesis of asthma although only limited information is available on impact current smoking history these metabolites. The aim study was to examine effect status urinary, sputum, and plasma eicosanoid concentrations relevant enzyme transcripts asthma. Methods In 108 smokers never with 45 healthy controls [smokers smokers], we measured urinary tetranor prostaglandin (PG)D 2 (PGDM) leukotriene (LT)E 4 , induced sputum...
Matrix-metalloproteinase (MMP)-9 has been implicated in the pathogenesis of COPD, although its link to disease severity is unclear. The purpose study was examine relationship between assessed by lung function and computed tomography (CT) sputum MMP-9 expression, concentration activity patients with COPD.In 53 COPD subjects, smokers ex-smokers; 46 healthy controls, never smokers, we measured concentrations (ELISA) enzyme (FRET), mRNA spirometry, diffusing capacity for carbon monoxide (DLco)...
Keypoints • Endoscopic ligation of the sphenopalatine artery (ESPAL) has recently become treatment choice for refractory epistaxis. This paper reviews background, indications and potential complications ESPAL. The main focus this article is an online video tutorial on anatomy surgical technique Web links lead to clips operative steps therefore should be read in front a computer with access internet. To study techniques detailed below followed. (For computers running realplayer software .wmv...
Background The introduction of increasingly high speed drills for mastoid surgery has heightened the concern that cochlea damage may occur in both operated and nonoperated ear. It been observed clinically this could be associated with frequencies above 8,000 Hz that, to observe these changes, high-frequency audiometry should performed. Previous studies have investigated noise transmission at below 4,000 only. There having been, until recently, limitations equipment available measure higher...
Intensive surgical skills courses have become an essential part of skill acquisition for surgeons in training. There is a need to monitor the value these terms attainment. The aim this study was determine effectiveness skills-laboratory-based training rigid bronchoscopy and bronchial foreign body removal. Bronchoscopies were recorded, analysed categorized by single observer according time completion four predetermined parameters error. An overall quality score obtained simple summation...
The aim of this study was to assess the current post-tonsillectomy haemorrhage and return theatre rates in Scotland.National cross-sectional study.Tonsillectomy outcomes data were collated for all NHS patients undergoing tonsillectomy Scotland between 1998-2002 2013-2017.Using Information Services Division (ISD) retrospective data, 30-day re-admission allowed an assessment rates. Data validated through comparison with audit conducted Greater Glasgow & Clyde 2015 2016.Tonsillectomy performed...
We report a case of isolated unilateral hypoglossal nerve injury following ipsilateral acupuncture for migraines in 53-year-old lady. The palsy was partial, with no associated dysarthria, and transient. Further examination imaging negative. Cranial injuries secondary to are not reported the literature, but theoretical risk given location cranial nerves neck. Anatomical knowledge is essential those administering treatment, reviewing patients possible complications.
We aimed to analyse the safety and feasibility of day case hemithyroidectomy.We reviewed all hemithyroidectomies led by two surgeons across sites between 2010 end 2013. Patients were divided into 'planned inpatient' or case'.Day discharge, conversion inpatient procedure, intraoperative postoperative complications presentations readmission hospital analysed. Age, gender, American Society Anaesthesiologists score indication for surgery also recorded. One-hundred eighty hemithyroidectomy cases...
Fifteen routine nasal polypectomy specimens submitted to our laboratory over an eight-month period were noted show marked atypia within areas of squamous metaplasia a degree suggestive dysplasia. Reviewing the literature revealed little published work in this area, especially recently. Further polyp cases from this, and similar previous time period, re-examined, possible causes for these changes discussed.
Caudal septal deformities if uncorrected can lead to poor functional and cosmetic outcomes. Adequate fixation of the septum maxillary spine is paramount in correcting these deformities. We describe a simple technique for securing caudal that stabilises it all three planes.
Specialist training at the registrar grade in United Kingdom has undergone significant change recent past. One of effects been a reduction length time spent training. This and application European working directive have potential to reduce trainees' surgical exposure. The proportion tympanic membrane procedures performed by reconstructive otolaryngology registrars Grampian University hospitals was audited monitor impact these changes. Case notes all patients who underwent myringoplasty or...
Objective . We report a rare case of Ewing's sarcoma the zygomatic arch presenting in 69-year-old patient. Method Case and review world literature on incidence management. Results is malignant round cell tumour neuroectodermal origin that typically presents pelvis long bones children adolescent boys. This first to document presentation ewing's lady. Our patient underwent surgical excision radiotherapy at 4-year followup has no signs recurrence or metastasis. Conclusion To our knowledge this...