- Tracheal and airway disorders
- Voice and Speech Disorders
- Dysphagia Assessment and Management
- Head and Neck Cancer Studies
- Head and Neck Surgical Oncology
- Airway Management and Intubation Techniques
- Congenital Diaphragmatic Hernia Studies
- Cancer Diagnosis and Treatment
- Thyroid Cancer Diagnosis and Treatment
- Thyroid and Parathyroid Surgery
- Sinusitis and nasal conditions
- Vascular Anomalies and Treatments
- Pituitary Gland Disorders and Treatments
- Bone Tumor Diagnosis and Treatments
- Palliative Care and End-of-Life Issues
- Lung Cancer Diagnosis and Treatment
- Oral and Maxillofacial Pathology
- EEG and Brain-Computer Interfaces
- Sarcoma Diagnosis and Treatment
- Craniofacial Disorders and Treatments
- Colorectal and Anal Carcinomas
- Metastasis and carcinoma case studies
- Parathyroid Disorders and Treatments
- Simulation-Based Education in Healthcare
- Respiratory and Cough-Related Research
NHS Ayrshire and Arran
2017-2024
University Hospital Crosshouse
2017-2024
Queen Elizabeth University Hospital
2021
University College London Hospitals NHS Foundation Trust
2020
University College London
2020
Monklands Hospital
2016
Glasgow Royal Infirmary
2013-2015
Southern General Hospital
2013
William Harvey Hospital
2008
Objective To review complications of in‐office endoscopic laryngeal laser procedures after implementation standardized safety protocol. Methods A retrospective was conducted the first 2 years at St Michaels Hospital introduction a The protocol included patient screening, procedure checklist with reporting processes, medications, and complications. Primary outcomes measured were complication rates procedures. Secondary hemodynamic changes, local anesthetic dose, settings, total...
Abstract Five patients under follow‐up for head and neck squamous cell carcinoma (SCC) at Southern General Hospital Glasgow presented with a fixed flexion deformity of the neck. These cases are characterized by onset severe weakness atrophy extensor muscles anterior fibrosis forcing mandible to chest wall. This causes considerable morbidity communication, feeding, appearance. is rare complication no curative treatments that has not been reported previously UK center likely become important...
Objectives This study reports vocal function in a cross‐section of children with subglottic stenosis. Each child had history laryngotracheal reconstruction and/or cricotracheal resection surgery. Vocal was measured using laryngoscopy, acoustic analysis, perceptual evaluation and impact voice on quality life. Design All patients aged >5 years surgery at the Scottish National Complex Airways service were invited to participate. Setting Data gathered Royal Hospital for Children Glasgow...
Catastrophic haemorrhage or carotid blowout a rare but devastating consequence of head and neck cancer. In most cases, this represents terminal event, the patient is prescribed pre-emptive analgesia anxiolytics. There anecdotal evidence that due to time taken prepare medications patients do not receive these drugs prior death. We aimed identify drug using simulated catastrophic simulations. used current protocol for also proposed new grab-bag with preprepared anxiolytic anagelsic...
The larynx is the second most prevalent subsite for head and neck cancer. Over half of cancer patients present with advanced disease. We report our regional practices palliative intent laryngeal squamous cell (SCC).
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Aim To present our national case series on primary thyroid squamous cell carcinoma (PTSCC) and add to the current literature about this rare aggressive disease. Methods Scottish pathology departments were contacted asked provide details of patients with diagnosis PTSCC from last 10 years. Three included. Results Patients 1, 2 3 underwent surgical resection. 1 went receive chemoradiotherapy. Patient received nivolumab. died months following diagnosis. are currently living no recurrence, over...
Flexible nasendoscopy (FNE) is the principal assessment method for vocal cord movement. Because procedure inherently subjective it may not be possible clinicians to grade degree of movement reliably. The aim this study was assess accuracy and consistency grading as viewed via FNE.
Abstract Objective: To propose an alternative site of thyroid drain placement. Background: During surgery, post-operative drains are often placed. It is common practice to bring out the lateral wound, creating additional, unsightly scar. Conclusion: We have found excellent cosmesis achieved by bringing in midline a sub-mental skin crease, with scar hidden chin shadow. In our experience, such placement safe, straightforward method cosmetic result.
This case report presents an unusual of chondrosarcoma arising from the cricoid cartilage larynx. Although these are commonly low-grade malignancies, this patient attended outpatient respiratory clinic with acute airway obstruction, and went on to require a total laryngectomy due size their tumour.
A 75-year-old lady was referred to the oral and maxillofacial surgery (OMFS) team with a painless swelling in midline of her forehead. Investigations diagnosed it as solitary metastasis thyroid cancer. Follicular cancers are known metastasise bone; however, bony frontal bone skull is very rare. This case highlights how effective use multidisciplinary can lead better patient outcomes. The went on have total thyroidectomy received both radioactive iodine therapy radiotherapy metastasis.
Background and aims Papillary thyroid microcarcinoma is defined as papillary cancer with a diameter of ≤1 cm. Despite its prevalence, there wide variation in practice the investigation management patients throughout UK internationally. The primary aim this paper to describe experience Scottish health board over past 10 years. Methods results Retrospective analysis thyroidectomy hemithyroidectomy resection samples from March 2009 2020. 532 specimens were reviewed 20 PTMC identified. 12 had an...
Background and aims Thyroglossal surgery is not common in Scotland with 0.013 procedures performed per 1000 population 2010. There a growing practice to consolidate service providers ensure minimum ‘case volume’, the belief that this will raise standards improve co-ordination of services. We investigated thyroglossal see if had occurred. Methods results Data on from 1981 2010 were obtained Information Services Division NHS Scotland. This was analysed investigate number involving tissue,...
Abstract Background: Functional voice rehabilitation is becoming increasingly important following total laryngectomy and pharyngolaryngectomy. Tracheoesophageal via a shunt valve currently regarded as the ‘gold standard’ for rehabilitation. Traditional techniques usually allow replacement of valves in out-patient setting; however, patient factors such altered anatomy may occasionally prevent this. Objective: This paper describes novel approach speech insertion that safe, quick...