A5053567713- Oral and Maxillofacial Pathology
- Head and Neck Surgical Oncology
- Sinusitis and nasal conditions
- Thyroid and Parathyroid Surgery
- Obstructive Sleep Apnea Research
- Head and Neck Cancer Studies
- Ear Surgery and Otitis Media
- Vascular Anomalies and Treatments
- Parathyroid Disorders and Treatments
- Vascular Malformations and Hemangiomas
- Thyroid Cancer Diagnosis and Treatment
- Hospital Admissions and Outcomes
- Trauma and Emergency Care Studies
- Nasal Surgery and Airway Studies
- Infectious Diseases and Mycology
- Salivary Gland Tumors Diagnosis and Treatment
- Vascular Malformations Diagnosis and Treatment
- Pneumothorax, Barotrauma, Emphysema
- Simulation-Based Education in Healthcare
- Pediatric Pain Management Techniques
- Cancer and Skin Lesions
- Ultrasound in Clinical Applications
- Ear and Head Tumors
- Reconstructive Surgery and Microvascular Techniques
- COVID-19 and healthcare impacts
St. James's Hospital
2024
Royal College of Surgeons in Ireland
2020-2023
Children's Health Ireland at Crumlin
2023
Tallaght University Hospital
2022
Temple Street Children's University Hospital
2020-2022
University Hospital Galway
2020-2022
Ollscoil na Gaillimhe – University of Galway
2020-2021
Fiona Stanley Hospital
2018
Prolonged pre-treatment wait times in head and neck cancer are associated with increased morbidity reduced survival. Traditional metrics exclude delays prior to biopsy, which represents an important measurable period of time. This study aims describe total time for patients our institution, define a more accurate representation the clinically relevant time, evaluate predictive factors prolonged times.A retrospective review treated over 2 years tertiary referral centre was conducted. Patient...
We present the unusual case of a 12-year-old girl who was referred to our department having presented with unilateral facial swelling and hard lump related right cheek. Initial investigations failed definitively diagnose condition given wide differential diagnosis. After Multi-Disciplinary Team discussion, consensus for lesion be excised via superficial parotidectomy diagnostic purposes, especially that there some concern due appearance it on imaging. Post-operative histology revealed venous...
Abstract Laryngocoele is a rare entity, defined as an abnormal cystic dilatation of saccule the laryngeal ventricle. Three types laryngocele have been described, based on their relation to thyrohyoid membrane: internal, external or mixed type. Symptoms are variable, including neck swelling, shortness breath, dysphonia and fever, if laryngocoele becomes infected. Patients may also present in extremis with airway obstruction. We case healthy 34-year-old gentleman acute obstruction due infected...
Respiratory Epithelial Adenomatoid Hamartoma is a rare, benign tumour arising typically in the upper aerodigestive tract. It commonly misdiagnosed as either an inflammatory polyp or something more sinister such malignant tumour. Surgical excision, by endoscopic resection, definitive curative treatment. We present case whereby 57-year-old lady presented with unilateral nasal obstruction and few other distinguishable symptoms. She had no red flags her history. On sinuscopy lobulated lesion was...
Postoperative neck haematomas have a reported incidence of 3.4%. They result in longer length hospital stay, higher costs and mortality rate. Consensus guidelines provide an algorithm for the management suspected haematoma recommend that staff are trained to recognise symptoms signs haematoma. also suggest introduction post thyroid surgery emergency box. Our aims were education form simulation scenarios introduce evacuation This quality improvement project was carried out large tertiary...
To assess parent or guardian satisfaction with a newly instituted day-case tonsillectomy programme at tertiary paediatric institution.After receiving ethical approval, an anonymous questionnaire was sent to the of every patient who underwent between July 2018 and December 2020.A total 135 patients were included. The each be filled in returned. Ninety-two completed surveys There high levels, 91.3 per cent parents guardians feeling comfortable bringing their child home, 92.4 would recommend...
A man in his 30s with primary hyperparathyroidism underwent an elective four-gland parathyroid exploration intraoperative hormone monitoring. On the fourth postoperative day (POD), patient presented to emergency department severe symptomatic hypocalcaemia. ECG findings were keeping inferior-posterior ST-elevation myocardial infarction (STEMI); however, he was asymptomatic no chest pain. Biochemistry revealed elevated serial troponin levels. Coronary angiogram and transthoracic echocardiogram...
Background: In July this year, as part of the ‘Kaizen’, UCHG surgical department undertook changes in order to increase efficiency relating Emergency Surgery. ‘Kaizen’ is a Japanese term that literally means ‘change for better’. Four areas were identified within emergency process was felt could be changed efficiency. These composed implementing an ASAU, access theatre being with opening second theatre. There extension hours recovery room and also at ward-level care better compliance...
Background: Odontogenic sinusitis is an underdiagnosed cause of rhinosinusitis. The reported incidence odontogenic varies between 10–40% but the literature limited. Sinonasal symptoms dominate over dental compounding differentiation from other causes sinus disease. Furthermore there a lack association and disease in radiology literature, resulting poor recognition thus under-reporting associated on computerized tomography (CT) imaging by radiologists. Symptoms including unilateral foul...
Paranasal sinus mucoceles are benign, locally expansile masses of the paranasal sinuses that lined by epithelial cells. They result from obstruction ostia. The close proximity to orbit and skull base predisposing patient significant morbidity. We describe case a previously healthy 23-year-old gentleman presenting with five-day history unilateral (left) eye pain swelling an obvious deformity. There was also no trauma or prior surgery. He underwent CT sinus, which showed near complete...