Matthew J. Fell

Matthew J. Fell
The Royal Children's Hospital | RCH

BSc, MBChB, MRCS

About

41
Publications
3,855
Reads
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167
Citations
Citations since 2016
30 Research Items
153 Citations
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201620172018201920202021202201020304050
201620172018201920202021202201020304050
201620172018201920202021202201020304050
Education
September 2004 - September 2011
The University of Manchester
Field of study
  • Medicine and Surgery

Publications

Publications (41)
Chapter
The one-flap palatoplasty is a single mono-pedicled muco-periosteal flap used to reconstruct the hard palate in patients with unilateral cleft lip and palate. There are fewer surgical incisions on the hard palate compared to the two-flap palatoplasty and this may have benefits for better mucoperiosteal flap vascularization. The key aspect when perf...
Article
Objective This study describes primary surgical reconstructions performed for children born with a cleft lip and/or palate (CL ± P) in the United Kingdom (UK). Design Data forms completed at the time of surgery included details on timing, technique, and adjuncts used during the operative period. Demographic data on participants were validated via...
Article
Full-text available
Neurodevelopmental delays can interfere with children’s engagement with the world and further development, and may have negative consequences into adulthood. Mercury is highly toxic and may negatively influence neurodevelopment because it can freely cross the placenta and accumulate in the fetal brain. We searched four publication databases (Embase...
Article
Full-text available
A consortium of global cleft professionals, predominantly from low- and middle-income countries, identified adaptations to cleft care protocols during and after COVID-19 as a priority learning area of need. A multidisciplinary international working group met on a videoconferencing platform in a multi-staged process to make consensus recommendation...
Article
Purpose The purpose of this study was to examine parent/caregiver perspectives and experiences of speech-language pathology provision during the COVID-19 pandemic for children born with cleft palate. Method An online questionnaire to parents of children born with cleft palate asked about delays and changes to speech-language pathology provision du...
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Full-text available
Background Both active and passive cigarette smoking have previously been associated with orofacial cleft aetiology. We aimed to analyse the impact of declining active smoking prevalence and the implementation of smoke-free legislation on the incidence of children born with a cleft lip and/or palate within the United Kingdom. Methods and findings...
Preprint
Objective: A consortium of global cleft professionals, predominantly from low- and middle-income countries, identified adaptions to cleft care protocols during and after COVID as a priority learning area of need. Design: A multidisciplinary international working group met on a videoconferencing platform in a multi-staged process to make consensus r...
Preprint
Background This study describes primary surgical reconstructions performed for children born with a cleft lip and/or palate in the United Kingdom. Methods Data were obtained from the Cleft Collective, a national longitudinal cohort study. Data forms completed at the time of surgery included details on timing, technique and adjuncts used during the...
Article
Full-text available
A systematic review and meta-analysis to determine the association between active maternal smoking and cleft lip and palate etiology. Medline, Embase, Web of Science and the Cochrane Library from inception to November, 2020. Observational studies of cigarette smoking habits in pregnant women. Outcomes included cleft lip and/or palate, cleft lip ±...
Article
Full-text available
The intrauterine environment is critical for healthy prenatal growth and affects neonatal survival and later health. Mercury is a toxic metal which can freely cross the placenta and disrupt a wide range of cellular processes. Many observational studies have investigated mercury exposure and prenatal growth, but no prior review has synthesised this...
Preprint
Objectives: To analyse the association between active and passive cigarette smoking and the incidence of children born with a cleft lip and/or palate within the United Kingdom. Design: First, a longitudinal time-series study was conducted with routinely collected smoking prevalence data for females over 16 years of age. Second, an interrupted time-...
Preprint
Objectives: A systematic review and meta-analysis to determine the association between active maternal smoking and cleft lip and palate etiology. Data Sources: Medline, Embase, Web of Science and the Cochrane database from inception to November 2020. Study selection: Observational studies of cigarette smoking habits in pregnant women. Outcomes incl...
Article
UK cleft services are centralised and involve working in a multidisciplinary team, offering patients a high quality of care and surgeons a potentially enormously rewarding career. Trainees wishing to specialise in cleft surgery should endeavour to gain targetted experience in cleft lip and palate from early in their surgical career as this will sta...
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Full-text available
The long-term consequences of performing facial surgery on patients living in rural Ethiopia are largely unknown. A review of 36 patients who had been treated on a short-term surgical mission (STSM) in the previous 2 years was conducted to evaluate the outcomes of the surgical interventions performed. There was a significant reduction in social iso...
Article
Objective: This study sought to investigate the association between maxillary growth and speech outcomes for children with a repaired unilateral cleft lip and palate (UCLP) at 5 years of age. Participants: In all, 521 children (180 females and 341 males) with a nonsyndromic complete UCLP, born between 2007 and 2012 in England, Wales, and Norther...
Article
Plastic Surgery is consistently ranked as one of the most competitive for higher surgical training in the United Kingdom. With falling rates of undergraduate Plastic Surgery education there is a danger that potentially excellent candidates will be deterred from applying for training positions. We sought to investigate a cohort of UK medical student...
Article
Clinical governance is the structured approach to maintaining and improving the quality of patient care and is a vital part of global surgery. BFIRST and BSSH closely collaborate with local doctors on a number of overseas projects, seeking to strengthen and develop local knowledge and skills, aiming for an independent local practice in reconstructi...
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Full-text available
Background Plastic Surgery Training in the UK continues to evolve towards an outcomes-based rather than time-served curriculum. UK Plastic Surgery Trainees are appointed nationally, and are assessed according to national standards, but training is delivered regionally. This study sought opinion from current UK Plastic Surgery Trainees in order to h...
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Full-text available
Background: Long-term follow up after short-term reconstructive missions is challenging, often due to financial constraints, remote geography and lack of post-operative communication with patients. The aim of this study was to conduct long-term follow up of patients who have undergone surgery for complex facial disfigurement in Ethiopia. Methods:...
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Full-text available
The aim of effective healing is to restore comparable structure and function to tissues. In some circumstances, this is not achieved, resulting in fibrotic scar tissue formation. Although this may have offered survival advantages in the past, fibrosis leads to functional disruption, organ failure and even death. Fibrosis affects many tissues types,...
Article
Background: A lack of high-level evidence exists on the outcomes of different cleft palate repair techniques. A critical appreciation for the complication rates of common repair techniques is paramount to optimize cleft palate care. Methods: A literature search was conducted for articles on the measurement of fistula and velopharyngeal insuffici...
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Full-text available
A case report to describe the occurrence of Dupuytren's disease in the wrist leading to compression of the palmar cutaneous branch of the median nerve. A 60-year-old male presented with a lump on the volar aspect of the left wrist with reduced sensation in the thenar eminence. Intra-operatively this was found to be a nodule integrated within the pa...
Article
Objective scar assessment tools were designed to help identify problematic scars and direct clinical management. Their use has been restricted by their measurement of a single scar property and the bulky size of equipment. The Scarbase Duo(®) was designed to assess both trans-epidermal water loss (TEWL) and colour of a burn scar whilst being compac...
Article
Background Humanitarian organisations commonly provide reconstructive treatment for patients with cleft lip within developing countries, but follow-up is often non-existent, particularly for those living in rural areas. This study aimed to assess whether a single surgical intervention was sufficient to produce an observable change to the life of a...
Article
Hyenas are effective hunters and will consider humans as potential prey if the need and opportunity arise. This study describes the circumstances of hyena attacks, the patterns of injuries sustained, and reconstruction in a resource-poor setting. As part of a charitable surgical mission to Ethiopia in 2012, 45 patients with facial deformities were...
Article
Often termed an “F3,” a year away from the UK training pathway after the second year of foundation training is an increasingly popular option for doctors in training. Matthew Fell and colleagues look at the options available and discuss what aspiring surgeons should consider http://careers.bmj.com/careers/advice/view-article.html?id=20015702
Article
A 24 year old man presented to his GP with swelling and erythema of the scalp⇑. These symptoms developed a day after he had shaved his head and then spent the day in the sun. On examination, he had a fluctuant boggy mass over the scalp but was well with normal vital signs. A course of oral steroids was prescribed and the oedema settled within four...
Article
In April 2013 I had the opportunity to assist with a facial reconstruction project in Ethiopia. Project Harar is a British charity that provides access to treatment for patients with facial deformities living in rural areas of Ethiopia. Patients with a cleft of the lip and/or palate are the most common group encountered. They are treated by a team...
Article
Surgical missions to the developing world have been criticized for their lack of outcome analysis. Reported studies indicate a high rate of postoperative complications. An integrated pathway developed for surgical missions and a report of its performance in action is presented herein. Patients were optimized for surgery by a medical team from the U...

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