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he Neurosurgery Department at Beaumont Hospital
was delighted to host a vascular-themed seminar
at the Charter Day Celebrations. The Department
welcomed Professor Ralph Dacey Jr, who was
conferred with an Honorary Fellowship, and opened
the seminar with a talk on surgery for middle
cerebral artery aneurysms.
grounDBreaking research in neurosurgery
According to Mr Donncha O'Brien, Neurosurgeon, further talks
on vascular treatment were delivered by Mr Chris Pidgeon and
Dr Paul Brennan. Professor David Henshall delivered a talk on
groundbreaking research into epilepsy which has been performed
in RCSI and published recently in Nature Medicine. Consultants Mr
Darach Crimmins, Paediatric Neurosurgeon, Children's University
Hospital, Temple Street and Beaumont; Mr Fergal Cummins,
Emergency Medicine, University of Limerick; Mr Danny Rawluk,
Neurosurgeon, Beaumont Hospital; and Professor Ciaran Bolger,
Neurosurgeon, Beaumont, made presentations on head injuries in
children; the relationship between the Emergency Department and
neurosurgery; skull base neurosurgery; and brain stem monitoring,
Mr O'Brien reports that there was a large attendance at the meeting
and the Department hopes to make this an annual event as
neurosurgery has such a key role to play in neurological illness and
has such close multi-disciplinary relationships with colleagues from
various specialties.
Along with its colleagues in Cork University Hospital, the
Neurosurgery Department at Beaumont delivers a nationwide service
for all neurosurgical illness, Mr O'Brien noted. It has a vibrant
research and training programme, he added, and has a rotation at SpR
level with the neurosurgical department at Washington University
in St Louis, USA. The department at Beaumont performs upwards of
three thousand adult neurosurgical cases per year and works closely
with its sister hospital at Children's University Hospital, Temple Street
to provide a paediatric neurosurgical service as well.
Plastic surgery anD ent in successful link-uP
The Plastic Surgery community expressed its gratitude to its ENT
colleagues for their generous invitation to share a session at the
Charter Day meeting. Mr Sean Carroll, Consultant Plastic Surgeon,
St Vincent's University Hospital (SVUH), thanked, in particular, Mr
Tadhg O'Dwyer, Consultant ENT, Mater, who was instrumental in
putting the programme together. He added that thanks were also due
to RCSI President, Professor Patrick Broe, who was supportive of
this initiative.
As the nose is of common interest to both groups, the programme
concentrated on Aesthetic Rhinoplasty. This procedure is difficult,
hard to teach and, occasionally, results in litigation, according to
Mr Carroll, so it was felt that it would be beneficial to hear from
surgeons in both specialties as to their approach.
Mr Carroll described the requirements for Aesthetic Rhinoplasty
assessment utilising photography and simple instruments to
measure nose parameters and compare it to the norm. It was
further explained that pre-formatted note-keeping and hand-
outs are a vital step in fully informing the patient. Mr Michael
Harney, ENT Consultant, Bons Secours, Cork, described the
various Rhinoplasty techniques but concentrated on the twisted
nose and emphasised the role of extra corporeal manipulation of
the septum in these extremely difficult cases. Mr Eoin O'Broin,
Consultant Plastic Surgeon, Cork University Hospital, spoke about
the methods utilised in Complex Rhinoplasty and how methods
for the treatment of the cleft nose can be useful when required. Mr
Brian Kneafsey, Consultant Plastic, Reconstructive and Aesthetic
Surgeon, Beaumont, talked about Tip Rhinoplasty and detailed the
assessment, operative steps and aftercare of this sub-set of patients.
The emphasis is moving towards cartilaginous manipulation with
sutures rather than just excision of tissue, he noted.
Professor Michael Early, of the Mater, concluded matters with an
overview of Aesthetic Rhinoplasty and what has changed in this
procedure over his career.
There was lively debate and cross-questioning, Mr Carroll reports.
He added: "I felt, based on what I saw and heard and the feedback
I received, that it was an excellent session. I believe that smaller
specialties like Plastic Surgery benefit and can add value to cross-
specialty sessions such as the one described. I think that we should
use this meeting as a template and continue next year and thereafter
organising such Charter Day sessions. A joint meeting with Breast
Surgery on breast reconstruction, with Orthopaedics on lower limb
trauma and with Cardiothoracic on chest wall reconstruction are
just a few possibilities."
If anyone has any other suggestions and/or is interested in pursuing
this, please get in contact with Mr Carroll, email:
charter Day ProviDes
a forum for
knowleDge sharing
this yeAr's ChArter dAy meeting in feBruAry provided
A useful forum for the exChAnge of ideAs ACross A
rAnge of speCiAlties
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