Sub-specialty Interests

Rhinology Advanced Endoscopic (minimally invasive) Sinus Surgery Lacrimal Surgery (Watery eye surgery) Endoscopic Anterior Skull Base Surgery Since 2007, along with my neurosurgical colleague, Mr Mathad we have developed a comprehensive minimally invasive endoscopic skull base service. In the UK, we have been at the cutting edge of this pioneering work the ( http://www.dailymail.co.uk/health/article-1223542/Surgeons-carry-brain-surgery-nose-landmark-operation.html ) having learnt the technical aspects in the United States. The surgery allows my colleague and I to work simultaneously through the nose avoiding the need for a craniotomy (skull incision). Endonasal endoscopic skull base surgery provides a real alternative to certain open neurosurgical procedures. Some of the benefits of the endonasal endoscopic approach include: It is minimally invasive Optimum visualisation Significant reduction in morbidity leading to Shorter length of stay and no external scars These approaches carry minimal or no risk of epilepsy and thus do not invite driving restrictions. These are attractive to all patients but particularly to those who are self employed The various conditions that can be treated include: CSF rhinorrhoea (leakage of brain fluid through the nose) Pituitary tumours ( http://www.pituitary.org.uk/ ) Anterior cranial fossa tumours (meningiomas, olfactory neuroblastomas) Clival chordomas Sinonasal cancer Rheumatoid odontoidectomy Press Releases http://www.guardian.co.uk/society/2009/oct/28/radical-brain-surgery-via-nose