I work closely with Glenis Scadding in what is one of the oldest and largest multidisciplinary clinical research units in Rhinology in the country. Together we have carried out a number of landmark studies which have helped identify causes of many nose and sinus problems, redefined common conditions and established unique investigations for patients.
We are currently looking at:
- Pathogenesis of chronic rhinosinusitis nasal polyps - part of GALEN trans-European project
- Effects of long-term macrolides in treatment of chronic rhinosinusitis/nasal polyposis - multicentre european RCT
- Long-term prospective cohort of sinonasal malignancy, heredtary haemorrhagic telangiectasia, paranasal mucocoeles, thyroid eye disease
- Collaborative project on upper respiratory tract mucosal pemphigoid
In the recent past, we’ve carried out longitudinal studies on outcomes in chronic rhinosinusitis cases, by looking at symptoms versus quality of life and contributed extensively to the evidence base in this condition’s treatment. We’ve also done several big studies on outcomes in tumours and shown doubling of survival using techniques that we’ve developed.
I went into ENT because I wanted to be a surgeon – that was the first thing. Initially I thought I might do plastic surgery but at the time there were hundreds of plastic surgeons, none of them women. Then a friend of mine suggested ENT because it offered most of the things in plastics that I was interested in and was very broad ranging. My friend was absolutely right because it is extremely varied; operations range from the biggest cancer operations there are, to tiny microscopic state of the art minimally invasive surgery, and you still get to be a physician.
When I was starting out in ENT, the nose and sinuses were becoming very interesting with the introduction of endoscopes and CT scanning etc. and with a guiding hand from Professor Sir Donald Harrison, I decided that is what I would specialise in. So professionally I cover all aspects from allergy and inflammation, right the way through infection to nose and sinus tumours, which are extremely rare but are a significant part of my practice.
As far as I’m aware, I’m the only designated Professor of Rhinology in Great Britain and that means that I am able to attract a very broad base of patients from around the UK and abroad with special or unusual conditions. Over the years, we’ve accrued the biggest group of craniofacial dissections in the world, we also have substantial groups of patients with hereditary haemorrhagic telangiectasia, Wegener’s granulomatosis, and mucoceles. I have been instrumental in furthering the extended applications of endoscopic sinus surgery internationally as I have a particular interest in the orbit and skull base as I am the ENT surgeon for Moorfields Eye Hospital. I have also recently been elected as a member of the German Academy of Science – Leopoldina.