1981 MB, ChB Auckland University
Postgraduate Degrees: 1989 FRACS (Otolaryngology)
March 2008 - Otolaryngologist, Counties Manukau District Health Board
June 2012 - Honorary Associate Professor, Department of Surgery, University of Auckland
July 2012 - Honorary Associate Professor, Department of Biomedical Engineering, Auckland University of Technology
Early in in my surgical career, I was involved in the development of minimally invasive sinus surgery (endoscopic sinus surgery) in New Zealand. This led to two major interests:
- the patient with pain over their sinuses and with no obvious or minimal sinus disease
- the patient who has had endoscopic sinus surgery, but the disease remains problematic
Both of these situations have lead to a 20-year search for solutions. Over the years I have seen many proposed solutions fail to eventuate.
Since my return from London in 1991, I have been to the forefront in the development of endoscopic sinus surgical techniques. I also did additional training with David Kennedy in Philadelphia. I was the first person in Auckland to repair CSF leaks endoscopically, perform pituitary surgery endoscopically and perform frontal sinus drill-out surgery. I have been to the forefront of medical research in the area. I was the first otolaryngologist to describe the successful use of ultrasound to treat refractory sinus disease. I am also to the forefront of vitamin D research. Vitamin D has been shown to have a role in the treatment and prevention of respiratory infections. I am currently the principal investigator in a New Zealand Health Research Council feasibility study looking into the role of vitamin D supplementation in sinusitis and bronchiectasis.
Over the last fifteen years, I have been involved with the treatment of a large number of cases of nasal trauma from contact sports or accidental injury in the Auckland region. These constitute a particularly challenging group of patients. This focus has given me an extensive experience in both cosmetic and functional nasal surgery (over 1000 cases). I am currently doing approximately 50 septorhinoplasties a year.
Prominent ear surgery
Another specific surgical interest has been the surgical correction of prominent ears. I have lectured internationally and published 3 scientific papers on the subject. I have now performed over 100 otoplasties.
I has written two books that are available in the bookshops and in the library
- Breathing Matters (with Tania Clifton-Smith)
- Healing Headaches