1
Mr David Gault FRCS
Consultant Plastic Surgeon
CURRICULUM VITAE
David Thomas GAULT
September 2008
1
17/09/2008 15:55:00
1
Mr David Gault FRCS
Consultant Plastic Surgeon
NAME DAVID THOMAS GAULT
NATIONALITY British
MARITAL STATUS Married
DATE OF BIRTH 21st March 1954
ADDRESS The PortlandHospital for Women and Children
205-209 Great Portland Street
LondonW1W 5AH
TELEPHONE 020 79357665
01628 891 333
web
QUALIFICATIONS MB ChB 1977 Edinburgh
FRCS May 1982 England
Accreditation1989
European Paediatric Life Support February 2007
MEDICAL AND DENTAL DEFENCE UNION OF SCOTLAND
Number G/06/0036
GENERAL MEDICAL COUNCIL
Number 2328687
SECONDARY EDUCATION
19651966 HuntingdonGrammar School
Huntingdon, Cambridgeshire.
19661968 Bourne School, Singapore.
19681972 Coleraine Academical Institution, Coleraine,
County Londonderry, Northern Ireland.
Prizes and Merits Clothworkers Scholarship
Member of School First VIII
Member of Junior VIII (Rowing) representing Ireland
UNIVERSITY EDUCATION
19721977 Edinburgh University MB ChB 1977
Prizes and Merits Crichton Entrance Bursary (1972)
Merit Certificate Bacteriology (1974)
University Blue (Rowing 1974)
Scotland National Eight (1974)
Elective Study Orthopaedics, KingEdwardVIIHospital, Bermuda.
PREVIOUS APPOINTMENTS
1. August 1977January 1978 House Physician
Royal Infirmary, Edinburgh
2. February 1978July 1978 House Surgeon
BangourGeneralHospital, Edinburgh
Orthopaedic Surgery 2 months
General Surgery 4 months
3. September 1978June 1979 University Demonstrator in Anatomy
EdinburghUniversity
4. April 1979June 1979 Munro Prosector
RoyalCollege of Surgeons of Edinburgh
5. July 1979December 1980 Senior House Officer Rotation
Addenbrookes and Associated Hospitals
General Surgery 6 months
Urology 6 months
Orthopaedic & General Surgery 6 months
6. January 1981 Locum Senior House Officer, Casualty
HuntingdonCountyHospital, Huntingdon
7. March 1981September 1981 Senior House Officer, Casualty
Mount VernonHospital, Northwood
8. October 1981November 1982 Registrar, General Surgery and Urology
LewishamHospital, London.
9. November 1982January 1983 Locum Senior House Officer, General Surgery
KingKhaledNationalGuardHospital,
Jeddah, Saudi Arabia
10. February 1983June 1983 Senior House Officer, Neurosurgery
SouthamptonGeneralHospital
11. July 1983December 1983 Senior House Officer, Plastic Surgery
Mount VernonHospital, Middlesex
12. January 1984August 1984 Senior House Officer, Plastic Surgery
St. Andrew's Hospital, Billericay
PREVIOUS APPOINTMENTS continued..
13. August 1984May 1986 Clinical Assistant, Plastic Surgery
St. Andrew's Hospital, Billericay
14. June 1986December 1986 Registrar, Plastic Surgery
The LondonHospital, Whitechapel and
St. Andrew's Hospital, Billericay
15. January 1987June 1987 MRC French Exchange Fellow
16. January 1987June 1987 Craniofacial Fellow to Dr. Daniel Marchac
Hopital des Enfants Malades, Paris
17. January 1987June 1988 Senior Registrar, Plastic Surgery
St. Thomas's Hospital and
The Hospital for Sick Children,
Great Ormond Street, London
18. July 1988 December 1988 Senior Registrar, Head and Neck Surgery
RoyalMarsdenHospital, London
19. January 1989 April 1991Senior Registrar, Plastic Surgery
St. Thomas's Hospital, and
The Hospital for Sick Children,
Great Ormond Street, London
- Dec1993 – Nov 1999Locum Consultant Plastic Surgeon
GreatOrmondStreetHospital for Children, London
- April 1991 - December 1996Consultant Plastic Surgeon
Luton and DunstableHospital, Luton
- April 1991 – October 2001Consultant Plastic Surgeon
HillingdonHospital, Hillingdon
23. April 1991- March 2006Consultant Plastic Surgeon
Mount VernonHospital, Northwood
24. November 1999 – March 2006Consultant Plastic Surgeon
GreatOrmondStreetHospital for Children, London
25. April 2000 – March 2006Honorary Senior Lecturer
UniversityCollege, London
GENERAL SURGICAL EXPERIENCE
I trained in General Surgery, Orthopaedic Surgery, Neurosurgery and Urology over a period of almost four years, during which I kept a record of the procedures performed without supervision. It includes 15 amputations, 50 appendicectomies, 13 bowel resections, 95 inguinal hernia repairs, 42 circumcisions, 70 procedures for varicose veins, 98 cystoscopies and resections of bladder tumour, 11 open fracture reductions and 27 orchidopexy and orchidectomy procedures. I supervised fracture clinics, and looked after patients in Intensive Care.
PLASTIC SURGERY EXPERIENCE
As a Trainee
After training in General Surgery, I trained in Plastic Surgery over a period of eight years, working at five different units in the United Kingdom. I also spent six months working at the Hospital for Sick Children in Paris. During this time I assisted at a wide variety of procedures including craniofacial surgery, cleft lip and palate surgery and free tissue transfer. Before becoming a consultant, I personally performed 2636 procedures. This includes 1515 procedures in General Plastic Surgery and Burns, 667 Hand Surgery cases, 321 Head and Neck cases (including cleft lip and palate), and 133 Cosmetic Surgery procedures.
At St. Thomas's Hospital and the Hospital for Sick Children, Great Ormond Street I worked with Epidermolysis Bullosa patients on whom I performed procedures to release finger contractures and syndactyly. St. Thomas's Hospital had an Argon laser which I used to treat patients with port wine stains with good results.
During my six months working in the Head and Neck Unit at the RoyalMarsdenHospital, I worked with the reconstructive team to resect intraoral and facial tumours and to reconstruct the defects with cutaneous, myocutaneous and free flaps.
I have a special interest in the correction of ear deformities, and set up the first units in the UK, at GreatOrmondStreetHospital, London, and at Mount VernonHospital, Northwood.
As a Consultant
I have maintained my interest in ear reconstruction, and have to date reconstructed 700ears with a carved costal cartilage framework. Many of these cases come from abroad. I also provide bone anchored prosthetic ears for patients who prefer this technique. Between December 1992 and October 2006, I ran Laser Services at Mount VernonHospital, treating a variety of vascular lesions, pigmented lesions and tattoos. In conjunction with the Department of Medical Optoelectronics at the Swansea Institute, I developed a laser for depilation and undertakehair removal clinics.
TEACHING
As a trainee I regularly lectured to student nurses and medical undergraduates. As a consultant I now teach on a variety of courses from Minor Surgical Techniques for General Practitioners to ear reconstruction and laser treatment for specialist plastic surgeons.
RESEARCH
Prompted by cases of chemotherapy extravasation referred with extensive tissue loss and scarring around nerves and tendons, I studied children who suffered soft tissue loss after drug extravasation injuries. In some instances, despite extensive reconstruction, hand function remained severely compromised. Early removal of noxious materials (calcium, potassium, adriamycin and daunorubicin) from the subcutaneous perivenous space by liposuction or saline flushout techniques has proved most rewarding. One hundred and ten such patients have been studied, and the results of this technique are quite striking.
During my French Exchange Fellowship I developed a method of calculating intracranial volume from CT scans, which was then used to study 100 children with craniosynostosis. Contrary to traditional teaching, it was found that the majority have a normal intracranial volume.
Neonates with misshapen ears can have the deformity corrected with a simple splint if this is applied at birth. The floppy cartilage moulds readily and gives good long term results. In most cases this avoids the need for surgical correction later. This work was presented to the British Association of Plastic Surgeons and received widespread media coverage in December l994. As a result, I developed the Ear Buddy, a device now available worldwide for the treatment of new-born infants with ear deformities.
A review of the psychological benefits of microtia reconstruction has been undertaken. As a refinement to the surgical technique, those patients undergoing autogenous tissue reconstruction of ears now have the ribcage reconstructed with unwanted fragments of carved chest cartilage and the vestigial ear remnant. This development appears to reduce pain in the short term and may reduce the risk of chest wall deformity in the long term.
At the Hospital for Sick Children, Great Ormond Street,I undertook a joint microtia clinic with the Ear, Nose and Throat Department and the Department of Medical Genetics, and began several projects to examine the possible causes of significant congenital ear anomalies.
In a combined project with the Swansea Institute a laser to remove hair was developed. The technology is now in use world-wide. It has a variety of clinical applications and clinical trials have shown it to be successful in removing hair for long periods of time. Further research to improve results is underway.
As a result of collaboration with Gyrus Medical and Rhytec, a nitrogen-driven plasma kinetic device for skin resurfacing was developed. This passed into commercial use in the US in 2006 and was introduced into the UK in 2007.
PRIZES AND AWARDS
North East Metropolitan Surgical Essay Prize (1987)
Logo Design, International Society of Craniomaxillofacial Surgery (1987)
Medical Research Council French Exchange Fellow (1987)
Ethicon Travelling Scholarship (1987)
Wellington Foundation Scholarship (1989)
BAPS Travelling Bursary (1990)
Arnold Huddart Medal, The Craniofacial Society of Great Britain (1990)
Certificate of Educational Merit (BMA) for film "Extravasation Injuries" (1991)
Certificate of Special Merit, World Federation of Physical Therapists 1991 for film “The Hand”
Netter Award, Vesalius Trust, USA 1991 for film “The Hand”
Daily Star "Gold" Award 1992 (Reconstruction of the “Samurai Sword” Policemen, Rob Window)
Merit Award (Five Discretionary points) July 1996
Hackett Prize, BAAPS Meeting, December 1996
Contributor to Principles and Practice of Head and Neck Oncology, 2003
Winner ofGeorge Davey Howells Memorial Prize for most distinguished published contribution to the advancement of Otolaryngology during the preceding five years.
CC Wu Visiting Professorship, ChineseUniversity of Hong Kong 2004
25th Annual Meeting ASLMS 2005, Best Paper Dermatology/Plastic Surgery section
Merit in Surgery Team of the Year, Hospital Doctor Awards 2005
Douglas Murray Award, Birmingham 2006
MEMBERSHIP OF PROFESSIONAL ORGANISATIONS
British Association of Plastic Surgeons
British Association of Plastic, Reconstructive and Aesthetic Surgeons
European Association of Plastic Surgeons
Former Editorial Board Member, British Journal of Plastic Surgery
Editorial Board Member, Journal of Cosmetic and Laser Therapy
Editorial Reviewer, Journal of Plastic, Reconstructive and Aesthetic Surgery
PUBLICATIONS
1. Adiseshiah M and Gault D. (1982)
Exteriorisation Resection of the Colon.
Annals of the RoyalCollege of Surgeons of England64: 3213.
2.Gault DT and Subbuswamy SG. (1985)
Metastatic Tumours of the Nasal Tip
British Journal of Plastic Surgery 38: 570574.
3. Elliot D, Everitt AS, Gault DT, Quaba AA, Hackett MEJ, Howlett TA, Tomlin SJ
and Rees LH. (1985)
The Role of Endorphins in Septicaemic Shock; A Pilot Study in Burned Patients
Burns 11: 387392.
4. Gault DT and Quaba AA. (1986)
Is Flap Cover of Exposed Metalwork Worthwhile?
British Journal of Plastic Surgery 39: 505509.
5. Frame JD, Eve MD, Hackett MEJ, Dowsett FG, Brain AN, Gault DT and
Wilmshurst AD. (1986)
The Toxic Shock Syndrome in Burned Children
Burns 11: 234241.
6. Gault DT, EverittAS, Eve MD and Gordon PWN. (1986)
Amylase Activity in Radiation Victims
British Medical Journal 293: 140.
7. Gault DT and Eve MD. (1987)
Burns from Buried Electric Cables
Burns 13: 131135.
8.Gault DT. (1987)
A Review of Repaired Flexor Tendons
The Journal of Hand Surgery 12B: 321325.
9. Gault DT. (1987)
Reduction of Grip Strength, Finger Flexion Pressure, Finger Pinch Pressure and Key Pinch following Flexor Tendon Repair
The Journal of Hand Surgery 12B: 182184.
10. Gault DT. (1987)
Chylopharyngeal Fistula
British Journal of Plastic Surgery 40: 538539.
11. Gault DT, Brain A, SommerladBC and Ferguson DJP. (1987)
The Loop Mattress Suture
British Journal of Surgery 74: 820821.
12.Gault DT. (1987)
A Hand Injury Chart
The Journal of Hand Surgery 12B: 285.
13. Gault DT and McLoughlin L. (1987)
Management of Blisters in Minor Burns
British Medical Journal 295: 504.
14.Marchac D, Pugash E and Gault DT. (1987)
The Use of Sprayed Fibrin Glue for Face Lifts
European Journal of Plastic Surgery 10: 139143.
15. Gault DT, Everitt AS, Gordon PWN, Eve MD and Moody FM. (1987)
Serum Cholinesterase Levels after Thermal Injury
Burns 13: 208212.
16. Gault DT and Quaba AA. (1988)
The Role of Cross Finger Flaps in the Primary Management of Untidy Flexor Tendon Injuries
The Journal of Hand Surgery 13B: 6265.
17. Gault DT and Thomas K. (1988)
A Prosthesis to Camouflage Indented Scars
Plastic and Reconstructive Surgery 81: 545549.
18. Gault DT and McGeorge D. (1988)
The Image of Plastic Surgery
The Practitioner 232: 709711
19. Gault DT. (1988)
Tongue Necrosis after Radical Neck Dissection
Head and Neck Surgery 10: 344345.
20. Dziewulski P, Gault DT and Davis PKB. (1988).
Systemic Response to Intralesional Steroid Therapy (letter)
British Medical Journal 296: 137.
21. Gault DT, Brunelle F, Renier D and Marchac D. (1988)
The Calculation of Intracranial Volume using CT Scans
Child's Nervous System 4: 271273.
22. Jones BM and Gault DT. (1988)
Blue Dyes in Reconstructive Surgery (letter)
Lancet i: 949950.
23.GaultDT and QuabaAA.(1988)
The Role of Cross Finger Flaps in the Primary Management of Untidy Flexor Tendon Injuries (abstract).
Advances in Orthopaedic Surgery 12: 80-81
24. Gault DT and Quaba A. (1988)
Is Flap Cover of Exposed Metalwork worthwhile? (Abstract)
1988 Year Book of Plastic and Reconstructive Surgery
25. Gault DT, Renier D and Marchac D. (1989)
Oxycephaly and Rickets
European Journal of Plastic Surgery 12: 5659.
26. ColeRP and GaultDT. (1989)
Glove Perforation during Plastic Surgery
British Journal of Plastic Surgery 42: 481483.
27. Gault DT and SommerladBC. (1989)
Suturing Skin under Tension
Plastic and Reconstructive Surgery 83: 391.
28. Gault DT, Judge M, Cole R, Mayou BJ and Davis PKB. (1989)
Squamous Cell Carcinoma in Patients with Necrobiosis Lipoidica
European Journal of Plastic Surgery 12: 274-276
29. Gault DT, Huddleston C and Jones BM. (1990)
Infected Sternotomy Wounds
European Journal of Cardiothoracic Surgery 4: 48-50
30. Gault DT, Renier D, Marchac D, Ackland FM and Jones BM. (1990)
Intracranial Volume in Children with Craniosynostosis
Journal of Craniofacial Surgery 1: 1-3.
31. Murphy P and Gault DT. (1990)
Treatment of Extravasation Injuries
Anaesthesia 45: 600.
32.Gault DT, Jones BM, Marchac D, and Renier D. (1990)
The relationship between intracranial pressure and restricted skull volume in children
with craniosynostosis (Abstract)
Child's Nervous System 6: 304.
33.Gault DT and Jones BM. (1990)
Infected Sternotomy Wounds (letter)
European Journal of Cardiothoracic Surgery 4: 628.
34.
Skene AI, Gault DT, Woodhouse CRJ, BreachNM, ThomasJM. (1990)
Perineal, Vulval and Vaginoperineal Reconstruction using the Rectus abdominis myocutaneous flap
British Journal of Surgery 77: 635-637.
35. ColeRP, Gault DT, MayouBJ and Davis PKB. (1991)
Pain and Forehead Expansion
British Journal of Plastic Surgery 44: 41-43
36. Smith PJ and Gault DT. (1992)
Congenital Hand Deformity
Chapter 85 in Textbook of Plastic, Maxillofacial and Reconstructive Surgery.
2nd edition, pages l083-ll08.
Editors: Georgiade GS., Georgiade NG., Riefkohl R and Barwick WJ.
37. Gault DT, Burnand KG, Birch R and Hollingdale J. (1992)
Peripheral Nerve Injuries
Chapter in Companion to Surgical Studies, pages 587-6l8
Churchill Livingstone, Editors: Burnand KG and Young AE.
38. Gault DT. (l992)
Vascular compromise in new-born infants
Archives of Diseases in Childhood. April l992 67: (4) 463-467
39. Gault DT, Renier D, Marchac D and Jones BM. (l992)
Intracranial Pressure and intracranial volume in children with Craniosynostosis.
Plastic and Reconstructive Surgery 90:377-38l
40. Gault DT & Jones BM. (l992)
Indirect intracranial volume measurements using CT Scan. (letter)
Plastic & Reconstructive Surgery. 90:ll26-ll27
41. Fok H, Jones BM, Gault DT, Andar U and Hayward R. (l992)
Relationship between intracranial pressure and intracranial volumein
craniosynostosis
British Journal of Plastic Surgery 45:394-397
42. Mayou BJ, Gault DT and Crock JG. (l992)
Tissue Expanded Free Flaps
British Journal of Plastic Surgery 45:4l3-4l7
43. KhooCTK and GaultDT. (1992)
Free skin grafts,
Chapter 2 in Skin cover in the Injured Hand, pages ll-26
Editor: Evans DM. Churchill Livingstone.
44. Evans DM and Gault DT. (l992)
General Principles of Free Tissue Transfer
Chapter 7 in Skin cover in the Injured Hand, pages 79-88.
Editor: Evans DM.Churchill Livingstone
45. Evans DM and Gault DT. (l992)
Free Flaps from the Trunk and Lower Limb
Chapter l0 in Skin Cover in the Injured Hand, pages 124-l30.
Editor: Evans DM. Churchill Livingstone
46. Gault DT. (l993)
Extravasation Injuries
British Journal of Plastic Surgery 46:9l-96
47. Gault DT. (1993)
Replantation Surgery
Blesmag - British Limbless Ex-Service Men's Association Magazine Spring l993 l5-l6
48. Ridings P & Gault DT. (l994)
Compartment Syndrome of the Arm
British Journal of Hand Surgery l9B: l47 - l48
49. Davies J, Gault DT, Buchdahl R. (l994)
Preventing the scars of neonatal intensive care
Archives of Disease in Childhood. 70: F50 - F5l
50. Ridings P, Gault DT and Khan L. (l994)
Reduction in post operative vomiting after surgical correction of prominent ears
British Journal of Anaesthesia - 72 : 592 - 593
5l.Tan STGaultDT. (1994)
When Do Ears Become Prominent?
British Journal of Plastic Surgery 47: 573 - 574
52.Tan ST, Shibu MM & Gault DT. (1994)
A Splint for Correction of Congenital Ear Deformities
British Journal of Plastic Surgery 47 : 575 - 578
53.Gault DT, Grippaudo FR & Tyler M. (1995)
Ear Reduction
British Journal of Plastic Surgery 48: 30 - 34
54.Gault DT. (1995)
Historical Snippet [letter]
British Journal of Plastic Surgery 48: 53 - 54
55.Gault DT. (1995)
Invited commentary on:
Congenital anomalies of the auricle: correction through external splints
European Journal of Plastic Surgery 18: 291 - 292
56.Gault DT. (1995)
Can I Bend Your Ear?
You and Your Baby Magazine page 72
57.Laing H & Gault DT. (1995)
Bat Ears - A European Perspective
Christmas Edition of the British Medical Journal311: 1715
58.Grover R, Richman P & Gault DT. (1995)
Immunohistology predicts the outcome of laser treatment of pigmented lesions
using the lambda plus dye laser (abstract)
Transactions of the 11th Congress of the International Confederation of Plastic
Reconstructive and Aesthetic Surgery - Kugler Publications New York 44 - 45.
59.Shibu MM & Gault DT. (1996)
Post-traumatic Digital Overgrowth
British Journal of Hand Surgery 21B: 283 - 285
60.Constantinescu MA, Vögelin E, Gault DT. (1996)
Laser Treatment for an unusual reactive Vascular Proliferation
British Journal of Plastic Surgery 49: 420 - 422
61.ChanaJS, GrobbelaarAOGaultDT. (1997)
Tissue expansion as an adjunct to reconstruction of congenital and acquired auricular deformities.
British Journal of Plastic Surgery 50:456-462
62.Gault DT & Challands J. (1997)
Extravasation of Drugs
Chapter in Anaesthesia Review 13, pages 223-242
Editors: L Kaufman & R Ginsburg. Churchill Livingstone
63.Gault DT & Evans D. (1997)
50 Ways to Hurt Yourself at Home (Book)
Medical Pictures Ltd Windsor
64.GrahamKEGaultDT. (1997)
Endoscopic Assisted Otoplasty: a preliminary report
British Journal of Plastic Surgery 50: 47-55
65.GrobbelaarAO, HorlockNGaultDT. (1997)
Gorlins Syndrome: The Role of the Carbon Dioxide Laser in Patient Management
Annals of Plastic Surgery 39, 366-373
66.Vogelin E, Grobbelaar AO, Chana JS & Gault DT. (1998)
Cauliflower Ears
British Journal of Plastic Surgery 51: 359-362
67. Grover R Richman PI & Gault DT. (1998)
Predicting the Outcome of Laser Treatment for Pigmented Lesions
British Journal of Plastic Surgery 51, 51-56.
68. Grover R, Grobbelaar AO, Morgan BDG, Gault DT. (1998)
A Quantitative method for the assessment of rejuvenation: a prospective study investigating the Carbon Dioxide laser
British Journal of Plastic Surgery 51: 8-13
69.Horlock N, Grobbelaar AO & Gault DT. (1998)
5-year Series of Constricted (lop & cup) Ear Corrections: Development of the mastoid hitch as an adjunctive technique
Plastic and Reconstructive Surgery 102: 2325-2332.
70.Sommerlad BC & Gault DT. (1998)
Space Obliterating Skin Suture (letter)
Plastic and Reconstructive Surgery 102: 2277-8
71.Gault DT and Smith PJ
The Peripheral Nerves.
Chapter 44 pages 1201-1228 in the New Aird’s Companion in Surgical Studies
2ndEdition, edited by Burnand K and Young AE
Churchill Livingstone, London 1998.
72.Harris P, Ladhani K, Das Gupta R and Gault DT. (1999)
Reconstruction of Acquired Subtotal Ear Defects with Autogenous Costal Cartilage.
British Journal of Plastic Surgery 52: 268-275.
73.GrahamKE and GaultDT. (1998)
Clinical Experience of Endoscopic Otoplasty (Letter)
Plastic & Reconstructive Surgery 102:2275
74Gault DT. (1998)
Ear Splintage
Face 5: 211-212
75Gault DT. (1998)
Ear Reconstruction : Pitfalls and Tips
Face 6: 15-16
76Gault D, Clement M, Trow RB and Kiernan M. (1998)