MercyAscot Head and Neck Service

Comprehensive, multidisciplinary care for patients
with head and neck disorders

Our services are led by a team of highly-trained specialists who have decades of experience in the treatment of various head and neck conditions:

• Head, neck, mouth, and skin cancers
• Neck and thyroid lumps
• Maxillofacial trauma
• Reconstructive surgery
• Otorhinolaryngology
• Tooth extraction
• Dental implants
• Facial deformity
• Oral facial rehabilitation
• Oral ulceration
• Sinus and nasal disorders
• Dry mouth

Our multidisciplinary team includes:

• Specialist nursing
• Specialist pathology
• Radiology
• Complex wound care
• Dietitian support
• Speech and language therapy
• Physiotherapy
• Clinical pharmacy

One-stop clinics:

Neck Lump Clinic
Diagnosis and personalised treatment plan in 45 minute appointment
Assessment by a multidisciplinary team at every clinic
Patients seen within a week

Rhinology Clinic
Specialist-led service offering comprehensive, multidisciplinary care for patients with benign rhinological and nasal disorders
30-minute comprehensive appointment to arrive at diagnosis and treatment plan

Facial Fracture Clinic
For ACC-covered patients with suspected sub-acute facial and nasal bone fractures, offering comprehensive diagnosis and treatment

Salivary Gland Clinic
Dedicated diagnostic programme for patients with salivary gland disorders including swelling and inflammation, sjogrens syndrome, salivary stones, and tumours

A team approach is vital in the management of ENT and Head and Neck disorders. In referring your patients to us, you can be confident that theyll receive fully integrated care.
Non-surgical management of head and neck disease, with areas of expertise including:

• Head and Neck Cancers
• Mouth and Skin Cancers
• Neck and Thyroid Lumps
• Maxillofacial Trauma
• Reconstructive Surgery
• Otorhinolaryngology
• Tooth extraction
• Facial deformity
• Oral facial rehabilitation and dental implants
• Oral ulceration
• Dry mouth

Eliminate delay in diagnosis:
One 45-minute appointment
Radiologist, Pathologist, and Surgeon
Comprehensive diagnostic service:
• Clinical assessment
• Ultrasound neck and thyroid
• Ultrasound-guided fine needle aspirate biopsy (FNA)
• Immediate FNA biopsy cytology assessment
• Immediate diagnosis and treatment plan

When to urgently refer directly to our Neck Lump Clinics?*
Neck Lump increasing in size; or
Neck Lump greater than 2 cm in size; or
Neck Lump present for more than 3 weeks that has changed; or
Neck Lump present for 6 weeks or more; or
Widespread lymphadenopathy > 2cm; or
B symptoms: night sweats, generalised itch, weight loss, fever

*Adapted from Guidelines for the Management of Neck Lumps, Pan-Birmingham Cancer Network 2010

Areas of expertise:

• Head and neck cancers
• Mouth and skin cancers
• Neck and thyroid lumps
• Maxillofacial trauma
• Reconstructive surgery
• Otorhinolaryngology (ORL /ENT)
• Removal of wisdom teeth, exposure of impacted teeth and dental implants

Why refer to our Head & Neck Service?
Multi-disciplinary team approach:

• Surgical
• Anaesthetic
• Dental and oral prosthodontic
• Specialist nursing and wound care
• Clinical pharmacy
• Speech and language therapy
• Physiotherapy
• Dietitian
• Specialist pathology and radiology services (Neck Lump Clinic)

Our results so far

• 1994 neck lump patients assessed
• 98% of patients given diagnosis following assessment
• 48% discharged with reassurance after a single appointment
• 10% cancer diagnosis

* As at September 09 2020

Our Team
Our team is committed to close communication with you as the referrer, to efficiently treat and rehabilitate your patients.

Mr Mark Izzard
Head and Neck Surgeon
MBBS, FRACS (ORLHNS)
Mark is a member of the Royal Australasian College of Surgeons, Australian and New Zealand Head and Neck Society, the Australasian academy of Facial Plastic Surgery, the American academy of Facial Plastic Surgery, the American Head and Neck Society, and the New Zealand Society of Otolaryngology Head and Neck Surgery

Mr Rajan Patel
Head and Neck Surgeon
MBChB, MD, FRCS (ORLHNS), FRACS (ORLHNS)
Rajan is a member of the Royal College of Surgeons, the Royal Australasian College of Surgeons, the Australian and New Zealand Head and Neck Society, the American Head and Neck Society, the New Zealand Society of Otolaryngology Head and Neck Surgery, the British Association of Otorhinolaryngologists, Head and Neck Surgeons, the British Association of Head and Neck Oncologists

Mr Kevin Smith
Head and Neck Surgeon
MA (Cantab), MBBS, MRCS, FRACS(ORLHNS)
Kevin is a member of the Royal Australasian College of Surgeons, the Royal College of Surgeons of England, the New Zealand Society of Otolaryngology, Head and Neck Surgery, and the British Association of Head and Neck Oncologists.

Muammar Abu-Serriah
Maxillofacial Head & Neck Surgeon

Kim Gear
Oral Medicine

To refer to us
E info@ahns.co.nz
EDI aklheadn
P 09 630 2920
M 02245 02245
F 09 630 2923