- Sinusitis and nasal conditions
- Ear Surgery and Otitis Media
- Hearing Loss and Rehabilitation
- Vestibular and auditory disorders
- Hearing, Cochlea, Tinnitus, Genetics
- Nasal Surgery and Airway Studies
- Nasolacrimal Duct Obstruction Treatments
- Obstructive Sleep Apnea Research
- Foreign Body Medical Cases
- Ear and Head Tumors
- Head and Neck Surgical Oncology
- Trigeminal Neuralgia and Treatments
- Voice and Speech Disorders
- Facial Nerve Paralysis Treatment and Research
- Dysphagia Assessment and Management
- Sarcoma Diagnosis and Treatment
- Atrial Fibrillation Management and Outcomes
- Vascular Anomalies and Treatments
- Congenital Ear and Nasal Anomalies
- Venous Thromboembolism Diagnosis and Management
- Salivary Gland Tumors Diagnosis and Treatment
- Anesthesia and Pain Management
- Healthcare Systems and Technology
- Sympathectomy and Hyperhidrosis Treatments
- Oropharyngeal Anatomy and Pathologies
NHS Grampian
2022-2024
Aberdeen Royal Infirmary
2009-2024
University of Aberdeen
2012-2022
Queen Elizabeth University Hospital
2021
Royal Hospital for Children
2015
St John's Hospital
2015
Ninewells Hospital
2015
The University of Melbourne
2009
Gloucestershire Royal Hospital
2002-2007
Royal United Hospital
2004
Background The indications for septoplasty are practice-based, rather than evidence-based. In addition, internationally accepted guidelines the management of nasal obstruction associated with septal deviation lacking. Objective objective was to determine clinical effectiveness and cost-effectiveness septoplasty, or without turbinate reduction, compared medical management, in a deviated septum. Design This multicentre randomised controlled trial comparing defined management; it incorporated...
Abstract Background: Rhinostomy patency is a problem in all forms of dacryocystorhinostomy. Laser-assisted procedures are potentially fast and result excellent haemostasis. However, they may induce more fibroblastic activity, resulting excessive scarring stenosis the rhinostomy, compared with non-laser dissection. Objectives: The objective this study was to compare subjective outcomes following dacryocystorhinostomy conducted endoscopic endonasal laser surgical techniques. Study design:...
<i>Background:</i> There is experimental evidence that targeted delivery of steroids to the inner ear can protect hearing during cochlear implant surgery. The best protection appears be achieved through pre-treatment cochlea, but time period required for treatment long compared with duration surgery, and needs further optimization. stability thresholds determined over a 3-month after preservation implantation. <i>Methods:</i> Adult guinea pigs were implanted miniature...
To assess the clinical effectiveness of septoplasty.Multicentre, randomised controlled trial.17 otolaryngology clinics in UK's National Health Service.378 adults (≥18 years, 67% men) newly referred with symptoms nasal obstruction associated septal deviation and at least moderate (score >30 on Nasal Obstruction Symptom Evaluation (NOSE) scale).Participants were 1:1 to receive either septoplasty (n=188) or defined medical management (n=190, steroid saline spray for six months), stratified by...
This study reviews the long-term results of auditory brainstem implant (ABI) in neurofibromatosis type 2 (NF2) patients. Retrospective chart patients who received an ABI at Melbourne Cochlear Implant Clinic since 1995. Ten with average follow-up five years were included. Three N22 and seven N24. Two discontinued use their devices. Users reported part-time for approximately four to hours per day, switching implants off noisy environments. Audiological analyses one post-implantation indicate...
We report a case of aspiration pneumonitis following the use papain enzyme in patient with chronic obstructive pulmonary disease meat impacted his oesophagus.
Temporomandibular joint dysfunction following tonsillectomy We report a prospective, controlled trial to assess temporomandibular (TMJ) the use of Boyle–Davis mouth gag during tonsillectomy. TMJ function was evaluated in patients undergoing and control group nasal surgery preoperatively 6 weeks postoperatively. The main outcome measures were symptoms signs interincisal distance. A mean reduction 0.89 mm distance (P < 0.01) noted postoperatively patients. There no statistically significant...
The objective of the audit was to examine increased morbidity associated with elective tonsillectomy single-use instruments in a district general hospital England. Retrospective consecutive case notes 145 patients who underwent 6-week period after introduction carried out. main outcome measure incidence secondary haemorrhage. In total, 9.5% required re-admission indicated by haemorrhage, 4% emergency surgery and 43% total group had haemostasis achieved ties. None these re-admitted. Out...
Conservative mastoid surgery in the management of middle ear cholesteatoma has been a subject controversy for decades. Proponents combined-approach tympanoplasty do not entirely support conservative approach children, especially hands an inexperienced surgeon. We describe here our experience with modified technique involving atticoaditotomy and separate simple mastoidectomy lateral attic wall reconstruction (modified Farrior technique) that can be relatively safely used majority cases...
Although a few cases of facial palsy following mandibular nerve block and dental surgery have been described, it would appear that herpes zoster oticus has not documented. It is possible the latent virus may be activated by surgical interventions. Two oticus, both inferior alveolar anaesthesia for treatment are presented.
This case report presents two very unusual cases of melanomas arising within the masseter muscle. Both were metastases unknown origin in young, healthy patients and presenting as asymptomatic lesions. No primary lesions found either case. A comprehensive search world literature revealed no previous similar cases.
Epistaxis represents a massive burden upon NHS resources. Despite being an extremely common reason for emergency ENT admissions, there remains significant variation in its management. Although the evidence base is continually growing, appears to be lack of guidance towards managing anti-coagulants and anti-platelet medications identifying patient-specific outcomes this setting. has long been associated with multitude risk factors but none have shown consistent, direct correlation.We aimed...
Pott’s puffy tumour (PPT) is a rarely seen, but highly important, complication of frontal sinusitis. Early recognition followed by prompt imaging and treatment this condition are essential to improve patient outcomes prevent complications. This case report describes an atypical presentation radiologically confirmed PPT in boy who presented with 2.5-week history progressive headache midline swelling. Flexible nasendoscopy revealed no acute findings. Prompt CT the diagnosis early surgical...
An unusual presentation of acute tonsillitis complicated by retropharyngeal and thyroid abscess is reported. Spontaneous rupture resulted in necrotic fistulae between the pharyngeal wall space.
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An abstract is not available for this content. As you have access to content, full HTML content provided on page. A PDF of also in through the ‘Save PDF’ action button.