Alongside his clinical work, Nick teaches and writes on ENT, head and neck surgery for GPs and medical students. Below are recent podcast episodes covering the problems he is asked about most — neck lumps and the blocked nose — recorded for a primary care audience, followed by a narrated operative video for surgical colleagues and trainees.
Following a 62 year old kaumātua's journey from his first presentation in primary care through to specialist referral. The episode covers the risk factors and changing epidemiology of head and neck cancer, recognising red flags, appropriate investigation and referral, the value of a neck lump clinic, and the role primary care plays in improving outcomes for Māori and Pacific peoples.
An overview of the common clinical syndromes that cause nasal congestion — rhinitis, sinusitis and structural problems inside the nose — how they are assessed, what conservative management looks like, and when surgery is worth considering.
Nick performs and narrates a neck dissection and parotidectomy for metastatic cutaneous squamous cell carcinoma, demonstrating Bocca's stripping technique for the neck dissection. Recorded for surgical trainees and colleagues.
Warning: this video contains footage of live surgery, including exposed tissue and blood. Some viewers may find it distressing.