Associate Professor Nirmal PatelClinical Associate Professor of Surgery, University of Sydney/ Macquarie University
Founder and Director of Kolling Deafness Centre, University of Sydney Endoscopic Ear Surgery Research Group (SEES), Fellowship Director in Otology Neuroloty, SEES Group, Member of Indigenous Health Committee, Royal Australian College of Surgeons NSW Committee Member for Indigenous Affairs Nirmal was Australia’s first elected member and contributor to the International Working
Group of Endoscopic Ear Surgery, which seeks to advance the technique of minimally invasive ear surgery around the world. |
|
He is the General Secretary of the International Working Group of Endoscopic Ear Surgery and an elected Board Member of the Pan Asian Working Group of Endoscopic Ear Surgery as the Educational coordinator. Nirmal is invited faculty and tutor at Endoscopic Ear Surgery courses and meetings around the world including USA, India, Italy, Spain, South Korea, China, Scotland, Japan, Dubai, Kenya and Sharjah.
He runs regular monthly Indigenous Outreach services to Western NSW and has presented at 70 National or international meetings, written 51 journal articles and 5 book chapters in major ENT Text books. His authorship interest is in Endoscopic Ear Surgery for Eustachian tube, Cholesteatoma and Lateral Skull Base Surgery.
Nirmal has performed over 600 endoscopic ear surgeries.
He runs regular monthly Indigenous Outreach services to Western NSW and has presented at 70 National or international meetings, written 51 journal articles and 5 book chapters in major ENT Text books. His authorship interest is in Endoscopic Ear Surgery for Eustachian tube, Cholesteatoma and Lateral Skull Base Surgery.
Nirmal has performed over 600 endoscopic ear surgeries.
Endoscopic Ear Surgery – The Be All and End All?
Endoscopic Ear Surgery (EES) in its modern day form, has been advancing in technique and technology for over 10 years. The method places the surgeon’s view within the middle ear and allows contextual interpretation of the disease anatomy interface without the need for removing large amounts of normal bone. What the surgeon (teacher) and student (trainee) see are exactly the same, providing an accurate interface for surgical learning.
Reliable data regarding outcomes for Paediatric and Adult Tympanoplasty and Cholesteatoma surgery demonstrates similar if not superior outcomes when surgery is performed with EES (transcanal) compared to traditional microscopic techniques. Most units performing the technique now can reliably show the reduction in post auricular wounds with similar outcomes providing a significant improvement in quality of life scores, particularly important for paediatric patients.
Modern otology however, does not rely on one technique or instrument and the microscope is still an important part of ear surgery. The middle ear is the domain of the transcanal method and EES. The mastoid is the domain of the microscope and the modern otologist would likely benefit from using the strengths and weaknesses of each technique. Finally the talk will place EES in the continuum of otology developments which is progressing into steerable instrumentation, digital exoscopy and otologic robotics.
Endoscopic Ear Surgery (EES) in its modern day form, has been advancing in technique and technology for over 10 years. The method places the surgeon’s view within the middle ear and allows contextual interpretation of the disease anatomy interface without the need for removing large amounts of normal bone. What the surgeon (teacher) and student (trainee) see are exactly the same, providing an accurate interface for surgical learning.
Reliable data regarding outcomes for Paediatric and Adult Tympanoplasty and Cholesteatoma surgery demonstrates similar if not superior outcomes when surgery is performed with EES (transcanal) compared to traditional microscopic techniques. Most units performing the technique now can reliably show the reduction in post auricular wounds with similar outcomes providing a significant improvement in quality of life scores, particularly important for paediatric patients.
Modern otology however, does not rely on one technique or instrument and the microscope is still an important part of ear surgery. The middle ear is the domain of the transcanal method and EES. The mastoid is the domain of the microscope and the modern otologist would likely benefit from using the strengths and weaknesses of each technique. Finally the talk will place EES in the continuum of otology developments which is progressing into steerable instrumentation, digital exoscopy and otologic robotics.
