A5003616106- Sinusitis and nasal conditions
- Ear Surgery and Otitis Media
- Nasal Surgery and Airway Studies
- Tracheal and airway disorders
- Head and Neck Surgical Oncology
- Family Support in Illness
- Otolaryngology and Infectious Diseases
- Ear and Head Tumors
- Primary Care and Health Outcomes
- Infectious Diseases and Mycology
- Spinal Fractures and Fixation Techniques
- Airway Management and Intubation Techniques
- CNS Lymphoma Diagnosis and Treatment
- Breastfeeding Practices and Influences
- Facial Nerve Paralysis Treatment and Research
- Medical Malpractice and Liability Issues
- Child and Adolescent Health
- Psychiatric care and mental health services
- Hearing Loss and Rehabilitation
- Allergic Rhinitis and Sensitization
- Otitis Media and Relapsing Polychondritis
- Hearing Impairment and Communication
- Respiratory viral infections research
- Cultural Competency in Health Care
- Mental Health and Patient Involvement
Cambridge University Hospitals NHS Foundation Trust
2021-2024
Addenbrooke's Hospital
2021-2024
South Warwickshire NHS Foundation Trust
2018-2019
Oxford Health NHS Foundation Trust
2018
James Paget University Hospital
2014-2017
Norfolk and Norwich University Hospital
2016
University of British Columbia Hospital
2016
James Paget University Hospitals NHS Foundation Trust
2014
East and North Hertfordshire NHS Trust
2013
Lister Hospital
2010-2013
It is recognized that patients who undergo endoscopic sinus surgery (ESS) do not always achieve control of their disease. The causes are multifactorial; variations in surgical practice have been identified as possible factors refractory disease.To reflect on the frequent anatomic findings with chronic rhinosinusitis (CRS) require revision ESS.A retrospective review required ESS at a tertiary institution over 3-year period. Patients for whom maximal medical therapy failed CRS underwent...
Methylene blue (MB) has been used in the identification of abnormal parathyroid glands surgery for hyperparathyroidism. Its efficacy and safety profile have questioned recently this study sought to demonstrate such aspects a unit where its use is routine.Prospective data collected over six years single surgeon's practice were interrogated identify factors affecting MB staining, side effects suffered unusual cases dye was invaluable locating diseased gland.A total 98 patients underwent...
Introduction . Internal nasal valve incompetence (INVI) has been treated with various surgical methods. Large, single surgeon case series are lacking, meaning that the evidence supporting a particular technique deficient. We present using alar batten grafts to reconstruct internal valve, all performed by senior author. Methods Over 7-year period, 107 patients obstruction caused INVI underwent grafting. Preoperative assessment included use of strips evaluate symptom improvement. Visual...
Background Given the differences in pathophysiology between allergic fungal rhinosinusitis (AFRS) and other chronic (CRS) subgroups, it remains unclear about whether these patients respond differently to a combination of surgical medical treatments. Objective To evaluate quality-of-life (QoL) outcomes for cohort who underwent endoscopic sinus surgery (ESS) CRS. Methods This retrospective review included with CRS ESS 2010 2013. QoL was measured by using 22-item Sino-Nasal Outcome Test...
Balloon sinuplasty is considered as a minimally invasive procedure for the treatment of chronic rhinosinusitis. In this case report we describe how patient undergoing balloon sustained an intraoperative cardiac arrest with no history. Postoperative investigations were all normal. The was discharged on first postoperative day and further outpatient tests We postulate that event occurred due to profound vagal stimulation either instrumentation maxillary mucosa or when orbit accidently breached...
Direct comparison of different diseases allows clinicians and researchers to place the burden symptoms impact on quality life each condition in context. Generic health-related quality-of-life assessment tools allow such analysis, limited data are available for British patients with chronic rhinosinusitis.As part a larger feasibility study, underwent baseline using SNOT-22, SF-12 EQ-5D-5L tools. Data were analysed Microsoft Excel algorithms analysis later two We plotted VAS utility scores MCS...
Objectives There is currently conflicting level 1 evidence in the use of long‐term antibiotics for chronic rhinosinusitis without nasal polyps. The primary aim this feasibility study was to optimise future randomised trial design by assessing recruitment and retention patients alongside providing preliminary data on symptomatic control. Design Prospective, multicentre (cohort) with all receiving macrolide therapy 12 weeks a further subsequent 12‐week follow‐up. Participants received course...
Abstract Background: There are many reports of operations performed to successfully close ear drum perforations. Hearing deterioration after myringoplasty is not a widely published topic. This paper presents an audit this complication. Methods: A six-year retrospective analysis series was using electronic patient records. Patients with post-operative hearing loss were identified and those greater than 10 dB further scrutinised. Results: Out 187 patients who underwent procedures, 44 (23.53...
Objectives To assess current variation in the management of pinna haematoma ( PH ) and its effect on outcomes. Design Multicentre retrospective observational record‐based study. Setting Eleven hospitals around UK . Participants Eighty‐three patients above age 16 with Outcome measures The primary outcome measure was recurrence rate over a 6‐month period post‐treatment, assessed by treatment type (scalpel incision vs needle aspiration). Secondary impact other factors recurrence, infection...
Objectives: There is currently conflicting level 1 evidence in the use of long‐term antibiotics for chronic rhinosinusitis. The primary aim this study was to look at recruitment and retention patients preparation a formal trial. paper describe preliminary outcomes terms symptomatic relief with CRSsNP. Methods: Adult fulfilling EPOS criteria CRSsNPs no prior surgery were recruited 6 UK centers during 2013. Participants received 12‐week course clarithromycin 250 mg alongside topical mometasone...
A 9-month-old boy presented with a 1-day history of fever and croupy cough. He had been diagnosed laryngomalacia at 4 months age treated for recurrent croup bronchiolitis. was <0.4th centile weight. He marked biphasic stridor in all positions along tachypnoea. showed some initial improvement bronchodilators, steroids antibiotics suspected pneumonia, but his …
<h3></h3> An elderly woman, two months after chemotherapy for diffuse large B-cell lymphoma, presented with left-sided otalgia, discharge and facial nerve palsy. MRI showed an active left mastoid infection ear canal lesion, likely to be a cholesteatoma. However, biopsy of the mass recurrent high-grade lymphoma. Following diagnosis, patient opted palliative care within community consequently passed away few weeks later.
Abstract Background Otitis Media with Effusion (OME) causing hearing impairments affects ∼1 in 10 children starting school UK/ Europe. 80% have at least one episode most having conductive loss. Studies showed OME hear better bone conducting headsets. During COVID-19 we investigated whether deafness secondary OME, without access to audiology or grommet surgery, could be aided conduction kits and the HearGlueEar app. Methods Starting July 2020, during COVID-19, aged 3-11 years on a waiting...
Objectives: Long‐term follow‐up of 1045 patients with chronic rhinosinusitis nasal polyposis (CRSwNPs) in the national Sinonasal Audit demonstrated that at 5 years 20.6% had undergone revision surgery. The aim this study was to see if Chronic Rhinosinusitis Epidemiology Study (CRES) data reflected a continued burden surgery CRSwNPs. Methods: A prospective questionnaire‐based 30 sites around UK CRS presenting secondary care between October 2007 and September 2013. This paper presents specific...