Jaiganesh Manickavasagam

+44 (0)1382 660111
Honorary Senior Clinical Teacher & Consultant ENT, Head and neck Lead

Other

Related Pages www.headandneckconference.co.uk www.lasercoursedundee.co.uk www.frcsentvivacourse.co.uk www.entmasterclass.com

Biography

Education

  • MSc Clinical Trials - University of London, (commenced Sep 2013)
  • FRCS (ORL&HNS) - Intercollegiate Board, 2012
  • DOHNS - Royal College of Surgeons, England, 2006
  • MRCS (EDIN) - Royal College of Surgeons, Edinburgh, 2006
  • MS (ENT) - Madras Medical College, India, 2003
  • Dip.N. B (ENT) - National Board of Examinations, India, 2003
  • MBBS - Madras Medical College, India, 2000

Previous appointments

Head & Neck Surgical Oncology and Robotic surgery Fellowship programme

Locum Consultant in Otorhinolaryngology 2013-2014 Freeman Hospital, Newcastle

Freeman hospital is one of the largest head and neck oncology centres in the UK, with the widest coverage area and treats 230 new head and neck oncology cases per year. This fellowship offered me focused and advanced training in head and neck cancer surgery. I have been exposed to a wide range of surgical skills including thyroid, parathyroid surgery, reconstructive microvascular surgery, laser surgery and facio maxillary surgery. This fellowship offered me unique training in trans-oral robotic surgery for head and neck cancer.

Otorhinolaryngology Specialist Registrar Training – South Yorkshire Training Programme

Basic Surgical Training - London

Clinical work

My sub-specialist interests are in Head and neck cancer, Thyroid surgery, salivary gland surgery and Laser surgery. I run a multidisciplinary head and neck Clinic with oncologists.

ENT UK e-learning ‘elephant’ project - head and neck section, clinical image challenge

Awards

  • Best dissector award (rhinology) – 3rd Wrightington/Wigan ENT Dissection Course 26/06/2009
  • Gold medal Final year, M.S ENT (2003)
  • Best outgoing student and AOI PRIZE ENDOWMENT Final year, M.S ENT (2003) DR MGR Medical University, Chennai
  • The Dr. P.V. CHERIAN prize MS ENT (2003) DR MGR Medical University, Chennai
  • II place in ENT quiz competition- South Zone (2002) Otorhinolaryngology Association Of India
  • Distinctions in Anatomy, Microbiology &Pharmacology (1994-98)

Leadership and Management Skills

Theatre reengineering project-reshaping surgical services

Scottish Government and Institute of Healthcare optimization Joint programme aiming to improve emergency and elective surgical services in Tayside, ENT representative, surgical advisory group since 2014.

Tayside robotic strategic group since 2014

Establishing the Centre for Robotic Surgery in Tayside for Training, Research and Healthcare Service Delivery for Cancer Patients. This proposal presents the case for the establishment of multispecialty, surgical healthcare robotic service for cancer patients in NHS Tayside. This reflects the joint ambition of NHS Tayside and the University of Dundee, working collaboratively under the Academic Health Science Partnership in Tayside (AHSP), to create a leading facility for robotics that will deliver a high quality and cost-effective clinical service for Tayside healthcare training and research.

Enhanced recovery programme (ERP) for ENT head and neck patients 2014 Ninewells

I recognised significant delay in the discharge of major head and neck cancer patients at Ninewells Hospital. I have designed and introduced efficient ERP which has not only reduced inpatient stay from 3 weeks to 1 week but also reduced inpatient infection. I have achieved this with my communication and team working skills. This task was achieved with co ordinate care from pre-anaesthetic team, SALT, nutritionist and ward nurses. Over 6 month period it has saved 48000£ to NHS Tayside.

Trans oral Tayside laser surgery service (TOTALS) for laryngeal cancer

It is new service development programme. I have introduced this programme to treat early laryngeal cancer as day case procedures with Laser Instead of 4 to 6 weeks of radiotherapy. It is cost effective in terms of finance and human resources and also decreases patient morbidity. Workforce planning, teaching and training was challenging task for me in this new service. 2014- 2015 Laser audit showed financial gain of 84980£.

Optimum care delivery system (OCDS) for ENT Head and neck post op patients 2015 Ninewells

I have introduced OCDS for medically challenging major head and neck cancer post op patients. This process was designed to use high dependency units effectively. This was achieved with slow learning/teaching process. This has increased our ward efficiency and productivity. Patient safety was considered as primary goal.

Dundee FRCS ENT VIVA course

I am the founder and course organiser of this biannual course. My role is supervising event management, workforce planning, resource management, team meeting, and feedback assessment, coordinating national and international faculties (n16) and delegates (n 22). Please see website for further information. It generates 500£ profit approximately per course.

Dundee Laser course, Cuscheri Skills Centre

I am the co-founder & course organiser of this annual course in collaboration with Cuscheri skills centre. My role is event management and coordinating team meeting.

Quick track system, 2013

I recognised significant delays (6 weeks) in the despatch of discharge summaries at the Royal Hallamshire hospital and introduced a new, efficient process through service improvement project. I held a storming session with ward sisters, departmental managers, senior house officers and registrars to identify points of delay. I designed a new ‘quick track’ system. I liaised with IT department to install digital dictation devices in wards. I delegated work to teams, monitoring to registrars; any gaps were identified and immediately rectified. The discharge summary now reaches GP by end of one week. The Clinical director hugely appreciated this since the department benefitted through positive feedback from patients and general practitioners alike.

Organizer of Trent regional registrars teaching days

  • 28/09/2012 Topic – Audiology & medico legal
  • 15/07/2011Topics- Dysphagia, swallowing disorders, pharyngeal pouch, Embryology (pharyngeal arches), fistulas, cleft lip & palate Deep neck abscess 20/11/09 Regional registrars teaching day

My role required exceptional organisational skills to book venues, allot topics, inviting speakers and getting sponsorship.

Organizing committee member

  • Sheffield temporal bone course 2011
  • Coordinator for weekly Junior doctors teaching, Doncaster Royal Infirmary
  • DOHNS course May 2006 and March 2007Whipps Cross University Hospital
  • GP ENT course Sep2006Whipps Cross University Hospital
  • First National workshop On Brachial Plexus Surgery (Brachial Plexus Surgery Group of India, Jan 2004)
  • Executive Coordinator for weekly grand rounds, journal club, duty on call rotes(2003)
  • General Secretary of Madras medical college men's hostel 1999-2000
  • Conducted many service camps as captain of National Service Scheme like AIDS awareness & blood donation camps (1999)
  • Member of a medical exhibition under the rotaract club(1998)

Information Technology

Website

I underwent formal training in creation of websites and I devised and maintain following websites

Web broadcasting

I am responsible for the live webcasting of this course worldwide.(http://www.entmasterclass.com/webcast.htm)

Cyber text book

I assisted in producing a cyber-textbook of Operative ENT through which 150 surgical videos can be accessed.(http://www.entmasterclass.com/cybertextbook.htm). I am a editor for 2nd edition June 2013.

Web editing

I acquired a web video editing skill, which helped me to write a chapter in the atlas book: Atlas of Operative Otorhinolaryngology and Head and Neck Surgery. It contains 6 surgical videos for e-book and 220 pictures. By using many video editing software solutions, I cropped all images to show the surgical steps.

Interests

Travel, gardening and decorating

Memberships

  • British Medical Association
  • MDU
  • Scottish Otolaryngological Society
  • British Association Endocrine and Thyroid surgeon

Research

Lectures

International

  • Parotid surgery update- Joint Malaysian RCS Edinburgh ENT update ,OSCS communication skills course , IPOH, Malaysia, 2017
  • Thyroid cancer update- Joint Malaysian RCS Edinburgh ENT update ,OSCS communication skills course, IPOH, Malaysia, 2017
  • Laryngeal cancer management pathway- Joint Malaysian RCS Edinburgh ENT update ,OSCS communication skills course, IPOH, Malaysia, 2017
  • Update Head and neck cancer, Upgraded institute of Otorhinolaryngology, Chennai, India June 2016

National

  • Oropharyngeal cancer Update, Scottish Head and neck conference, Royal College of Surgeons Edinburgh, 25/04/18
  • Head and neck staging update TNM 8th Edition, Scottish Head and neck conference, Royal College of Surgeons Edinburgh, 25/04/18
  • Laryngeal cancer, Panel discussion, Moderator, Scottish Head and neck conference, Royal College of Surgeons Edinburgh, 25/04/18
  • Transoral laser surgery for laryngeal cancer 2017 Consultant ENT Master class March 2017 London.
  • Trans oral laser surgery Aberdeen Head and neck cancer study day Dec 2016 Aberdeen Royal Infirmary.
  • Salivary gland disease Registrar Head and neck study day Oct 2016 Perth Royal Infirmary.
  • Role of Neck dissection head and neck cancer- Freeman Hospital, Newcastle May 2016
  • ENT laser surgery, Thyroid surgery- Aberdeen ENT update course March 2016
  • Oropharyngeal cancer Aberdeen ENT update course 17/05/2016
  • Thyroid lump Aberdeen ENT update course 17/05/2016
  • Neck trauma Aberdeen ENT update course 17/05/2016
  • Laryngeal cancer Aberdeen ENT update course 17/05/2016
  • Management of Neck metastasis Newcastle Head and neck dissection course. 09/05/2016
  • Submandibular gland surgery Newcastle Head and neck dissection course. 09/05/2016
  • Dundee Medical school grand rounds 08/01/2015-Trans oral robotic surgery  https://www.youtube.com/watch?v=dNOz8uc88YQ
  • Dundee Medical school grand rounds 25/06/2015-HPV Oropharyngeal cancerhttps://www.youtube.com/watch?v=SHu1zU9YevU
  • Scottish summer Otolaryngology meeting 7-8/05/2015 Advanced robotic surgery in ENT
  • Current medical management of Meniere’s disease 15/05/09 Regional registrars teaching day.
  • FNAC of Thyroid- 18/04/08 Regional registrars teaching day, Sheffield
  • ENT emergencies – 02/04/08 Junior doctors Induction, Doncaster Royal Infirmary
  • Laryngeal anatomy – 05/07/07 Speech and language therapist, Sheffield
  • ENT examination, DOHNS Course - 05/02/2007 Whipps cross Hospital, London
  • ENT surgeries, 2007ENT introductory course for FY1 & 2 - Whipps cross Hospital

Teaching

Organizing Chair

Scottish Head and neck case conference 25/04/18, Royal college of surgeons Edinburgh

www.headandneckconference.co.uk

This first International conference was focusing on head and neck cancer attended by 80 delegates from all around the world. This unique conference based on panel discussions and key note lectures from 10 national and international faculties. Target audiences were ENT, Maxfac, Radiologists, Oncologists, pathologists, Speech and language therapists and Nurses. 

Founder Organiser

Dundee FRCS ENT VIVA course www.frcsentvivacourse.co.uk since 2014

I am the founder and course organiser of this biannual popular course. My role is supervising event management, workforce planning, resource management, team meeting, and feedback assessment, coordinating national and international faculties (n16) and delegates (n 22). Please see website for further information. It generates 500£ profit approximately per course. We have trained 360 trainees so far.

Dundee Advanced Laser Laryngeal course, Cuscheri skills centre  Since 2015 http://www.entlasercoursedundee.co.uk 

I am the co founder & course organiser of this annual course in collaboration with Cuscheri skills centre. This is the first and only course in UK uses Thiel cadaver for laryngeal surgery with maximum hands on training. It is graded as advanced course as it involves LASER surgical training. My role is event management and coordinating team meetings. We have trained 60 delegates from 7 countries. 

Faculty member

  • ·         Joint Malaysian RCS Edinburgh ENT update, OSCS communication skills course 2017
  • ·         Newcastle Head and neck dissection course. UK 2015
  • ·         Emergency neck dissection course, Cuscheri skills center, Ninewells Hospital, Dundee
  • ·         Thyroid cadaveric dissection course, Cuscheri skills center, Ninewells Hospital, Dundee
  • ·         Basic science course, Dundee University, Ninewells Hospital
  • ·         Head and neck dissection course Newcastle, UK
  • ·         ENTMASTERCLASS courses – Organising committee and part of web casting team 2008 – till date.
  • ·         Sheffield advanced otolaryngology courseSheffield Teaching Hospitals, Sheffield UK. 2012,2013
  • DOHNS course, Whipps Cross University Hospital, London 2007
  • GP and Foundation Year ENT introductory course, Whipps Cross University Hospital, London06/03/07 

Undergraduate Teaching Dundee Medical school

Measurement of Teaching

  • ·         2015 Total teaching hours 207
  • ·         2016 Total teaching hours 213.25
  • ·         2017 Total teaching hours 179.5 

Roles

  • ·         ePortfolio supervisor 2014 to till now
  • ·         UMeP Tutor
  • ·         4th Year Project Supervisor
  • ·         Student Selected Component supervisor
  • ·         Timetabled Teaching Small Group Session, Clinic and theaters Otolaryngology
  • ·         Undergraduate OSCE examiner
  • ·         Basic Surgical skills teacher
  • ·         PiP Portfolio Supervisor
  • ·         SiP Portfolio Reviewer
  • ·         SiP Portfolio Supervisor
  • ·         Patient Clerking Reviewer 

Postgraduate Teaching

Teaching lead for Head and neck ENT Scotland

I organise teaching for all Scottish ENT postgraduate trainees twice a year focused in head and neck surgery. 

  • Coordinator for undergraduates, weekly SHO teaching and   A & E SHO teaching at Whipps Cross University Hospital. 

ENT UK e-learning ‘elephant’ project- head and neck section, clinical image challenge 

Video teaching

I have deep interest in video teaching. I have learnt professional video editing to edit ENT surgical videos. I can comfortably edit with pinnacle video editing software and so far, collected 56 common and uncommon ENT clinical cases’ photographs, imaging and histology pictures. I am making a video e- book for ENT surgeries and disorders. As a pilot project we have created voice pathology DVD. It has increased my clinical knowledge and surgical confidence.
My bed side teaching is well appreciated by medical students.

Publications

Peer reviewed

Section Editor

Head and Neck section Surgtech (www.surgtech.net) which is an otorhinolaryngology surgical ebook

Cyber text book

I assisted in producing a cyber-textbook of Operative ENT through which 150 surgical videos can be accessed. I have edited 2nd edition June 2013.

(http://www.entmasterclass.com/cybertextbook.htm).

Publication in Books

Manickavasagam J, Raghavan U. The technique of functional endoscopic sinus surgery Atlas of Operative Otorhinolaryngology and Head and Neck Surgery, Editors Bachi T Hathiram , Vicky S Khattar, Jaypee Publication, Mumbai, , 2013, volume 2, Chapter 58, p465 ( 6 surgical videos, 220 pictures)

Manickavasagam J Chapter: Epistaxsis & BPPV, Pocket Tutor Otolaryngology Editors; Bhattacharyya Abir, Patel Nitesh, Jaypee Publication London,2012

Publication in Journals

Not quite Pott’s puffy tumour" Misirovs R, Gohil R, Ross P, Manickavasagam J BMJ Case Rep. 2018 Apr 25;2018. pii: bcr-2018-224463

Aggressive cutaneous squamous cell carcinoma arising from a human papillomavirus infected epidermoid cyst of the conchal bowl, P Macalister , J Manickavasagam, Clinical and Experimental Dermatology Clin Exp Dermatol. 2018 Mar;43(2):201-203

Large retropharyngeal abscess: a case of mistaken identity. Makaram N, Gohil R, Gardiner Q, Manickavasagam J. BMJ Case Rep. 2016 Sep 16;2016. pii: bcr2016216718. doi: 10.1136/bcr-2016-216718

Comparison of radiologically and histologically determined thickness of bone overlying the superior semi-circular canal in sixty-six cadaveric specimens: impact on the diagnosis of Minor's Syndrome. Sandhu JS, Manickavasagam J, Connolly D, Raghavan A, Fernando M, Ray J. Clin Otolaryngol. 2016 Jul 6. doi: 10.1111/coa.12697. [Epub ahead of print] No abstract available.

Transoral robotic resection of a large schwannoma in the retropharyngeal space. Gungadeen A, Lisseter R, Manickavasagam J, Paleri V. J Laryngol Otol. 2016 Apr;130(4):401-3. doi: 10.1017/S0022215116000190

Alar Suspension Sutures in the Management of Nasal Valve Collapse.Manickavasagam J, Iqbal I, Wong S, Raghavan U. Ann Otol Rhinol Laryngol. 2015 Sep;124(9):740-4. doi: 10.1177/0003489415582256. Lancer H, Manickavasagam J, Zaman A, Lancer J. Eur Arch Otorhinolaryngol. 2016 Feb;273(2):371-9

Stapes surgery: a National Survey of British Otologists. Lancer H, Manickavasagam J, Zaman A, Lancer J. Eur Arch Otorhinolaryngol. 2016 Feb;273(2):371-9. doi: 10.1007/s00405-015-3560-6.

Nasal valve surgery: assessment of quality of life with the Glasgow Benefit Inventory.Manickavasagam J, Wong S, Varabei V, Raghavan U. Ear Nose Throat J. 2014 Apr-May;93(4-5):174-6, 180.

Robins JMW, Christina Frezzinia, Manickavasagam J and Ray J A Novel case of A Parotid Abscess causing Infection In the Mastoid, Face Mouth & Jaw Surgery 2014;4(2): P 29-32

Congenital familial subglottic stenosis: a case series and review of literature.Manickavasagam J, Yapa S, Bateman ND, Thevasagayam MS. Int J Pediatr Otorhinolaryngol. 2014 Feb;78(2):359-62. doi: 10.1016/j.ijporl.2013.10.049.

Sheffield suction holder clips for endolaryngeal laser surgery.Manickavasagam J, Jebreel A. J Laryngol Otol. 2013 Sep;127(9):927-9. doi: 10.1017/S0022215113001734.

Treatment of paediatric laryngeal papillomas: web survey of British Association of Paediatric Otolaryngologists.Manickavasagam J, Wu K, Bateman ND. J Laryngol Otol. 2013 Sep;127(9):917-21

A novel preliminary step in orbital exenteration.Manickavasagam J, Leeman H, Durham L, Yousefpour A. J Craniofac Surg. 2013 Jul;24(4):1393

Endoscopic removal of a dermoid cyst via scalp incision.Manickavasagam J, Robins JM, Sinha S, Mirza S.Laryngoscope. 2013 Aug;123(8):1862-4.

Clinical coding of transnasal pituitary operations. Mirza S, Manickavasagam J, Sinha S. Br J Neurosurg. 2012 Dec;26(6):934-5

Clinical coding of pituitary operations. Mirza S, Manickavasagam J, Sinha S. Br J Neurosurg. 2012 Jun;26(3):436.

General practitioners versus consultants perspective on indications for paediatric tonsillectomy: current trends.Manickavasagam J, Ali S, Quraishi MS. J Laryngol Otol. 2012 Feb;126(2):163-7.

18. Retropharyngeal abscess from an unusual organism-Kingella denitrificans-in a patient on low-dose methotrexate. Rajanna DM, Manickavasagam J, Jewes L, Capper R. Ear Nose Throat J. 2011 Jul;90(7):E15-7.

Baskaran Ranganathan, Sally Erskine, Manickavasagam J, Jaydip Ray. Fibrous Dysplasia of Mastoid Bone. Ear, Nose & Throat Journal ( 2011) (In Press)

Functional endoscopic sinus surgery chopstick technique.Manickavasagam J, Segaram S, Harkness P.Laryngoscope. 2010 May;120(5):975-7.

Rectal catheter as tracheostomy tube introducer.Manickavasagam J, Ranganathan B, Ryles J, McConachie J. Eur Arch Otorhinolaryngol. 2009 Nov;266(11):1821-2.

Radio opacity of various ENT foreign bodies in sheep's neck preparation.Manickavasagam J, Bateman N, Street I, Irune E, Brammer A. Eur Arch Otorhinolaryngol. 2009 Oct;266(10):1641-4.

A technique for insertion of nasal septal button.Manickavasagam J, Bateman N.Clin Otolaryngol. 2008 Oct;33(5):511-2.

Focal inflammatory myositis of the paraspinal neck muscles.Manickavasagam J, Majumdar S, Bhattacharyya AK. Ear Nose Throat J. 2008 Aug;87(8):430-2.

Irrigation suction drain for neck space infection and mediastinal abscess.Manickavasagam J, Majumdar S, Westin T. Clin Otolaryngol. 2008 Apr;33(2):190-1.

Effective visualisation of small and mildly radio-opaque foreign bodies in the aero digestive tract--picture archiving and communication systems.Manickavasagam J, Reading NG. Clin Otolaryngol. 2007 Dec;32(6):507-8.

A technique for defogging intra tympanic mirrors.Manikavasagam J, Ranganathan B, Dugar J. Eur Arch Otorhinolaryngol. 2009 Oct;266(10):1649.

Non-peer reviewed abstracts

Congenital familial subglottic stenosis- Poster Sep 2011 British Association Of Paediatric Otolaryngology meeting(BAPO) – Author details

Manickavasagam J, Dugar N, Dugar J para sagital reconstruction of computed tomography for Temporal bone- Oral presentation in North of England ENT meeting March 2010, published in JLO

Manickavasagam. J, Wu.I, Bateman.N Treatment of paediatric laryngeal papillomas: web based survey of paediatric otolaryngologists in the UK Eur Arch Otorhinolaryngol (2009) 266:578

M. Raja, Manickavasagam J, K. Jackson, S. Majumdar, A. J. Parker A prospective study on outcome of benign voice disorders. Eur Arch Otorhinolaryngol (2009) 266:593

Manickavasagam J , Ali S, Quraishi MS Indications for Paediatric Tonsillectomy General Practitioners (GP) versus Consultant perspective – current trends. Clinical otolaryngology (British Academic Conference in Otolaryngology & ENT Expo [BACO] 2009)

Manickavasagam J, Raghavan U. Quality of life assessment after nasal valve surgery with Glasgow benefit inventory. Clinical otolaryngology (BACO 2009)

A.Hassan, Manickavasagam J, Bhattacharyya. A. Case of mixed hearing loss and facial paralysis following barotrauma; 132nd semon club (nov 2006) JLO

Reviewer

I have reviewed papers for the following journals

  • Laryngoscope
  • Journal of the Royal Society of Medicine