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David Thomas GAULT

September 2008




DATE OF BIRTH 21st March 1954

ADDRESS The Portland Hospital for Women and Children

205-209 Great Portland Street

London W1W 5AH

TELEPHONE 020 79357665

01628 891 333




FRCS May 1982 England

Accreditation 1989

European Paediatric Life Support February 2007


Number G/06/0036


Number 2328687


1965 1966 Huntingdon Grammar School

Huntingdon, Cambridgeshire.

1966 1968 Bourne School, Singapore.

1968 1972 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


1972 1977 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, King Edward VII Hospital, Bermuda.


1. August 1977 January 1978 House Physician

Royal Infirmary, Edinburgh
2. February 1978 July 1978 House Surgeon

Bangour General Hospital, Edinburgh

Orthopaedic Surgery   2 months

General Surgery   4 months

3. September 1978 June 1979 University Demonstrator in Anatomy

Edinburgh University

4. April 1979 June 1979 Munro Prosector

Royal College of Surgeons of Edinburgh

5. July 1979 December 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

Huntingdon County Hospital, Huntingdon

7. March 1981 September 1981 Senior House Officer, Casualty

Mount Vernon Hospital, Northwood

8. October 1981 November 1982 Registrar, General Surgery and Urology

Lewisham Hospital, London.

9. November 1982 January 1983 Locum Senior House Officer, General Surgery

King Khaled National Guard Hospital,

Jeddah, Saudi Arabia
10. February 1983 June 1983 Senior House Officer, Neurosurgery

Southampton General Hospital

11. July 1983 December 1983 Senior House Officer, Plastic Surgery

Mount Vernon Hospital, Middlesex

12. January 1984 August 1984 Senior House Officer, Plastic Surgery

St. Andrew's Hospital, Billericay


13. August 1984 May 1986 Clinical Assistant, Plastic Surgery

St. Andrew's Hospital, Billericay
14. June 1986 December 1986 Registrar, Plastic Surgery

The London Hospital, Whitechapel and

St. Andrew's Hospital, Billericay
15. January 1987 June 1987 MRC French Exchange Fellow

16. January 1987 June 1987 Craniofacial Fellow to Dr. Daniel Marchac

Hopital des Enfants Malades, Paris
17. January 1987 June 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

Royal Marsden Hospital, London

19. January 1989   April 1991 Senior Registrar, Plastic Surgery

St. Thomas's Hospital, and

The Hospital for Sick Children,

Great Ormond Street, London

  1. Dec1993 – Nov 1999 Locum Consultant Plastic Surgeon

Great Ormond Street Hospital for Children, London

  1. April 1991 - December 1996 Consultant Plastic Surgeon

Luton and Dunstable Hospital, Luton

  1. April 1991 – October 2001 Consultant Plastic Surgeon

Hillingdon Hospital, Hillingdon

23. April 1991- March 2006 Consultant Plastic Surgeon

Mount Vernon Hospital, Northwood
24. November 1999 – March 2006 Consultant Plastic Surgeon

Great Ormond Street Hospital for Children, London

25. April 2000 – March 2006 Honorary Senior Lecturer

University College, London

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.

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 Royal Marsden Hospital, 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 Great Ormond Street Hospital, London, and at Mount Vernon Hospital, Northwood.

As a Consultant

I have maintained my interest in ear reconstruction, and have to date reconstructed 700 ears 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 Vernon Hospital, 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 undertake hair removal clinics.


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.

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.

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 of George Davey Howells Memorial Prize for most distinguished published contribution to the advancement of Otolaryngology during the preceding five years.

CC Wu Visiting Professorship, Chinese University 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

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


1. Adiseshiah M and Gault D. (1982)

Exteriorisation Resection of the Colon.

Annals of the Royal College of Surgeons of England 64: 321 3.

2. Gault DT and Subbuswamy SG. (1985)

Metastatic Tumours of the Nasal Tip

British Journal of Plastic Surgery 38: 570 574.

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: 387 392.

4. Gault DT and Quaba AA. (1986)

Is Flap Cover of Exposed Metalwork Worthwhile?

British Journal of Plastic Surgery 39: 505 509.

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: 234 241.

6. Gault DT, Everitt AS, 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: 131 135.

8. Gault DT. (1987)

A Review of Repaired Flexor Tendons

The Journal of Hand Surgery 12B: 321 325.

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: 182 184.

10. Gault DT. (1987)

Chylopharyngeal Fistula

British Journal of Plastic Surgery 40: 538 539.

11. Gault DT, Brain A, Sommerlad BC and Ferguson DJP. (1987)

The Loop Mattress Suture

British Journal of Surgery 74: 820 821.

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: 139 143.

15. Gault DT, Everitt AS, Gordon PWN, Eve MD and Moody FM. (1987)

Serum Cholinesterase Levels after Thermal Injury

Burns 13: 208 212.

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: 62 65.

17. Gault DT and Thomas K. (1988)

A Prosthesis to Camouflage Indented Scars

Plastic and Reconstructive Surgery 81: 545 549.

18. Gault DT and McGeorge D. (1988)

The Image of Plastic Surgery

The Practitioner 232: 709 711

19. Gault DT. (1988)

Tongue Necrosis after Radical Neck Dissection

Head and Neck Surgery 10: 344 345.

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: 271 273.

22. Jones BM and Gault DT. (1988)

Blue Dyes in Reconstructive Surgery (letter)

Lancet i: 949 950.

23. Gault DT and Quaba AA.(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: 56 59.

26. Cole RP and Gault DT. (1989)

Glove Perforation during Plastic Surgery

British Journal of Plastic Surgery 42: 481 483.

27. Gault DT and Sommerlad BC. (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.


Skene AI, Gault DT, Woodhouse CRJ, Breach NM, Thomas JM. (1990)

Perineal, Vulval and Vaginoperineal Reconstruction using the Rectus abdominis myocutaneous flap

British Journal of Surgery 77: 635-637.

35. Cole RP, Gault DT, Mayou BJ 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 volume in


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. Khoo CTK and Gault DT. (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 ST & Gault DT. (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 Journal 311: 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. Chana JS, Grobbelaar AO & Gault DT. (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. Graham KE & Gault DT. (1997)
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