Mr Rejali CV









Consultant ENT Surgeon and Otologist


MB. ChB.


FRCS (Oto)






FULL NAME:                                                            STEPHEN DARIUS REJALI


ADDRESS FOR CONTACT:                         

University Hospital

Clifford Bridge Road



TELEPHONE AND EMAIL:                          

Secretary (NHS): 02476 965057

Secretary (Private/Medico-legal): 07547 243220



DATE OF BIRTH:                                          12.12.67                                                       


PLACE OF BIRTH:                                        BIRMINGHAM, UK


MARITAL STATUS:                                      MARRIED


NATIONALITY:                                             BRITISH


GMC REGISTRATION NUMBER:               3659720


DEFENSE ORGANISATION:                        MDDUS          M149116



BSc (hons)                Manchester              1989

MB ChB                      Manchester              1992

 Full GMC Registration 1 August              1993

FRCS (CSiG)              England                     1996

FRCS (Oto)                England                     1998

 FRCS (ORL-HNS)      England                     2002

 CCST in Otolaryngology     19th  May       2004


PRESENT POST:                                        Consultant Otolaryngologist, University Hospital Coventry and Warwickshire NHS Trust.





Consultant Otolaryngologist





West of Scotland Otolaryngology Training

Specialist Registrar in Otolaryngology


Mr. J Crowther, Mr. J Marshall

1.10.03 – 30.6.04

Specialist Registrar in Otolaryngology


Mr. I Swan, Mr. A Kishore, Mr. G McGarry

30.12.02 – 30.9.03

TWJ Otology Research Fellow                


Dr. Y Raphael

27.5.02 – 22.12.03

Specialist Registrar in Otolaryngology


Mr. B O’Reilly, Mr. B Irvine, Mr. D Simpson

1.10.01 – 9.5.02

Specialist Registrar in Otolaryngology 


Miss M Shanks, Mr. R Singh, Mr. P Wardrop,

Mr. J Dempster,

1.10.00 – 30.9.01


Specialist Registrar in Otolaryngology


Mr. J Crowther, Mr. J Marshall

1.10.99 – 30.9.00

Specialist Registrar in Otolaryngology


Mr. A Johnston, Mr G Picozzi, Mr. N Balagi.

7.12.98 – 30.9.99


Locum approved for training Specialist Registrar in Otolaryngology


Mr. M Small, Mrs. Curley, Mr. J de Carpentier.                                                                       18.8.97 – 30.9.98

SHO Otolaryngology                       HOPE HOSPITAL and ROYAL MANCHESTER                                                                                                                  CHILDREN’S HOSPITAL, SALFORD

Mr. M P Rothera, Mr. D Willatt.

5.2.97 – 5.8.97


Mr. Hill, Mr. McCloy, Mr. MacLennon, Mr. Pearson.

7.8.96 – 4.2.97

SHO GENERAL SURGERY   ROYAL OLDHAM HOSPITAL                                                                                                                       Mr. Hulton, Mr. Williams, Mr. Flook.

7.2.96 – 6.8.96


Mr. Keenan, Dr. Eddleston.

2.8.95 – 6.2.96


Mr. Hirst, Mr. Maltby.

1.2.95 – 1.8.95


                                                            MANCHESTER ROYAL INFIRMARY                                                                                              Mr. MacWay-Jones, Dr. Morton.

1.8.94 – 31.1.95




Supervisor Dr. J Shaw-Dunn.

1.9.93 – 30.6.94

HOUSE OFFICER                               HOPE HOSPITAL, SALFORD

Prof. Turnberg, Dr. Shaffer


                                                            CHRISTIE HOSPITAL, MANCHESTER

Mr. Tweedle, Mr. Schofield, Mrs. Brain

1.2.93 – 31.1.93




Otology and Neuro-otology

I work at University Hospital Coventry and Warwickshire and George Elliot Hospitals. Otology (ear) and Neuro-otology is my chosen area of supra-specialist interest. I am the lead otologist (paediatric and adult) at University Hospital Coventry and George Elliot Hospital, Nuneaton. I have three outpatient and three operating sessions per week.  I have established a specialist monthly vertigo clinic at University Hospital Coventry. I lead the combined paediatric audiology clinic at George Elliot Hospital and University Hospital Coventry. I undertake most middle ear and external ear surgery including tympanomastoid surgery and stapes surgery. I have carried out over 1100 major ear cases. A recent audit of my stapedectomy results were similar to international experts with 94% success. A myringolplasty audit revealed 90% success. Ossiculoplasty results were on par with national standards.

I undertake the new Balloon Eustachian Tube Tuboplasty procedure. I am one of the few in UK carrying out this procedure. This work is part of a research article for publication.

I undertake intratympanic therapy for otological conditions (vertigo, Meniere’s disease patients).

I am involved in assessment and management of patients with vertigo.

I undertake combine paediatric ENT/audiology clinics with audiology and education.

During my TWJ fellowship at Ann Arbor I had the opportunity to visit the Clinical Department of Otolaryngology at the University of Michigan. I visited the Causse Clinic, Beziers in autumn of 2005 (via TWJ foundation)

Twice a year I organise a national Temporal Bone Dissection course.


Rhinology and Facial Plastics

I regularly undertake endoscopic sinus surgery in my present post. In my training I worked in specialist rhinological clinics (Mrs McGarry and Bingham). I have attended an advanced endoscopic sinus surgery course and the London Septal/Rhinoplasty course. I attended the 12th International Course in Modern Rhinoplasty Techniques in Amsterdam in 2005. I have trained in Botox, Dermal Filler and Chemical Peel therapy. I undertake Pinnaplsty in adult and children and excise cutaneous lesions from the pinna. I perform hair transplant surgery at a private clinic on a regular basis. Recently I have attended a lipolysis workshop and will provide this treatment via my private clinic.


Head and Neck

I undertake assessment of laryngeal and pharyngeal symptoms including endoscopy. I biopsy and remove small head and neck lumps, submandibular glands, branchial and thyroglossal cysts. During my training rotation I had extensive experience in elective major and minor head and neck procedures including laryngectomy (partial, endoscopic and complete), neck dissection (radical and modified), parotid and thyroid surgery. Having worked in the Glasgow region, I have frequent experience in exploring penetrating neck injuries!


Paediatric Otolaryngology

I deal with a large paediatric work load. I deal with congenital and acquired hearing loss and perform tympanomastoid surgery on this group.  I have a combined clinic with a community paediatrician and audiologist every two months at George Elliot Hospital and University Hospital Coventry. I have attended specialist paediatric otology/audiology clinic at Hospital for Sick Children, Glasgow and Royal Manchester Children’s Hospital. My operative experience includes extensive general paediatric otolaryngological surgery at various hospitals in the West of Scotland and some specialist airway surgery at Royal Manchester Children Hospital and Booth Hall Children’s Hospital.


General Surgery

The general surgery post at Manchester Royal Infirmary and the basic surgical training rotation in the same region provided experience in all aspects of upper and lower GI surgery, breast and hepatobiliary conditions. I managed critically ill patients including some in intensive care and cardiothoracic units.




I developed an interest in medico-legal matter since 2005. I have a supra-specialist interest in Otology and Neuro-otology. I regularly prepare medico-legal reports for suspected industrial noise damage and ear symptoms related to head/neck trauma including whiplash injuries. I have prepared over 250 medical reports since 2005. At present I am preparing approximately 25 reports per year. All of my work has been on behalf of claimants except for 3 single joint expert reports. My claimant/defendant ratio is therefore: 99% claimant /1% defendant.


I have not attended court as an expert witness. I have attended court once as a professional witness.


I have used my skills in computing to write a excel sheet to analyse patients hearing levels, compare these to the expected hearing and compute the statistical likelihood of pathological / industrial hearing loss.


I have also prepared a number of reports dealing with clinical negligence claims.


I organised a training course in Coventry in 2008 specifically dealing with medicolegal aspects of noise induced hearing loss.


I have attended one court case as an professional witness and spent time in the box.


I have attended the following medicolegal courses:

  • In to court (Academy of experts) London, UK                             November       2011
  • Medicolegal Expert Course Leicester                                 June                2010
  • Foundation Course (Academy of Experts) London                                    December        2007





I am the lead clinician for undergraduate education in ENT. During most clinics and operating session I teach relevant skills to SPR’s, F1, F2 and ST’s. I lecture on cranial nerve anatomy and special senses at the medical school during the neuro-biology module. I have delivered lectures to medical, dental and speech therapist. I teach ST’s, medical students and nursing staff. I have extensive small group teaching experience during my anatomy demonstrator job: mostly gross and clinical anatomy. I have taught First Aid to medical students and members of the public. I have attended a Teaching and Lecturing Skills Course in Glasgow.


I organise a national Temporal Bone Dissection course three times a year.


I am a member of the faculty for the Warwick Undergraduate Microsurgery Course.




I am the lead clinician a number of areas in the ENT department including: organising the weekly departmental continuing professional teaching sessions, undergraduate ENT teaching, paediatric and audiology issues, SHO supervision, induction and rota, choose and book and I am lead for the Warwickshire ENT Consultants Group. I am the lead clinician for Paediatric ENT and Otology. In the past I was the representative for otolaryngology specialist registrars in the West of Scotland. I have attended management courses organised by the University of Glasgow.




Word processing (word), spreadsheet (excel), database (access), graphic design (photoshop), digital video editing, web design and computer networking.




Lead for Otology and neuro-otology at University Hospital Coventry.

Lead for Paediatrics in ENT at University Hospital Coventry.

Lead for undergraduate education in ENT at University Hospital Coventry.

I organise a national Temporal Bone Dissection course twice a year.

Faculty of Warwick Undergraduate Microsurgery Course.



Warwick Undergraduate Microsurgery Course           Coventry                                 June                2012

Coventry Temporal Bone Course                              Coventry                                 From 2011 on going



BACO                                                              Liverpool                                 July                 2015

Sinus Surgery Course                                                Newcastle                               March              2014

British Paediatric ENT Course                        London                                    March              2014

Trans Nasal Oesophagoscopy Course         Derby                                      March              2013

Law and Procedure Course                           London                                    May                 2012

Chief Investigator Course (include GCP)       Coventry                                 January           2012

Effective Clinical Director                                London                                    January           2012

Appraisal training                                            Coventry                                 December       2011

In to court (Academy of experts)                   London, UK                             November       2011

Otology Course                                              Bielefeld, Germany                 December       2010

Procurement in the NHS                                 Manchester                             September      2010

Medicolegal Expert Course                            Leicester                                 June                2010

Live international otology network telecast     International                            May                 2010

Midland Institute of Otolaryngology              Yoxhall                                    May                  2010

Level 2 Child Protection Training                    Coventry                                 January           2010

TAIP (training and assessment course)         Birmingham                             July                  2008

Balance Course                                               Southampton                          June                2008

Academy of Experts Course                            London                                    December        2007

Surgical Assessment Tool Workshop              Stoke                                       November        2007

Middle Ear Course                                           Dortmund, Germany                April                2007

Lipolysis Course                                              Amsterdam, Holland               April                2007

Clinical Examiners Course                              Coventry                                  December        2006

Dermal Filler Course                                       Bingham, UK                            July                  2006

Chemical Peel Course                                     Bingham, UK                            July                  2006

Facial Plastic Course                                      IHR, London                            February          2006

Snoring and Obstructive Sleep Apnoea          London                                    November        2005

Causse Clinic TWJ Otology short fellowship  Beziers, France                       October           2005

Rhinoplasty Course                                         Amsterdam                             October           2004

Practical and Theoretical Course on BAHA    Kilmarnock                              September      2003

Advanced Otology Course                              London                                    September      2003

Bronchoscopy and Oesophagoscopy               Dundee                                    June                2003

Head and Neck Course                                    Birmingham                             October           2001

Management Course                                       Glasgow                                  September      2001

Rhinoplasty and Septal Surgery Course         London                                    March              2001

ENT Radiology Course                                    Newcastle                               February          2001

Endoscopic Sinus Surgery Course                   Glasgow                                  September      2000

Temporal Bone Course                                   Glasgow                                  October           1999

Temporal Bone Course                                   Royal National Throat             June                1998

Nose and Ear Hospital

Advanced Trauma Life Support                      Manchester                             March              1997

STEP Distance Learning Course                      Correspondence Course         April                1996

North West Anastomosis Workshop               Manchester                             November        1995

Advanced Life Support Course                       Manchester                             September      1995

Teaching and Lecturing Skills Course             Glasgow                                  June                1994

Radiation Protection Course Certificate        Manchester                             July                  1992




Present Research:

I am conducting research into the efficacy of Balloon Eustachian Tuboplasty (using the Bielefeld Catheter) for patient with Eustachian Tube symptoms. The work has been completed and a paper has been accepted for publication in the Journal of Laryngology and Otology.


TWJ Fellow 2002:

I designed and tested a coated cochlear implant electrode capable of secreting neurotrophic growth factors and thus preventing degeneration of the eighth nerve after acquired deafness. The work was carried out on an animal model at the Kresge Hearing Research Institute (KHRI), Ann Arbor Michigan, USA.


My work, carried out over a relatively short period (seven months) was productive. Dr Raphael (my supervisor) taught me various laboratory techniques including animal care and surgery (including cochlear implantation), cell culture, viral transduction, preparation and staining of cochlear tissues, cochlear electrode manufacture and computer image analysis. I regularly attended laboratory meetings where I was able to discuss my work and learn of other research in our laboratory. Within the KHRI I was able to attend exciting presentations from external visiting researchers.


During my stay I had the opportunity to visit the clinical Otolaryngology department. I attended outpatient department and observed surgery at the University of Michigan Hospital.


I have already presented some of my work at the Association for Research in Otolaryngology Feb 2003, Florida, USA, Royal Society of Medicine Otology section May 2003 (Exmoor Plastics Short Paper Prize Winner), Scottish Otolaryngology Society June 2003 and British Academic Conference in Otolaryngology July 2003, Birmingham, UK.


A paper based on my work has been published in the journal Hearing Research (see publications).


Other Clinical:

Randomised clinical trial on Ginkgo Biloba and Tinnitus and Meta-analysis of randomised trials. I designed this study and obtained ethical approval in two hospitals. I carried out the study in special research sessions were I interviewed, examined and audiologically assessed patients. I statistically analysed the data. The results of the study have been presented at the Otolaryngology Research Society. I performed a meta-analysis of previous randomised trial on Ginkgo Biloba and Tinnitus. A paper based on the research has been accepted for publication by the journal Clinical Otolaryngology.


Retrospective review of laser turbinectomy in children. This retrospective study involved case note review and patient interview. Part of the study involved histological study of turbinectomy specimens. A paper based on the study has been accepted for publication in the journal Lasers in Surgery and Medicine. The finding of the study were also presented at the Joint International Laser Conference in Edinburgh September 2003.

Retrospective review of Paediatric Cochlear Implantation in to Dysplastic Cochleae. This work has been presented at the Scottish Otolaryngology Society meeting.

Case reports. I have published several case reports on various otolaryngological conditions.



1991: Otolaryngology Clinical attachment. Retrospective review of Globus pharyngeus and its relationship to Pharyngeal Cancer.

1989: BSc. (Hons.) In Experimental Immunology and Oncology, University of Manchester.

The degree work involved part research and part formal structured teaching and was assessed by thesis and formal written examination. As a part of my work, I carried out skin grafting operations on nude rats using ether anaesthesia. The grafts were MHC Class 1 disparate. The effect of naïve CD4 and CD8 Thoracic Duct Lymphocytes, transferred to the above rats on rejection, was studied. In addition, work was carried out studying allogeneic lymphocyte cytotoxicity – rejection of transferred MHC disparate lymphocytes – in rats. My research findings were incorporated into a thesis and also contributed to a publication.




Balloon Eustachian Tuboplasty treatment of longstanding Eustachian tube dysfunction.

T.Singh, Virangna Taneja, Kevin Kulendra, Mathew Farr, Jennifer Robinson, Darius Rejali.

Journal of Laryngology and Otology. Accepted for publication. 2016.


An Unusual Transorbital Penetrating Injury and Principles of Management.

Dekker A, El-Sawy A, Rejali D

Craniomaxillofac Trauma Reconstruction; 2014; 7:310–2.


Hyperpneumatisation of the craniocervical bones: an emerging aetiological pattern?

Fussey JM ,  El-Maghraby H, Rejali D

Journal of Laryngology and Otology. 2014; 20:1-4.


Transient Auditory Dysfunction: A description and study of prevalence.

L M Almond, K Patel, Rejali D

Ear Nose and Throat Journal. 2013; 92 (8) 8:352–6


A case report of orbital haemorrhage associated with endoscopic sinus surgery and reversible sight loss: a multidisciplinary approach to management.

Sood V, Rejali D, Stocker J, Pagliarini S, Ahluwalia H, Mehta P.

Orbit. 2013 Feb;32(1):73-5.


Successful management of a secreting glomus jugulare tumour with radiosurgery alone

J M Fussey, S Sankar, Rejali D

Journal of Neurological Surgery Part B: Skull Base. 2013. 74: 399-402


Idiopathic intracranial hypertension in otolaryngology.

Jindal M, Hiam L, Raman A, Rejali D.

Eur Arch Otorhinolaryngol. 2009 Jun;266(6):803-6. Epub 2009 Apr 8. Review.


Cochlear implants and ex-vivo BDNF gene therapy protect spiral ganglion neurons.

Rejali D, Lee VA, Abrashkin KA, Houmayun N, Swiderski DL, Raphael Y.

Hearing Research. 2007, 228(1-2):180-7.


Suspending tonsillectomy: the effects on primary and secondary acute care in Scotland.
Mehanna H, Rejali D, Murray A.

Scott Med J. 2004, 49(4), 144-5.


Inferior Turbinate Reduction in Children using Holmium YAG Laser – A Clinical and Histological Study

Rejali S , Upile T, McLellan D, Bingham B J G.

Lasers in Surgery and Medicine. 2004;34(4):310-4.


Ginkgo Biloba does not benefit patients with tinnitus: a randomised placebo controlled double blind trial and meta-analysis of randomised trials.

Rejali D, Sivakumar A, Balaji N.

Clinical Otolaryngology. 2004, 29, 226-231.


Pneumomediastinum 3, 4-methylenedioxymethamphetamine (MDMA, Ecstasy) in two patients at the same “rave”.

Rejali S D, Glen P, Odom N.

Journal of Laryngology and Otology.  2002, 116, 75-6.


Acquired Immune Deficiency Syndrome Presenting with a Nasal Septal Perforation.

Rejali S D, Simo R, de Carpentier J.

Rhinology. 1999. Volume 37, P. 93-5.


Mucocele Mimicking a Warthin’s Tumour Recurrence.

Rejali S D, Simo R, Small M.

Journal of Laryngology and Otology. 1998. Volume 112, P. 1092-4.


Diagnostic Pitfalls in Sports Related Laryngeal Injury.

Rejali S D, Bennett J D C, Upile T, Rothera M P.

British Journal of Sports Medicine. 1998. Volume 32, P. 180-181.


Paediatric Pyogenic Granuloma Presenting as a Unilateral Nasal Polyp.

Simo R, de Carpentier J, Rejali S D, Gunewardena W.

Rhinology. 1998. Volume 36, P. 136-8.


Allograft rejection in athymic nude rats by transferred T cell subsets. II. The response of naïve CD4+ and CD8+ thoracic duct  lymphocytes to an isolated MHC class I disparity.

Bell E B, Rejali S D, Whitby E, Sparshott S, Yang C.

Transplantation. 1990. Volume 50, P. 6906.




Successful management of a catecholamine-secreting glomus jugulare tumour with radiosurgery alone.

Fussey JM, Kemeny A, Sankar S, Rejali D

British Skull Base Society (BSBS) annual meeting Jan 31 2013 Nottingham, UK

Poster Presentation


Successful management of a catecholamine-secreting glomus jugulare tumour with radiosurgery alone.

Fussey JM, Kemeny A, Sankar S, Rejali D

Midlands Institute of Otology winter meeting Jan 11 2013 Birmingham

Poster presentation


Botox: Aesthetic use. Midland Institute of Otlaryngology meeting, Coventry. June 2008.


Patel K, Almond M, Rejali D. Transient Auditory Dysfunction. Presented at ORS meeting 2007 and Published Abstract. Journal of Laryngology and Otology. 2007.


Inferior Turbinate Reduction in Children using Holmium YAG Laser – A Clinical and Histological Study

Rejali S D, T Upile, D McLellan, B J G Bingham.

Joint Combined Laser Conference, Edinburgh UK. September 2003.


Reduction of eighth nerve degeneration following cochlear implantation with a stimulating electrode secreting brain derived neurotrophic factor (BDNF).

Rejali S D, V Lee, K Abrashken, Y Raphael.

Royal Society of Medicine Otology Section. London UK. May 2003. Exmoor plastics short paper prize winner.


A randomised placebo controlled trial of Ginkgo Biloba and its effect on tinnitus and hearing.

Rejali S D, A Sivakumar, B Natarajan.

Otolaryngology Research Society. Manchester, UK. April 2002.


Reduction of eighth nerve degeneration following cochlear implantation with a neurotrophic factor secreting electrode.

Rejali S D, V Lee, K Abrashken, Y Raphael.

Scottish Otolaryngology Society Meeting. Crief, UK. June 2003.


Cochlear implantation in to abnormal cochlea; a retrospective review of surgical and audiological aspects.

Rejali S D, Shanks M.

Scottish Otolaryngology Society Meeting, Aberdeen. November 2001.




Revision mastoidectomy in paediatric patients

Baruha P, Rejali D

Midland Institute of Otolaryngology Meeting. 2013



Laryngeal Tuberculosis

Esmil T, Irivine B W, Rejali D.

Midland Institute of Otlaryngology. Birmingham. January 2005.


Cochlear implant electrodes coated with allogeneic fibroblasts secreting neurotrophic growth factors protect the cochlear nerve from degeneration after acquired deafness.

Rejali S D, V Lee, K Abrashken, Y Raphael. British Academic Conference in Otolaryngology, Birmingham. July 2003.


Cochlear implant electrodes can be coated with cell expressing transgenes.

Rejali S D, V Lee, K Kawamoto, S Kanzaki, Y Raphael.

Association for Research in Otolaryngology, Daytona Beach, USA. February 2003.


Wegener’s Granulomatosis causing long-term otitis media.

Rejali S D, Mr. Balagi.

European ORL-HNS conference. Berlin. May 2000.


Osseous metastases in Head and Neck Malignancies.

Shanbhag A, Srivastav G, Rejali S D, Simo R, Small M.

1st World Congress in Head and Neck Oncology. Madrid. November 1998.


Long term sequelea of the Caldwell Luc Procedure.

de Carpentier J, Rejali S D, Simo R.

Sinusitis ’98 , Lisbon, Portugal.  November 1998.


Endoscopic Management of Pott’s Puffy Tumour

de Carpentier J., Rejali S D, Simo R.

Sinusitis ’98 , Lisbon, Portugal.  November 1998.






Otitis Media with Effusion                                                                                                      2013

Vestibular Schwannoma Audit                                                                                               2013

Emergency Clinic Audit                                                                                                           2013

DNA Survey                                                                                                                             2013

Aetiological Investigations of Paediatric Hearing Loss                                                         2012

Tonsillectomy                                                                                                                          2012

Ossiculoplasty                                                                                                                         2010

Stapedectomy                                                                                                                         2008

Myringoplasty                                                                                                                          2007

Audit of in-patient non-attenders                                                                                          2006

Audit of out patient non-attenders                                                                                        2006

In patient satisfaction            survey                                                                                                  2005

Surgical audit of my Myringoplasty cases.                                                                             2003

Topical ear medication penetration via tympanic membrane perforation                            2002

Patient satisfaction in the ENT outpatients department                                                       2001

Skull base tumours. Department of Neuro-otology                                                                2000                and Skull base surgery, Institute of Neuroscience, Southern General Hospital

Analgesia after Palatoplasty. Preston Royal Infirmary                                                          1998

Preoperative clinics and missing notes. Preston Royal Infirmary                                          1997

Post operative instructions after Oesophagoscopy. Preston Royal Infirmary                       1997

Blood pressure recording in patients presenting with epistaxis at                                                   Manchester Royal Infirmary Accident and Emergency Department                                  1994



Angle Junior prize won by co-author presentation at MIO September .                               Sep      2007

Exmoor Plastics Short paper prize winner. Royal Society of Medicine, otology section.       May      2003

Lionel Colledge Memorial Fellowship. Royal College of Surgeons of England.                     July      2002

Guthrie Travelling Grant. Scottish Otolaryngology Society.                                                   June    2002

TWJ Fellowship. Ann Arbor Michigan USA.                                                                            May      2002.




Gardening, Computers and 3 children!