Richard Hewitt

Richard Hewitt is a Paediatric Otolaryngologist Ear Nose and Throat (ENT),  Head & Neck and Tracheal Consultant. He is the Director of the National Service for Severe Tracheal Disease and The Great Ormond Street "Tracheal Team" and the Co-Director of the Great Ormond Street Hospital & University College Hospital Foetal Airway Service.

Richard is committed to the safe, effective and efficient care of children and was awarded the Great Ormond Street Hospital "Best Surgical Consultant Award" in March 2017

He has a specialist interest in all aspect of Paediatric ENT, Tracheal and Complex airway surgery.

Specialisms

  • tracheal reconstruction/complex airway surgery 

  • head and neck tumour and malformation surgery

  • cochlear implantation

  • Antenatal diagnosis & Foetal Head & Neck/ Airway Surgery

Departments

Qualifications and training

BSc, DOHNS, FRCS (ORL-HNS)
Richard trained at London at Guys’ and St. Thomas’ Medical School (MBBS 1994- 2000) and Harvard Medical School, Boston, USA (2000). During his training he undertook a BSc in Clinical Anatomy during which he undertook clinical research in conjuction with Harvard Medical School on transplantation surgery, publishing in the field.

He completed his basic surgical training in London and entered specialty training in ENT and completed the six-year programme in the North Thames region. His interest in paediatric ENT and head and neck surgery further developed with observerships at Cincinnati Children’s Hospital and Medical Centre, Ohio under the instruction of Dr Robin Cotton (one of the most eminent experts in the field of paediatric ENT) and Memorial Sloane Kettering Hospital, New York under the instruction of Professor Jatin Shah.

Following higher surgical training he undertook the Great Ormond Street Hospital ENT/Head and Neck Paediatric Fellowship (one year).

Research interests

PUBLICATIONS

  1. Chessman R, Verkerk M, Hewitt R, Eze N. Delayed presentation of button battery ingestion: a devastating complication. BMJ Case Rep. 2017 Apr 6;2017. pii: bcr-2017-219331. doi: 10.1136/bcr-2017-219331

  2. Stewart AJ, Butler CR, Muthialu N, Sell D, Marchant J, Hewitt RJD, Elliot MJ. Swallowing Outcomes following Slide Tracheoplasty. Submitted Annals Of Thor. Surg. 2017

  3. BSPD Consensus on propranolol in the treatment of complex haemangioma taskforce (PITCH)- IN PRESS

  4. Bates J, Hall A, Kunanandam T, Hewitt R. Otological surgery in paediatric photosensitive patients. Clinical Otolaryngology submitted 2017

  5. Elliott MJ, Butler CR, Hewitt R, et al. Tracheal replacement therapy with a stem cell-seeded graft: lessons from compassionate use application of a GMP compliant tissue engineered medicine. Stem Cell translational medicine [accepted]

  6. Ramaswamy M, Vriesendrop M, McLaren C, Roebuck D, Hewitt R, Muthialu N, Elliott MJ. Complications of elective flexible bronchoscopy in children with tracheal abnormalities. European Resp J 48(suppl 60):PA3150 Sept 2016. DOI: 10.1183/13993003.congress-2016.PA3150

  7. Hall A, Bates J, Ifeacho S, Hartley B, Albert D, Jephson C, Hewitt RJ, Cochrane L, Wyatt M, Cooke. Implementation of the TRACHE Care Bundle:Improving safety in paediatric tracheostomy management. Arch Dis Child 2016 Sep1. Pii: archdischild-2015-309661. Doi: 10.1136/archdischild-2015-309661. PMID: 27585609

  8. Butler CR, Maughan EF, Pandya P, Hewitt R. Ex Utero Intrapartum Treatment (EXIT) and Upper Airway Obstruction Of The Newborn. [Review] Curr Opin Otolaryngol Head Neck Surg. 2017 Apr;25(2):119-126. DOI 10.1097/MOO.0000000000000343. PMID: 28267705

  9. Nouraei R, Makmur E, Dias A, Butler C, Nandi R, Elliott M, Hewitt R. Validation of the Airway-Dyspnoea-Voice-Swallow (ADVS) scale and Patient-Reported Outcome Measure (PROM) as disease-specific instruments in paediatric laryngotracheal stenosis. Clin Otol Aug 2016; DOI:10.1111/coa12729

  10. Butler CR, Maughan EF, Hewitt RJD. Extra-uterine intrapartum treatment (EXIT) & Upper airway obstruction of the newborn. ENT Masterclass 2016

  11. Hewitt RJ, Butler CR, Maughan EF, Elliott MJ. Congenital tracheobronchial stenosis. Semin Pediatric Surg 2016 Jun 25(3): 144-149. Doi:10.1053/j.sempedsurg.2016.02.007

  12. Maughan EF, Lesgae F, Butler CR, Hynds RE, Hewitt RJ, Janes SM, Deprest JA, De Coppi P. Airway Tissue Engineering for Congenital Laryngotracheal Disease. Semin Pediatric Surg 2016 Jun 25(3):186-190. Doi:10.1053/j.sempedsurg.2016.02.012

  13. Hamilton NJ, Kanani M, Roebuck D, Hewitt RJ, Cetto R, McLaren CA, Butler CR, Crowley C, Janes SM, O’Callaghan C, Mason C, De Coppi, Lowdell PM, Elliott MJ, Birchall MA. Reply to: ”Recent Advances in circumferential tracheal replacement and transplantation”. Am J Transplant 2016 Apr;16(4):1336-7. Doi:10.1111/ajt.13736. PMID 26813777

  14. Alexander VR, Mangaly JG, Pepper CM, Ifeacho SN, Hewitt RJ, Hartley BE. Head and Neck Teratomas in children—a series of 23 cases at Great Ormond Street Hospital. Int J Pediatr Otorhinolaryngol. 2015 Dec;79(12):2008-14. Doi: 10.1016/ijporl.2015.07.042. PMID: 26611341

  15. Manjaly JG, Alexander VRC, Pepper CM, Ifeacho SN, Hewitt RJ, Hartley BEJ. Primary cervical ganglioneurobalstoma. Int J. Pediatr. Otorhinolaryngol. 2015 Jul;79(7):1007-12. Doi: 10.1016/jijporl.2015.4.012. PMID: 25921075

  16. Hamilton N, Kanani M, Roebuck DJ, Hewitt RJ, Cetto R, Culme-Seymour EJ, Toll E, Bates AJ, Comerford Ap, McLaren CA, Butler CR, Crowley C, McIntyre D, Sebire NJ, James SM, O’Callaghan C, Mason C, De Coppi P, Lowdell MW, Elliott, M, Birchall MA. Tissue-engineered tracheal replacement in a child: a 4-year follow-up study. Am J Transplant. 2015 Oct; 15(10): 2750-7. Doi: 10.1111/ajt.13318.

  17. Hartley BE, Eze N, Trozzi M, Toma S, Hewitt R, Jephson C, Cochrane L, Wyatt M, Albert D. Nasal Dermoids in Children: A proposal for a new classification based on 103 cases at Great Ormond Street Hospital. Int J Pediatr Otorhinolaryngol. 2015 Jan;79(1):18-22.Doi: 10.1016/j.ijporl.2014.10.020

  18. Butler CR, Speggiorin S, Rijngerg FM, Roebuck D, Muthialu N, Hewitt RJ, Elliott MJ. Outcomes of slide tracheoplasty in 101 children: a 17 year single-center experience. The Journal of Thoracic and Cardiovasc Surg. 2014 Jun;147(6):1783-9. Doi: 10.1016/j.jtctvs.2014.02.069.

  19. Rijnberg FM, Butler CR, Speggiorin S, Fierens A, Wallis C, Nouraei R, McLaren CA, Roebuck DJ, Hewitt RJD, Elliott MJ. The influence of stents on microbial colonization of the airway in children after slide tracheoplasty: a 14-yr single-center experience. Pediatic Pulmonology 2015 Jan;50(1):79-84. doi: 10.1002/ppul.22963

  20. Abelardo E, Hewitt R, Elliott MJ, Muthialu N. Successful Repair of complex Christmas Tree pattern trachea-bronchial anatomy with stenosis. Eur Arch Otorhinolaryngol. 2013 Jul;270(7):2161-3. Doi: 10.1007/s00405-013-2540-y. PMD: 23644999

  21. Hay A, Hartley B, Hewitt R. The management of Open Type III Laryngeal Clefts: Trends in Management. Submitted to Int J Pediatr Otorhinolaryngol

  22. Alli A, Hewitt R, Jephson C, Cochrane L, Wyatt M, Hartley B, Albert D. Operative Documentation in Paediatric Microlaryngoscopy and Bronchscopy: An audit of practice at Great Ormond Street Hospital for Children.The Otolaryngologist

  23. Fierens A, Stewart A, Butler CR, Hewitt RJD. Congenital Tracheal Stenosis: Small children with complex problems! Heart & Lung: critical care journal (Submitted Dec 2012)

  24. Wray J, Sugarman H, Davies L, Hewitt R, Fierens A, Elliott MJ. Improving community-based care for children with long segment congenital tracheal stenosis. BMJ

  25. Stimpson P, Hewitt R, Barnacle A, Roebuck DJ, Hartley B. Sodium tetradecyl sulphate sclerotherapy for treating venous malformations of the oral and pharyngeal regions in children. Int J Pediatr Otorhinolaryngol. 2012 Apr;76(4):569-73. doi: 10.1016/j.ijporl.2012.01.019.

  26. Chau H, Soma M, Massey S, Hewitt R, Hartley B. Anterior tongue reduction surgery for paediatric macroglossia. . 2011 Sep 14:1-4.PMID: 21914247

  27. Bajaj Y, Tweedie D, Ifeacho S, Hewitt R, Hartley BE. Surgical technique for excision of first branchial cleft anomalies: how we do it. Clin Otolaryngol. 2011 Aug;36(4):371-4.

  28. Hewitt RJD, Trinidade A, Kothari P. Follow-up in head and neck cancer: patients’ perspective. International J of Healthcare Quality assurance 2011 Vol 25, Issue 2

  29. Bajaj Y, Hewitt R, Ifeacho S, Hartley BE. Surgical excision as primary treatment modality for extensive cervicofacial lymphatic malformations in children. Int J Pediatr Otorhinolaryngol. 2011 Mar 16. [Epub ahead of print] PMID: 21419500

  30. Bajaj Y, Tweedie D, Ifeacho S, Hewitt R, Lloyd-Thomas A, Albert DM. Single stage laryngotracheal reconstruction using endoscopic posterior grafting in isolated posterior glottic stenosis in children - How we do it. Int J Pediatr Otorhinolaryngol. 2011 Feb 27. [Epub ahead of print] PMID: 21362576

  31. Kothari P, Trinidade A, Hewitt RJ, Singh A, O'Flynn P. The follow-up of patients with head and neck cancer: an analysis of 1,039 patients. Eur Arch Otorhinolaryngol. 2010 Dec 31. [Epub ahead of print] PMID: 21193920

  32. Majithia A, Liyanage SH, Hewitt R, Grant WE. Adult nasal glioma presenting with visual loss. J Laryngology Otology 2010 Feb 24:1-5. PMID: 20178676

  33. Hewitt RJD, Saleh H. Nasal Polyps [Point of Care]. British Medical Journal, May 09

  34. Tavares R, Taghi A, Hewitt R, Bentley M. Barotraumatic Perforation of the pharyngo-oesophagus secondary to a Lambrini “bottle explosion” British Medical Journal Case Reports 2009 [doi:10.1136/bcr.07.2009.2097]

  35. Hewitt RJD, Dasgupta A, Singh A, Dutta C, Kotecha BT. Is Sleep Nasendoscopy a valuable adjunct to Clinical Examination in the evaluation of upper airway obstruction? Eur Arch Otorhinolarynol 2009 May; 266(5):691-7 PMID: 18941765

  36. Hewitt RJD, Owa AO. A patient with superior semicircular canal dehiscence presenting with Tullio’s phenomenon: a case report. J Med Case Reports 2009 Jan 23; 3: 22

  37. Al-Reefy H, Hewitt RJD, Singh A, Kotecha B. Evaluation of Agneagraph in the diagnosis of sleep-related breathing disorders. Eur Arch Otorhinolarynol 2008 Dec;265(12):1489-94 PMID:18463886

  38. Hart AJ, Seepaul T, Hewitt RJ, Ang S, Hansen U, Amis AA. The palmar locking compression plate is biomechanically comparable to the dorsal pi-plate for dorsally comminuted, intraarticular wrist fractures. J. Hand Surg Eur Vol. 2007 Aug;32(4):388-93

  39. Hewitt RJD, Kuchai R, Eynon-Lewis N. Penicillin Related Dysphagia [Minerva]. British Medical Journal BMJ/2005/239947, 331: 244 Jul 2005

  40. Joshi SM, Hewitt RJD, Storr HL, Rejazoi K, Ellamushi H, Grossman A, Savage MO, Afshar F. Cushing’s Disease in children and adolescents: a twenty year experience in a single neurosurgical centre. Neurosurgery, Aug;57(2): 281-5

  41. Hewitt RJD, Singh A, Wareing MJ “Teflon-Induced Granuloma: A Source of False Positive PET and CT Interpretation”. Journal of Laryngology & Otology, Oct 2004, Vol. 118, No. 10, pp. 822-824(3)

  42. Hart AJ, Seepaul T, Hewitt RJD, Ang S. [Letter to Editor] Re. Palmar Fixation of AO type C2 fracture of distal radius using a locking compression plate – a biomechanical study in a cadaveric model. The Journal of Hand Surgery: Journal of British Society for Surgery of the Hand, Vol 29, Issue 1, Feb 2004, Page 94.

  43. Joshi SM, Hewitt RJD, Afshar F. Foster Kennedy syndrome secondary to oligodendroglioma. Grand Rounds Vol 3 page 1-3, 2004

  44. Hewitt RJD, Seepaul T, Hart A, Ang SW. “A prospective consecutive series assessing locking fixation plates for comminuted distal radius fractures: The Royal London Experience”. Injury, Volume 35, Issue 1, Jan 2004, Pages 98-101.

  45. Hart A, Seepaul T, Hewitt RJD, Ang SW. “The biomechanics of wrist fracture plating”. Injury Extra, Volume 4, 2003, Pages 1-85

  46. Andrews PA, Hewitt RJD, Compton F, Koffman CG. Influence of donor recipient size in living donor kidney transplantation. Transplant Proc. 33(1-2): 1146-7. (Feb-Mar 2001)

BOOK CHAPTERS

  1. Respiratory disorders in the newborn ch 21. Congenital lung disease. Hewitt RJ. Kendig chapter (IN Press)

  2. Chapter 38 Fetal Tumours. Fetal Medicine: Basic Science and Clinical Practice, 3rd Edition, edited by P pandya, R Wapner, D Oepkes & N Sebire (in Press)

  3. “Paediatric Laryngology” Hewitt RJD, Hartley BEJ,. “The Assessment and Management of laryngeal and Tracheobronchial Stenosis” Chapter 17. Sandhu G & Nouraei R. In print 2015

  4. “Assessment and Management of Paediatric Laryngology” Hewitt RJD, Hartley BEJ, Kunanandam. “Practical Laryngology” Costello D & Sandhu G in Print 2015

  5. “Intubation related airway stenosis ” Hewitt RJD. “The Assessment and Management of laryngeal and Tracheobronchial Stenosis” Chapter 18. Sandhu G & Nouraei R. in print 2015

  6. Introduction to ENT [Course Manual]. Book Chapter “Audiology” Hewitt RJD. Royal College Surgeons Manual. July 2007

  7. Hearing Loss in Adults [Clinical Review]. Hewitt RJD, Wareing MJ. GP Online, 5th May 2005

  8. MRCS Core Modules: The Complete Test. Chan CLH (Editor), Hewitt RJD [Contributor]. PasTest, ISBN 1901198197, May 2003
  9. MRCS Systems Modules: The Complete Test. Chan CLH (Editor), Hewitt RJD [Contributor]. PasTest, ISBN 1901198146, May 2003

Contact

Gillian Corne (Secretary) 0207 405 9200 (ext 8406)