Anthony D. Holmes

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Anthony David Holmes
NationalityAustralian
EducationMelbourne University; Harvard Medical School
Occupation(s)plastic and maxillofacial surgeon
Known forDeveloping surgical methods for paediatric facial reconstruction
Medical career
InstitutionsRoyal Children's Hospital, Melbourne; Jigsaw Foundation
AwardsOfficer of the Order of Australia 2018

Anthony David Holmes AO (b. 1945) is a plastic and reconstructive surgeon. His most high-profile surgery was in 2009 when he worked with a large team of experts to separate the Bangladeshi conjoined twins Trishna and Krishna.

Contents

Career

In 1969, Holmes graduated from Melbourne University MBBS. He followed this with General Surgery training from 1970 to 1974, then Plastic Surgery training from 1975 to 1978 at Royal Melbourne Hospital. He was certified as a Fellow in Plastic Surgery, Harvard Medical School in 1978 and as a Diplomate of the American Board of Plastic Surgery in 1982.

Craniofacial speciality

Since 1978 Holmes has been consultant plastic surgeon at Royal Children's Hospital, Melbourne where he set up the Melbourne Craniofacial Unit in 1979. [1]

In 2004, the RCH awarded Holmes the RCH's Elizabeth Turner medal, awarded to senior practitioners who show sustained excellence in clinical care over time. [2]

Holmes has trained over thirty craniofacial fellows, the majority of whom have become heads of departments in Australia and overseas. [3]

Academic positions

Since 1981 Holmes has been Associate, Department of Paediatrics at the University of Melbourne. [3] He was awarded the McIndoe Lectureship of the British Association of Plastic, Reconstructive and Aesthetic Surgeons, London in 2010. [4] He was the inaugural Harvard Plastic Surgery Resident's Visiting Professor in 2012. [1] He has 57 articles listed in PubMed. [5]

Significant cases

Trishna and Krishna: Conjoined twins

Holmes was part of a large team, including neurosurgeon Wirginia Maixner, involved in the 27 hour surgery to separate the Bangladeshi conjoined twins, Trishna and Krishna who were joined at the skull. [6] [7] Although they were given only a 25 per cent chance of both surviving the separation surgery without brain damage, [8] in 2010 at 7 years old, they were "not only surviving but thriving."[ This quote needs a citation ]

Eman Tabaza: Tumour Removal

Eman Tabaza first came to Australia from Gaza in 2004 when she was eight. Holmes led an eight-hour operation at the Royal Children's Hospital which removed the tumour and rebuilt Eman's face. She returned to Melbourne at 16 for further facial surgery and Tony Penington also performed spinal surgery related to the same birth defect. [9]

Ronald Aguliar and Asi: Encephalocele

ROMAC also brought Asi from Papua New Guinea so that Holmes and Neurosurgeon Patrick Lo were able to correct a rare cranio-facial abnormality called an encephalocele. [10] Operation Rainbow and the Australian Filipino Guidance Association raised funds for eight year old Ronald Aguliar to travel to Australia so that surgeons including Holmes could rebuild his severely deformed face. He was able to return home. [11]

Related Research Articles

<span class="mw-page-title-main">Plastic surgery</span> Medical surgical specialty

Plastic surgery is a surgical specialty involving the restoration, reconstruction or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery includes craniofacial surgery, hand surgery, microsurgery, and the treatment of burns. While reconstructive surgery aims to reconstruct a part of the body or improve its functioning, cosmetic surgery aims to improve the appearance of it. A comprehensive definition of plastic surgery has never been established, because it has no distinct anatomical object and thus overlaps with practically all other surgical specialties. An essential feature of plastic surgery is that it involves the treatment of conditions that require or may require tissue relocation skills.

<span class="mw-page-title-main">Conjoined twins</span> Medical condition

Conjoined twins, popularly referred to as Siamese twins, are twins joined in utero. It is a very rare phenomenon, estimated to occur in anywhere between one in 49,000 births to one in 189,000 births, with a somewhat higher incidence in Southwest Asia and Africa. Approximately half are stillborn, and an additional one-third die within 24 hours. Most live births are female, with a ratio of 3:1.

<span class="mw-page-title-main">Harold Gillies</span> New Zealand plastic surgeon (1882–1960)

Sir Harold Delf Gillies was a New Zealand otolaryngologist and father of modern plastic surgery.

<span class="mw-page-title-main">Archibald McIndoe</span> New Zealand plastic surgeon

Sir Archibald Hector McIndoe was a New Zealand plastic surgeon who worked for the Royal Air Force during the Second World War. He improved the treatment and rehabilitation of badly burned aircrew.

Oral and maxillofacial surgery is a surgical specialty focusing on reconstructive surgery of the face, facial trauma surgery, the oral cavity, head and neck, mouth, and jaws, as well as facial cosmetic surgery/facial plastic surgery including cleft lip and cleft palate surgery.

<span class="mw-page-title-main">Royal Children's Hospital</span> Hospital in Victoria, Australia

The Royal Children's Hospital (RCH), colloquially referred to as the Royal Children’s, is a major children's hospital in Parkville, a suburb of Melbourne, Victoria, Australia. Regarded as one of the great children’s hospitals globally, the hospital and its facilities are internationally recognised as a “leading centre for paediatrics”. The hospital serves the entire states of Victoria, and Tasmania, as well as southern New South Wales and parts of South Australia.

Peter Edward Michael Butler, FRCSI, FRCS, FRCS (Plast) is Professor of Plastic and Reconstructive Surgery at University College London. He is consultant plastic surgeon and head of the face transplantation team at the Royal Free London NHS Foundation Trust in London, United Kingdom. He is Director of the Charles Wolfson Center for Reconstructive Surgery at the Royal Free Hospital, which was launched in November by The Right Honourable George Osborne, MP, Chancellor of the Exchequer at No 11 Downing Street in November 2013.

<span class="mw-page-title-main">Surgeon</span> Physician with surgical specialty

In modern medicine, a surgeon is a medical doctor who performs surgery. Although there are different traditions in different times and places, a modern surgeon is also a licensed physician or received the same medical training as physicians before specializing in surgery.

Paul Tessier was a French maxillofacial surgeon. He was considered the father of modern craniofacial surgery.

<span class="mw-page-title-main">Wexham Park Hospital</span> Hospital in Berkshire, England

Wexham Park Hospital is a large NHS hospital in Slough, Berkshire. It has been managed by Frimley Health NHS Foundation Trust since 2014. Sir Andrew Morris is the Trust's chief executive.

Raman Malhotra is a British ophthalmologist and oculoplastic surgeon. He is a consultant ophthalmic surgeon and head of the Corneoplastic unit, Queen Victoria Hospital, East Grinstead.

Wirginia June Maixner is an Australian neurosurgeon and the director of neurosurgery at the Royal Children's Hospital in Melbourne, Australia. She is known for having performed the first auditory brainstem implant on a child in Australia in 2007, and later having separated the conjoined twins, Trishna and Krishna in 2009.

Craniopagus twins are conjoined twins who are fused at the cranium. The union may occur on any portion of the cranium, but does not primarily involve either the face or the foramen magnum; their brains are usually separate, but they may share some brain tissue. Conjoined twins are genetically identical and always share the same sex. The thorax and abdomen are separate and each twin has their own umbilicus and umbilical cord.

Kofi Owusu Boahene is a Ghanaian-born American physician, writer, researcher, and academic.

<span class="mw-page-title-main">Arthur Rainsford Mowlem</span>

Arthur Rainsford Mowlem (1902–1986), born in New Zealand, was the youngest of the four plastic surgeons who practised in between the world wars in Britain. In 1936, he joined the London-based partnership that was started by Sir Harold Gillies and included Sir Archibald McIndoe and Thomas Pomfret Kilner. He continued to practise until his retirement in 1963. During the Second World War he was involved in early bone grafting and took part in early trials for penicillin at his unit in Hill End Hospital, St Albans.

James Tait Goodrich was an American neurosurgeon. He was the director of the Division of Pediatric Neurosurgery at Montefiore Health System and Professor of Clinical Neurological Surgery, Pediatrics, Plastic and Reconstructive Surgery at the Albert Einstein College of Medicine, and gained worldwide recognition for performing multiple successful separations of conjoined twins. He assisted in two craniopagus separations with Dr. Alferayan A in Riyadh, Saudi Arabia, with the first one done May 5, 2014 and the second one done February 14, 2016. Both pairs were successfully separated and are doing well.

Andrew A.C. Heggie is an oral and maxillofacial surgeon at the Royal Children's Hospital in Melbourne, Australia. His primary interest has been the management of developmental skeletal facial deformity, including patients with cleft lip and palate, craniofacial microsomia and infants with micrognathism. His contribution to the treatment of infant upper airway obstruction for Pierre Robin sequence, using internal devices for jaw lengthening using distraction osteogenesis, has replaced the need for tracheostomy in this condition. In 2019, Heggie was awarded Member of the Order of Australia for significant service to medicine and dentistry in the field of oral and maxillofacial surgery.

Anthony Graeme Bowman Perks FRCS FRACS is a British plastic surgeon, and the former president of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS). He was specialist in microsurgical reconstruction after cancer surgery, and the former head of the Department of Plastic, Reconstructive and Burns Surgery at Nottingham University Hospitals NHS Trust.

Dr Noor ul Owase Jeelani BMed.Sci (Hons), BMBS, MRCS, MBA, MPhil, FRCS (NeuroSurg.) is a Kashmiri-British neurosurgeon and academic. He is a Consultant Paediatric Neurosurgeon at Great Ormond Street Hospital for Children (GOSH) and was the Head of the Department of Neurosurgery from 2012 until 2018. He is an Honorary Associate Professor at the Institute of Child Health, University College London. He leads the FaceValue research group in Craniofacial Morphometrics, device design, and clinical outcomes.

Richard Andrew Lewandowski is an Australian plastic and reconstructive surgeon.

References

  1. 1 2 "Mr Tony Holmes". www.arpsgroup.com.au. Retrieved 12 February 2018.
  2. ↑ "Awards and Scholarships". The Royal Children's Hospital Melbourne. n.d. Retrieved 15 March 2024.
  3. 1 2 "Plastic and Maxillofacial Surgery : Anthony D Holmes". www.rch.org.au. Retrieved 12 February 2018.
  4. ↑ "McIndoe Lecture | BAPRAS". www.bapras.org.uk. Retrieved 12 February 2018.
  5. ↑ Search Results for author Holmes A on PubMed .
  6. ↑ Miller, Nick (16 November 2009). "Twins Trishna and Krishna separated after marathon op". The Sydney Morning Herald.
  7. ↑ Miller, Nick; Hunter, Thomas (16 November 2009). "Conjoined twins Trishna, Krishna separated in mammoth operation". The Sydney Morning Herald.
  8. ↑ "Trishna and Krishna's birth mother visits". Australian Broadcasting Corporation. Agence France-Presse. 10 July 2010.
  9. ↑ Hagan, Kate (7 June 2012). "After an eight-year surgical journey 'everything is good'". The Age.
  10. ↑ "Doctors correct PNG boy's facial deformity" (Press release). The Royal Children's Hospital Melbourne. 11 July 2005.
  11. ↑ "Surgeons rebuild child's deformed face". Canberra Times. 31 August 1994. p. 8.
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