Professor Peter-John Wormald
MD; FRACS, FCS(SA); FRCS (Ed); MBChB
Professor of Otolaryngology

Contact details
Otolaryngology Head & Neck Surgery
Level 4, Maternity Building
The Queen Elizabeth Hospital
Ph: +61 (0)8 8222 7158
Fax: +61 (0)8 8222 7419
Email: peterj.wormald@adelaide.edu.au

Biography

• 1998 – Present Professor & Chair, Otolaryngology Head & Neck Surgery, Adelaide and Flinders Universities
• January 1998 – May 1998 Senior Consultant, The Queen Elizabeth Hospital
• July 1996 – December 1997 Associate Professor & Lecturer Otolaryngology, Prince of Wales Hospital, Hong Kong
• Jan 1994 – June 1996  Consultant Surgeon & Lecturer Otolaryngology, Groote Schuur Hospital, Cape Town, South Africa

Clinical interests
Professor Wormald has a specific interest in Rhinology and in endoscopic sinus surgery (ESS) and has a particular interest in frontal sinus surgery, CSF (cerebrospinal fluid ) leak closure, endonasal DCR (dacryocystorhinostomy) surgery, orbital and optic nerve surgery and skull base surgery.  He has built a national and international reputation in this field. 

Research interests

• Rhinology and endoscopic sinus surgery

Recent publications

• Weitzel EK, McMains KC, Wormald PJ.  Comprehensive surgical management of the aerosinusitis patient. Curr Opin Otolaryngol Head Neck Surg 2009; 17: 11-7
• Tan N, Floreani S, Robinson S, Nair S, Sunkaraneni V, Faris C, Wormald PJ.  Transillumination assisted maxillary trephination – cadaver validation of a new technique.  Laryngoscope 2009; 119(5): 984-987
• Seiberling KA, Wormald PJ.  Case studies in the surgical management of nasal airway obstruction.  Otolaryngol Clin North Am 2009; 119(6): 1046-52
• Pant H, Schembri MA, Wormald PJ, McCardle PJ.  IgE mediated fungal allergy in allergic fungal sinusitis.  Laryngoscope 2009; 119(6): 1046-52
• Thwin M, Weitzel E, McMains KC, Athanasiadis T, Psaltis A, Field J, Wormald PJ. Validating the use of report-derived Lund-McKay scores.  Am J Rhinol & Allergy 2009; 23(1): 33-5
• Valentine R, Athanasiadis T, Moratti S, Robinson S, Wormald PJ.  The efficacy of a novel chitosan gel on hemostasis following endoscopic sinus surgery in a sheep model of chronic rhinosinusitis.  Am J Rhinol & Allergy 2009; 23(1): 71-5
• Beule A, Athanasiadis T, Athanasiadis E, Field J, Wormald PJ.  Efficacy of different techniques of sinonasal irrigation after modified Lothrop procedure.  Am J Rhinol & Allergy 2009; 23(1): 85-90
• Seiberling K, Jardeleza C, Wormald PJ.  Minitrephination of the frontal sinus: Indications and uses in today’s era of sinus surgery.  Am J Rhinol  & Allergy 2009; 23(2): 229-31
• Tan LW, Rogers J, Hatzirodos N, Baker L, Ooi EH, Wormald PJ.  Immunomodulatory effect of cytosine-phosphate-guanosine (CpG)-oligonucleotides in non-asthmatic chronic rhinosinusitis: An explants model.  Am J Rhinol & Allergy  2009; 23(2): 123-9
• Harris PK, Jussey DJ, Watson DI, Mayne GC, Bradshaw A, Joniau S, Tan LW, Wormald PJ, Carney AS.  Reflux changes in adenoidal hyperplasia:  a controlled prospective study to investigate its aetiology.  Clin Otolaryngol 2009; 34(2): 120-6
• Seiberling K, Floreani S, Robinson S, Wormald PJ.  Endoscopic management of frontal sinus osteomas revisited.  Am J Rhinol Allergy 2009; 23(3): 331-6
• Seiberling K, Wormald PJ.  The role of Itraconazole in Recalcitrant Fungal Sinusitis.  Am J Rhinol  2009; 23(3): 331-6
• Liu G, Shi Z, Kurigea T, Hanton LR, Simpson J, Moratti SC, Robinson RH, Athanasiadis T, Valentine R, Wormald PJP.  Synthesis and characterisation of chitosan/dextran based hydrogels for surgical use.  Macromol Symp 2009; 279:151-7
• Seiberling K, Wormald PJ. Case studies in the Surgical Management of Nasal Obstruction.  Otolaryngol Clin North Am 2009; 42(2): 405-417

Conferences

Cadaver dissection course, Kyoto University, 11-16 Japan, January 2009

• Powered endoscopic dacryocystorhinostomy.
• Endoscopic frontal sinus surgery – improving outcomes in FESS – tips from revision surgeons.
• Modified endoscopic Lothrop procedure.
• An endoscopic approach to tumors of the infratemporal fossa with medial maxillectomy.

• The anatomy and endoscopic approaches to the frontal recess.
• Endoscopic dacryocystorhinostomy and septoplasty, middle meatal antrostomy, frontal recess, posterior
• Ethmoidectomy and sphenoidectomy.
• SPA ligation and Vidian neurectomy dissection, Vidian nerve neurectomy.
• Dacryocystorhinostomy dissection.
• Bath Plug Closure CSF Leak dissection.
• Modified endoscopic Lothrop dissection.

The 4th Advanced Functional Endoscopic Sinus Surgery Course, Winchester, United Kingdom.  5-11 June 2009

• Frontal Sinus Anatomy, Surgical approaches
• Axillary Flap, Frontal recess
• Dacryocystorhinostomy Anatomy and technique
• Vidian Neurectomy
• Endoscopic Pituitary Surgery
• CSF Leak Closure - “Bath Plug Technique”
• Modified Endoscopic Lothrop (MEL) Principles
• Clivus, Sphenoid, ITF
• Panel Discussion

Skull Base Course, Queensland 25-27 June 2009.

• Preparing the skull base for craniofacial resection (Lothrop, sphenoidotomies and ethmoidal ligation).

Beijing, China 3-7 August 2009

• The anatomy and endoscopic approaches to the frontal recess.
• Frontal recess dissection.
• Endoscopic dacryocystorhinostomy and septoplasty, middle meatal antrostomy, frontal recess, posterior
• Ethmoidectomy and sphenoidectomy.
• SPA ligation and Vidian neurectomy dissection, Vidian nerve neurectomy.
• Dacryocystorhinostomy dissection.
• Bath Plug Closure CSF Leak dissection.
• Modified endoscopic Lothrop dissection.

3rd Asia Pacific Rhinology Innovative Leaders (APRIL) Forum on Advanced FESS & ESS, 6-8 August 2009

• Biofilms in chronic rhinosinusitis and healing and altering healing after sinus surgery
• Endoscopic approaches for the frontal sinus, modified Lothrop and endoscopic anterior cranial fossa surgeries
• Frontal sinus, modified Lothrop, infra-temporal fossa; anterior cranial fossa demonstration

55th American Rhinologic Society Meeting, San Diego USA 3 October, 2009. “The Frontal Sinus” + “How I do it” session on MELP or Draf III procedure – 5th Annual David W. Kennedy Lecture: Invited Guest speaker

American Academy of otolaryngology head & Neck Society Meeting – San Diego 4-8 October 2009

• Instructional Course – Biofilms in Chronic Sinusitis
• An Endoscopic Approach to Tumors of the intra-temporal fossa
• Powered Endoscopic Dacryocystorhinostomy

Irish Otolaryngology Head & Neck Society, Cork, Ireland – 50th Anniversary.  8-11 October 2009  Sir William Wilde Discourse, invited guest speaker

Neurosurgical Society of Australasia Workshop, Melbourne, Australia 30-31 October 2009. Pituitary Surgery:

Management of complex cases and recent developments workshop”. Invited Guest Speaker
12th Advanced Functional Endoscopic Sinus Surgery Course, Adelaide Australia.  26-28th November 2009

• The anatomy and endoscopic approaches to the frontal recess
• Review of CT scans with reconstruction of the anatomy of the frontal recess
• Frontal recess dissection
• Sphenopalatine artery ligation and Vidian neurectomy dissection
• Dacryocystorhinostomy dissection
• Modified endoscopic Lothrop dissection
• Skull base dissection
• Surgical field
• Panel discussion

Current students supervised

• Rowan Valentine – PhD
• Deepti Singhal – Master of Surgery
• Joshua Jervis-Bardy – Master of Surgery
• Andrew Foreman – PhD
• Jasmine Micklem – PhD
• Sam Boase - PhD
• Tong Le – Master of Surgery

Grants

• Garnett Passe & Rodney Williams Memorial Foundation Project Grant. S Carney, LW Tan, PJ Wormald, E Ooi, P Harris.  “The nasal innate immune response to fungal and staphylococcal challenge: the role of lysozyme”. 2008-2010  $270,000.
• Garnett Passe & Rodney Williams Memorial Foundation Project Grant. A Foreman, LW Tan, PJ Wormald. “The role of biofilms in chronic rhinosinusitis”. 2008-2010  $165,000.
• Adelaide Research Institute. T Athanasiadis, PJ Wormald. “Anti-adhesion dressing for wound healing”. 2007-2009 $250,000.
• Garnett Passe & Rodney Williams Memorial Foundation Project Grant. LW Tan, PJ Wormald. ”Aberrant host mucin glycosylation patterns increases bacterial biofilm formation in chronic sinus”. 2008-2010 $360,000
• TQEH Research Foundation Program Grant. PJ Wormald, R Ruffin, P Zalewski, S Koblar, LW Tan, M Rischmueller, S Lester. “Inflammatory mechanisms and therapies in chronic disease – asthma, COPD, stroke, cerebrovascular disease, rheumatology diseases and chronic rhinosinusitis”. 2008-2011  $250,000