CURRICULUM VITAE

STEPHEN DARIUS REJALI Consultant ENT Surgeon and Otologist BSc. MB. ChB. FRCS (CSiG) FRCS (Oto) FRCS (ORL-HNS)

2016

FULL NAME: STEPHEN DARIUS REJALI

ADDRESS FOR CONTACT: University Clifford Bridge Road Coventry CV2 2DX TELEPHONE AND EMAIL: Secretary (NHS): 02476 965057 Secretary (Private/Medico-legal): 02476 965057 Email: [email protected]

DATE OF BIRTH: 12.12.67

PLACE OF BIRTH: BIRMINGHAM, UK

MARITAL STATUS: MARRIED

NATIONALITY: BRITISH

GMC REGISTRATION NUMBER: 3659720

DEFENSE ORGANISATION: MDDUS M149116

QUALIFICATIONS: BSc (hons) Manchester 1989 MB ChB Manchester 1992 Full GMC Registration 1 August 1993 FRCS (CSiG) England 1996 FRCS (Oto) England 1998 FRCS (ORL-HNS) England 2002 CCST in Otolaryngology 19th May 2004

PRESENT POST: Consultant Otolaryngologist, University Hospital Coventry and Warwickshire NHS Trust. DETAILS OF RELEVANT EMPLOYMENT:

PRESENT POST Consultant Otolaryngologist UNIVERSITY COVENTRY AND WARWICKSHIRE NHS TRUST, COVENTRY. 1.7.04-Present

PREVIOUS EMPLOYMENT West of Otolaryngology Training Specialist Registrar in Otolaryngology SOUTHERN GENERAL HOSPITAL, Mr. J Crowther, Mr. J Marshall 1.10.03 - 30.6.04 Specialist Registrar in Otolaryngology , GLASGOW Mr. I Swan, Mr. A Kishore, Mr. G McGarry 30.12.02 - 30.9.03 TWJ Otology Research Fellow KRESGE HEARING RESEARCH INSTITUTE, UNIVERSITY OF MICHIGAN MEDICAL SCHOOL, ANN ARBOR, MICHIGAN, USA. Dr. Y Raphael 27.5.02 - 22.12.03 Specialist Registrar in Otolaryngology HOSPITAL, GLASGOW Mr. B O'Reilly, Mr. B Irvine, Mr. D Simpson 1.10.01 - 9.5.02 Specialist Registrar in Otolaryngology CROSSHOUSE HOSPITAL, KILMARNOCK Miss M Shanks, Mr. R Singh, Mr. P Wardrop, Mr. J Dempster, 1.10.00 - 30.9.01 Specialist Registrar in Otolaryngology VICTORIA INFIRMARY, GLASGOW Mr. J Crowther, Mr. J Marshall 1.10.99 - 30.9.00 Specialist Registrar in Otolaryngology MONKLANDS HOSPITAL, AIRDRIE Mr. A Johnston, Mr G Picozzi, Mr. N Balagi. 7.12.98 - 30.9.99

Locum approved for training Specialist Registrar in Otolaryngology ROYAL PRESTON HOSPITAL Mr. M Small, Mrs. Curley, Mr. J de Carpentier. 18.8.97 - 30.9.98 SHO Otolaryngology HOPE HOSPITAL and ROYAL MANCHESTER CHILDREN'S HOSPITAL, SALFORD Mr. M P Rothera, Mr. D Willatt. 5.2.97 - 5.8.97 SHO GENERAL SURGERY MANCHESTER ROYAL INFIRMARY Mr. Hill, Mr. McCloy, Mr. MacLennon, Mr. Pearson. 7.8.96 - 4.2.97 SHO GENERAL SURGERY ROYAL OLDHAM HOSPITAL Mr. Hulton, Mr. Williams, Mr. Flook. 7.2.96 - 6.8.96 SHO CARDIOTHORACIC / ITU MANCHESTER ROYAL INFIRMARY Mr. Keenan, Dr. Eddleston. 2.8.95 - 6.2.96 SHO ORTHOPAEDICS MANCHESTER ROYAL INFIRMARY Mr. Hirst, Mr. Maltby. 1.2.95 - 1.8.95 SHO ACCIDENT AND EMERGENCY MANCHESTER ROYAL INFIRMARY Mr. MacWay-Jones, Dr. Morton. 1.8.94 - 31.1.95 ANATOMY LECTURER / DEMONSTRATOR GLASGOW UNIVERSITY Supervisor Dr. J Shaw-Dunn. 1.9.93 - 30.6.94 HOUSE OFFICER HOPE HOSPITAL, SALFORD Prof. Turnberg, Dr. Shaffer WITHINGTON HOSPITAL AND CHRISTIE HOSPITAL, MANCHESTER Mr. Tweedle, Mr. Schofield, Mrs. Brain 1.2.93 - 31.1.93 CLINICAL WORK:

Otology and Neuro-otology I work at University Hospital Coventry and Warwickshire and George Elliot Hospitals. Otology (ear) and Neuro-otology is my chosen area of supra-specialist interest. I am the lead otologist (paediatric and adult) at University Hospital Coventry and George Elliot Hospital, Nuneaton. I have three outpatient and three operating sessions per week. I have established a specialist monthly vertigo clinic at University Hospital Coventry. I lead the combined paediatric clinic at George Elliot Hospital and University Hospital Coventry. I undertake most middle ear and external ear surgery including tympanomastoid surgery and stapes surgery. I have carried out over 1100 major ear cases. A recent audit of my stapedectomy results were similar to international experts with 94% success. A myringolplasty audit revealed 90% success. Ossiculoplasty results were on par with national standards. I undertake the new Balloon Eustachian Tube Tuboplasty procedure. I am one of the few in UK carrying out this procedure. This work is part of a research article for publication. I undertake intratympanic therapy for otological conditions (vertigo, Meniere’s disease ). I am involved in assessment and management of patients with vertigo. I undertake combine paediatric ENT/audiology clinics with audiology and education. During my TWJ fellowship at Ann Arbor I had the opportunity to visit the Clinical Department of Otolaryngology at the University of Michigan. I visited the Causse Clinic, Beziers in autumn of 2005 (via TWJ foundation) Twice a year I organise a national Temporal Bone Dissection course.

Rhinology and Facial Plastics I regularly undertake endoscopic sinus surgery in my present post. In my training I worked in specialist rhinological clinics (Mrs McGarry and Bingham). I have attended an advanced endoscopic sinus surgery course and the London Septal/Rhinoplasty course. I attended the 12th International Course in Modern Rhinoplasty Techniques in Amsterdam in 2005. I have trained in Botox, Dermal Filler and Chemical Peel therapy. I undertake Pinnaplsty in adult and children and excise cutaneous lesions from the pinna. I perform hair transplant surgery at a private clinic on a regular basis. Recently I have attended a lipolysis workshop and will provide this treatment via my private clinic.

Head and Neck I undertake assessment of laryngeal and pharyngeal symptoms including endoscopy. I biopsy and remove small head and neck lumps, submandibular glands, branchial and thyroglossal cysts. During my training rotation I had extensive experience in elective major and minor head and neck procedures including laryngectomy (partial, endoscopic and complete), neck dissection (radical and modified), parotid and thyroid surgery. Having worked in the Glasgow region, I have frequent experience in exploring penetrating neck injuries!

Paediatric Otolaryngology I deal with a large paediatric work load. I deal with congenital and acquired hearing loss and perform tympanomastoid surgery on this group. I have a combined clinic with a community paediatrician and audiologist every two months at George Elliot Hospital and University Hospital Coventry. I have attended specialist paediatric otology/audiology clinic at Hospital for Sick Children, Glasgow and Royal Manchester Children's Hospital. My operative experience includes extensive general paediatric otolaryngological surgery at various hospitals in the West of Scotland and some specialist airway surgery at Royal Manchester Children Hospital and Booth Hall Children's Hospital.

General Surgery The general surgery post at Manchester Royal Infirmary and the basic surgical training rotation in the same region provided experience in all aspects of upper and lower GI surgery, breast and hepatobiliary conditions. I managed critically ill patients including some in intensive care and cardiothoracic units.

MEDICOLEGAL EXPERIENCE:

I developed an interest in medico-legal matter since 2005. I have a supra-specialist interest in Otology and Neuro-otology. I regularly prepare medico-legal reports for suspected industrial noise damage and ear symptoms related to head/neck trauma including whiplash injuries. I have prepared over 250 medical reports since 2005. At present I am preparing approximately 25 reports per year. All of my work has been on behalf of claimants except for 3 single joint expert reports. My claimant/defendant ratio is therefore: 99% claimant /1% defendant.

I have not attended court as an expert witness. I have attended court once as a professional witness.

I have used my skills in computing to write a excel sheet to analyse patients hearing levels, compare these to the expected hearing and compute the statistical likelihood of pathological / industrial hearing loss.

I have also prepared a number of reports dealing with clinical negligence claims.

I organised a training course in Coventry in 2008 specifically dealing with medicolegal aspects of noise induced hearing loss.

I have attended one court case as an professional witness and spent time in the box.

I have attended the following medicolegal courses: • In to court (Academy of experts) London, UK November 2011 • Medicolegal Expert Course Leicester June 2010 • Foundation Course (Academy of Experts) London December 2007

TEACHING EXPERIENCE:

I am the lead clinician for undergraduate education in ENT. During most clinics and operating session I teach relevant skills to SPR’s, F1, F2 and ST’s. I lecture on cranial nerve anatomy and special senses at the medical school during the neuro-biology module. I have delivered lectures to medical, dental and speech therapist. I teach ST's, medical students and nursing staff. I have extensive small group teaching experience during my anatomy demonstrator job: mostly gross and clinical anatomy. I have taught First Aid to medical students and members of the public. I have attended a Teaching and Lecturing Skills Course in Glasgow.

I organise a national Temporal Bone Dissection course three times a year.

I am a member of the faculty for the Warwick Undergraduate Microsurgery Course.

MANAGEMENT EXPERIENCE:

I am the lead clinician a number of areas in the ENT department including: organising the weekly departmental continuing professional teaching sessions, undergraduate ENT teaching, paediatric and audiology issues, SHO supervision, induction and rota, choose and book and I am lead for the Warwickshire ENT Consultants Group. I am the lead clinician for Paediatric ENT and Otology. In the past I was the representative for otolaryngology specialist registrars in the West of Scotland. I have attended management courses organised by the .

OTHER SKILLS:

Word processing (word), spreadsheet (excel), database (access), graphic design (photoshop), digital video editing, web design and computer networking.

POSITION OF RESPONSIBITY:

Lead for Otology and neuro-otology at University Hospital Coventry. Lead for Paediatrics in ENT at University Hospital Coventry. Lead for undergraduate education in ENT at University Hospital Coventry. I organise a national Temporal Bone Dissection course twice a year. Faculty of Warwick Undergraduate Microsurgery Course. COURSES ATTENDED AS FACULTY: Warwick Undergraduate Microsurgery Course Coventry June 2012 Coventry Temporal Bone Course Coventry From 2011 on going

COURSES ATTENDED: BACO Liverpool July 2015 Sinus Surgery Course Newcastle March 2014 British Paediatric ENT Course London March 2014 Trans Nasal Oesophagoscopy Course Derby March 2013 Law and Procedure Course London May 2012 Chief Investigator Course (include GCP) Coventry January 2012 Effective Clinical Director London January 2012 Appraisal training Coventry December 2011 In to court (Academy of experts) London, UK November 2011 Otology Course Bielefeld, Germany December 2010 Procurement in the NHS Manchester September 2010 Medicolegal Expert Course Leicester June 2010 Live international otology network telecast International May 2010 Midland Institute of Otolaryngology Yoxhall May 2010 Level 2 Child Protection Training Coventry January 2010 TAIP (training and assessment course) Birmingham July 2008 Balance Course Southampton June 2008 Academy of Experts Course London December 2007 Surgical Assessment Tool Workshop Stoke November 2007 Middle Ear Course Dortmund, Germany April 2007 Lipolysis Course Amsterdam, Holland April 2007 Clinical Examiners Course Coventry December 2006 Dermal Filler Course Bingham, UK July 2006 Chemical Peel Course Bingham, UK July 2006 Facial Plastic Course IHR, London February 2006 Snoring and Obstructive Sleep Apnoea London November 2005 Causse Clinic TWJ Otology short fellowship Beziers, France October 2005 Rhinoplasty Course Amsterdam October 2004 Practical and Theoretical Course on BAHA Kilmarnock September 2003 Advanced Otology Course London September 2003 Bronchoscopy and Oesophagoscopy Dundee June 2003 Head and Neck Course Birmingham October 2001 Management Course Glasgow September 2001 Rhinoplasty and Septal Surgery Course London March 2001 ENT Course Newcastle February 2001 Endoscopic Sinus Surgery Course Glasgow September 2000 Temporal Bone Course Glasgow October 1999 Temporal Bone Course Royal National Throat June 1998 Nose and Ear Hospital Advanced Trauma Life Support Manchester March 1997 STEP Distance Learning Course Correspondence Course April 1996 North West Anastomosis Workshop Manchester November 1995 Advanced Life Support Course Manchester September 1995 Teaching and Lecturing Skills Course Glasgow June 1994 Radiation Protection Course Certificate Manchester July 1992

RESEARCH EXPERIENCE: Present Research: I am conducting research into the efficacy of Balloon Eustachian Tuboplasty (using the Bielefeld Catheter) for with Eustachian Tube symptoms. The work has been completed and a paper has been written. It will be submitted soon for publication.

TWJ Fellow 2002: I designed and tested a coated cochlear implant electrode capable of secreting neurotrophic growth factors and thus preventing degeneration of the eighth nerve after acquired deafness. The work was carried out on an animal model at the Kresge Hearing Research Institute (KHRI), Ann Arbor Michigan, USA.

My work, carried out over a relatively short period (seven months) was productive. Dr Raphael (my supervisor) taught me various laboratory techniques including animal care and surgery (including cochlear implantation), cell culture, viral transduction, preparation and staining of cochlear tissues, cochlear electrode manufacture and computer image analysis. I regularly attended laboratory meetings where I was able to discuss my work and learn of other research in our laboratory. Within the KHRI I was able to attend exciting presentations from external visiting researchers.

During my stay I had the opportunity to visit the clinical Otolaryngology department. I attended outpatient department and observed surgery at the University of Michigan Hospital.

I have already presented some of my work at the Association for Research in Otolaryngology Feb 2003, Florida, USA, Royal Society of Medicine Otology section May 2003 (Exmoor Plastics Short Paper Prize Winner), Scottish Otolaryngology Society June 2003 and British Academic Conference in Otolaryngology July 2003, Birmingham, UK.

A paper based on my work has been published in the journal Hearing Research (see publications).

Other Clinical: Randomised clinical trial on Ginkgo Biloba and Tinnitus and Meta-analysis of randomised trials. I designed this study and obtained ethical approval in two hospitals. I carried out the study in special research sessions were I interviewed, examined and audiologically assessed patients. I statistically analysed the data. The results of the study have been presented at the Otolaryngology Research Society. I performed a meta-analysis of previous randomised trial on Ginkgo Biloba and Tinnitus. A paper based on the research has been accepted for publication by the journal Clinical Otolaryngology.

Retrospective review of laser turbinectomy in children. This retrospective study involved case note review and patient interview. Part of the study involved histological study of turbinectomy specimens. A paper based on the study has been accepted for publication in the journal Lasers in Surgery and Medicine. The finding of the study were also presented at the Joint International Laser Conference in Edinburgh September 2003. Retrospective review of Paediatric Cochlear Implantation in to Dysplastic Cochleae. This work has been presented at the Scottish Otolaryngology Society meeting. Case reports. I have published several case reports on various otolaryngological conditions.

Undergraduate: 1991: Otolaryngology Clinical attachment. Retrospective review of Globus pharyngeus and its relationship to Pharyngeal Cancer. 1989: BSc. (Hons.) In Experimental Immunology and Oncology, University of Manchester. The degree work involved part research and part formal structured teaching and was assessed by thesis and formal written examination. As a part of my work, I carried out skin grafting operations on nude rats using ether anaesthesia. The grafts were MHC Class 1 disparate. The effect of naïve CD4 and CD8 Thoracic Duct Lymphocytes, transferred to the above rats on rejection, was studied. In addition, work was carried out studying allogeneic lymphocyte cytotoxicity - rejection of transferred MHC disparate lymphocytes - in rats. My research findings were incorporated into a thesis and also contributed to a publication.

PUBLICATIONS:

An Unusual Transorbital Penetrating Injury and Principles of Management. Dekker A, El-Sawy A, Rejali D Craniomaxillofac Trauma Reconstruction; 2014; 7:310–2.

Hyperpneumatisation of the craniocervical bones: an emerging aetiological pattern? Fussey JM , El-Maghraby H, Rejali D Journal of Laryngology and Otology. 2014; 20:1-4.

Transient Auditory Dysfunction: A description and study of prevalence. L M Almond, K Patel, Rejali D Ear Nose and Throat Journal. 2013; 92 (8) 8:352–6

A case report of orbital haemorrhage associated with endoscopic sinus surgery and reversible sight loss: a multidisciplinary approach to management. Sood V, Rejali D, Stocker J, Pagliarini S, Ahluwalia H, Mehta P. Orbit. 2013 Feb;32(1):73-5.

Successful management of a secreting glomus jugulare tumour with radiosurgery alone J M Fussey, S Sankar, Rejali D Journal of Neurological Surgery Part B: Skull Base. 2013. 74: 399-402

Idiopathic intracranial hypertension in otolaryngology. Jindal M, Hiam L, Raman A, Rejali D. Eur Arch Otorhinolaryngol. 2009 Jun;266(6):803-6. Epub 2009 Apr 8. Review.

Cochlear implants and ex-vivo BDNF gene therapy protect spiral ganglion neurons. Rejali D, Lee VA, Abrashkin KA, Houmayun N, Swiderski DL, Raphael Y. Hearing Research. 2007, 228(1-2):180-7.

Suspending tonsillectomy: the effects on primary and secondary acute care in Scotland. Mehanna H, Rejali D, Murray A. Scott Med J. 2004, 49(4), 144-5.

Inferior Turbinate Reduction in Children using Holmium YAG Laser - A Clinical and Histological Study Rejali S , Upile T, McLellan D, Bingham B J G. Lasers in Surgery and Medicine. 2004;34(4):310-4.

Ginkgo Biloba does not benefit patients with tinnitus: a randomised placebo controlled double blind trial and meta-analysis of randomised trials. Rejali D, Sivakumar A, Balaji N. Clinical Otolaryngology. 2004, 29, 226-231.

Pneumomediastinum 3, 4-methylenedioxymethamphetamine (MDMA, Ecstasy) in two patients at the same “rave”. Rejali S D, Glen P, Odom N. Journal of Laryngology and Otology. 2002, 116, 75-6.

Acquired Immune Deficiency Syndrome Presenting with a Nasal Septal Perforation. Rejali S D, Simo R, de Carpentier J. Rhinology. 1999. Volume 37, P. 93-5.

Mucocele Mimicking a Warthin's Tumour Recurrence. Rejali S D, Simo R, Small M. Journal of Laryngology and Otology. 1998. Volume 112, P. 1092-4.

Diagnostic Pitfalls in Sports Related Laryngeal Injury. Rejali S D, Bennett J D C, Upile T, Rothera M P. British Journal of Sports Medicine. 1998. Volume 32, P. 180-181.

Paediatric Pyogenic Granuloma Presenting as a Unilateral Nasal Polyp. Simo R, de Carpentier J, Rejali S D, Gunewardena W. Rhinology. 1998. Volume 36, P. 136-8.

Allograft rejection in athymic nude rats by transferred T cell subsets. II. The response of naïve CD4+ and CD8+ thoracic duct lymphocytes to an isolated MHC class I disparity. Bell E B, Rejali S D, Whitby E, Sparshott S, Yang C. Transplantation. 1990. Volume 50, P. 6906.

PUBLISHED ABSTRACTS AND POSTER AND ORAL PRESENTATIONS:

Successful management of a catecholamine-secreting glomus jugulare tumour with radiosurgery alone. Fussey JM, Kemeny A, Sankar S, Rejali D British Skull Base Society (BSBS) annual meeting Jan 31 2013 Nottingham, UK Poster Presentation

Successful management of a catecholamine-secreting glomus jugulare tumour with radiosurgery alone. Fussey JM, Kemeny A, Sankar S, Rejali D Midlands Institute of Otology winter meeting Jan 11 2013 Birmingham Poster presentation

Botox: Aesthetic use. Midland Institute of Otlaryngology meeting, Coventry. June 2008.

Patel K, Almond M, Rejali D. Transient Auditory Dysfunction. Presented at ORS meeting 2007 and Published Abstract. Journal of Laryngology and Otology. 2007.

Inferior Turbinate Reduction in Children using Holmium YAG Laser - A Clinical and Histological Study Rejali S D, T Upile, D McLellan, B J G Bingham. Joint Combined Laser Conference, Edinburgh UK. September 2003.

Reduction of eighth nerve degeneration following cochlear implantation with a stimulating electrode secreting brain derived neurotrophic factor (BDNF). Rejali S D, V Lee, K Abrashken, Y Raphael. Royal Society of Medicine Otology Section. London UK. May 2003. Exmoor plastics short paper prize winner.

A randomised placebo controlled trial of Ginkgo Biloba and its effect on tinnitus and hearing. Rejali S D, A Sivakumar, B Natarajan. Otolaryngology Research Society. Manchester, UK. April 2002.

Reduction of eighth nerve degeneration following cochlear implantation with a neurotrophic factor secreting electrode. Rejali S D, V Lee, K Abrashken, Y Raphael. Scottish Otolaryngology Society Meeting. Crief, UK. June 2003.

Cochlear implantation in to abnormal cochlea; a retrospective review of surgical and audiological aspects. Rejali S D, Shanks M. Scottish Otolaryngology Society Meeting, Aberdeen. November 2001.

POSTER PRESETATIONS:

Revision mastoidectomy in paediatric patients Baruha P, Rejali D Midland Institute of Otolaryngology Meeting. 2013

Laryngeal Tuberculosis Esmil T, Irivine B W, Rejali D. Midland Institute of Otlaryngology. Birmingham. January 2005.

Cochlear implant electrodes coated with allogeneic fibroblasts secreting neurotrophic growth factors protect the cochlear nerve from degeneration after acquired deafness. Rejali S D, V Lee, K Abrashken, Y Raphael. British Academic Conference in Otolaryngology, Birmingham. July 2003.

Cochlear implant electrodes can be coated with cell expressing transgenes. Rejali S D, V Lee, K Kawamoto, S Kanzaki, Y Raphael. Association for Research in Otolaryngology, Daytona Beach, USA. February 2003.

Wegener's Granulomatosis causing long-term otitis media. Rejali S D, Mr. Balagi. European ORL-HNS conference. Berlin. May 2000.

Osseous metastases in Head and Neck Malignancies. Shanbhag A, Srivastav G, Rejali S D, Simo R, Small M. 1st World Congress in Head and Neck Oncology. Madrid. November 1998.

Long term sequelea of the Caldwell Luc Procedure. de Carpentier J, Rejali S D, Simo R. Sinusitis '98 , Lisbon, Portugal. November 1998.

Endoscopic Management of Pott's Puffy Tumour de Carpentier J., Rejali S D, Simo R. Sinusitis '98 , Lisbon, Portugal. November 1998.

AUDIT: Otitis Media with Effusion 2013 Vestibular Schwannoma Audit 2013 Emergency Clinic Audit 2013 DNA Survey 2013 Aetiological Investigations of Paediatric Hearing Loss 2012 Tonsillectomy 2012 Ossiculoplasty 2010 Stapedectomy 2008 Myringoplasty 2007 Audit of in-patient non-attenders 2006 Audit of out patient non-attenders 2006 In patient satisfaction survey 2005 Surgical audit of my Myringoplasty cases. 2003 Topical ear medication penetration via tympanic membrane perforation 2002 Patient satisfaction in the ENT outpatients department 2001 Skull base tumours. Department of Neuro-otology 2000 and Skull base surgery, Institute of Neuroscience, Southern General Hospital Analgesia after Palatoplasty. Preston Royal Infirmary 1998 Preoperative clinics and missing notes. Preston Royal Infirmary 1997 Post operative instructions after Oesophagoscopy. Preston Royal Infirmary 1997 Blood pressure recording in patients presenting with epistaxis at Manchester Royal Infirmary Accident and 1994

PRIZES, GRANTS AND FELLOWSHIPS: Angle Junior prize won by co-author presentation at MIO September . Sep 2007 Exmoor Plastics Short paper prize winner. Royal Society of Medicine, otology section. May 2003 Lionel Colledge Memorial Fellowship. Royal College of Surgeons of England. July 2002 Guthrie Travelling Grant. Scottish Otolaryngology Society. June 2002 TWJ Fellowship. Ann Arbor Michigan USA. May 2002.

GENERAL INTERESTS:

Gardening, Computers and 3 children! REFEREES

Mr Peter Dekker ENT Consultant Surgeon University Hospital Coventry Clifford Bridge Road Coventry CV2 2DX [email protected] 07815 964330 02476965606

Professor Hisham Mehanna Professor of Head and Neck Surgery, Honorary ENT Consultant Surgeon University of Birmingham and Queen Elizabeth Hospital Institute of Head and Neck Studies and Education Institute of Cancer and Genomic Sciences Vincent Drive Birmingham B15 2TT 0121 414 8753 [email protected]

Mr Satvir Minhas ENT Consultant Surgeon Walsall Manor Hospital Moat Road Walsall WS2 9PS 01922 721172 0799 9014000 [email protected]