Profile

GARAS GEORGIOS
GEORGIOS GARAS

ΕΝΤ – HEAD & NECK SURGEON

SCIENTIFIC ASSOSIATE OF THE ENT DEPARTMENT, HON. CLINICAL SENIOR LECTURER OF SURGERY, IMPERIAL COLLEGE LONDON
  1. General
  2. Pediatric
  • Education & Academic Titles
    • 2007: MBBS with Distinction in Medical Science, St. Bartholomew’s and The Royal London Hospital Medical School, University of London
    • 2019: Gold Medal in European Board Examination in ORL-HNS Awarded by the UEMS ORL Section for highest scores in both Part I (Brussels, Belgium) and Part II (Vienna, Austria) exams (Highest scores at Pan-European level for 2019)
    • 2020: PhD Imperial College London (Surgery and Cancer)
    • 2006: BSc (Hons) in Experimental Pathology, University of London
    • 2010: Member of The Royal College of Surgeons of England MRCS (Eng)
    • 2019: Fellow of The Royal College of Surgeons Intercollegiate FRCS (ORL-HNS)
    • 2020: CCT in Otorhinolaryngology (General Medical Council, United Kingdom)
    • 2020 – 2021: Post-CCT Clinical Fellowship (12 months) in Head & Neck Surgical Oncology and Thyroid & Parathyroid Surgery, Aintree University Hospital, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK
           
  • Doctoral Thesis
    • PhD Doctoral Thesis Title: “Networks of Innovation: Measuring, Modelling and Enhancing Innovation in Surgery”
      Supervisors: Professor Thanos Athanasiou & Professor The Lord Ara Darzi
      Department of Surgery and Cancer, Imperial College London May 2020
  • Professional Experience
    • 2022 –: Honorary Clinical Senior Lecturer (As. Professor), Department of Surgery and Cancer, Imperial College London
    • 2021 –: Consultant ENT / Thyroid / Head & Neck Surgeon (Surgical Oncology) University Hospitals Birmingham NHS Foundation Trust, Birmingham
    • 2020 - 2021: Post-CCT Clinical Fellow (12 months) in Head & Neck Surgical Oncology and Thyroid & Parathyroid Surgery, Aintree University Hospital, Liverpool University Hospitals NHS Foundation Trust, Liverpool, UK
    • Higher Surgical Training (HST) East Midlands Deanery, Queens Medical Centre, Nottingham University Hospitals NHS Trust (2011 – 2020, OOPR: 2015 – 2018)
    • 2015 – 2018: Royal College of Surgeons of England Doctoral Research Fellow / Specialty Registrar (OOPR), Department of Surgery and Cancer, St. Mary’s Hospital, Imperial College London
    • 2009 – 2011: Core Surgical Training (CST) London Deanery, London
    • 2007 – 2009: Foundation Programme, North West Thames Foundation School, London
          
  • Clinical Interests
    • Adult ENT
    • Paediatric ENT
    • Head & Neck Surgical Oncology
    • Thyroid Surgery
    • Quality of Life (QoL)
    • Obstructive Sleep Apnoea (OSA)
    • Neoplasms of the Pharynx, Larynx, Salivary Glands, and Thyroid
    • Minimally Invasive Head & Neck, Thyroid and Parathyroid Surgery
  • Awards & Distinctions
    • 2019 Gold Medal in European Board Examination in ORL-HNS Awarded by the UEMS ORL Section for highest scores in both Part I (Brussels, Belgium) and Part II (Vienna, Austria) exams (Highest scores in both at Pan-European level for 2019)
    • 2019 Best Oral Abstract British Association of Head & Neck Oncologists (BAHNO) Annual Scientific Meeting “National audit of head and neck cancer post-treatment surveillance: An INTEGRATE-BAHNO collaboration” Royal College of Physicians, London, UK
    • 2017 Royal College of Surgeons of England Doctoral Research Fellowship Project title: “Enhancing Healthcare Value through Surgical Innovation Metrics”
    • 2017 Prize Winner, International Surgical Congress Best E-Poster, Surgical Simulation and Technology Category, Association of Surgeons of Great Britain and Ireland (ASGBI), Glasgow, UK
    • 2016 Alexander S. Onassis Public Benefit Foundation Scholarship  Athens, Greece
    • 2014 Poster of Distinction American Head & Neck Society (AHNS) “Robotic Thyroidectomy: A Prospective case control study” awarded by the American Head & Neck Society, 5th World Congress of IFHNOS & Annual Meeting of the AHNS, New York, NY
    • 2011 Best Poster Prize British Association of Endocrine & Thyroid Surgeons (BAETS) “Robotic-assisted Parathyroidectomy: A prospective case control study” Poitiers, France
    • 2011 Best Paper Prize Review Article Category Journal of Laryngology and Otology “Assessment of obstruction level and selection of patients for obstructive sleep apnoea surgery: an evidence-based approach” The Royal Society of Medicine, London, UK
    • 2005 Wolfson Intercalated Award. Awarded by The Royal College of Physicians for BSc (Hons) research project. Project title: “Tissue Microarray Analysis of Prostate Cancer", London, UK
  • Recent Publications

    Over 70 publications on MEDLINE/PUBMED with >2,000 citations, selected publications:

    • “Effect of the COVID-19 pandemic on surgery for indeterminate thyroid nodules (THYCOVID): a retrospective, international, multicentre, cross-sectional study”
      Medas F, Dobrinja C, Al-Suhaimi EA, et al. THYCOVID Collaboration Group.
      Lancet Diabetes Endocrinol. 2023 Jun;11(6):402-413.
    • “Novel Strategies for Managing Retropharyngeal Lymph Node Metastases in Head and Neck and Thyroid Cancer with Transoral Robotic Surgery (TORS)”
      Garas G, Roland NJ, Lancaster J, Zammit M, Manon VA, Davies K, Jones TM, De M, Holsinger FC, Prestwich RJ, Fleming JC
      Ann Surg Oncol. 2022 Nov;29(12):7881-7890.
    • “Synchronous mucoepidermoid carcinoma and papillary microcarcinomas of the thyroid gland”
      Gupta KK, Garas G, Wilkes J, De M
      BMJ Case Rep. 2022 Nov 22;15(11):e252117.
    • “Evaluating the role of the self-assembling topical haemostat PuraBond in Transoral Robotic Surgery (TORS) for oropharyngeal cancer: A case series”
      Gupta KK, Garas G, Idle M, Germain S, De M
      Ann Med Surg (Lond). 2022 Aug 1;80:104302.
    • “Stapler closure versus manual closure in total laryngectomy for laryngeal cancer: A systematic review and meta-analysis”
      Garas G, Darzi A, Athanasiou T, Lancaster J
      Clin Otolaryngol. 2021 Jul;46(4):918.
    • “Post-treatment head and neck cancer care: National audit and analysis of current practice in the United Kingdom”
      Ellis M, Garas G, Hardman J, Khan M, Mehanna H, Smith ME, Tikka T, Ubayasiri K, Williams R, INTEGRATE (UK ENT Trainee Research Network)
      Clin Otolaryngol. 2021 Jan;46(1):284-294.
    • “Recognizing and mitigating the threat posed by COVID-19 to Otolaryngologists: A UK perspective”
      Kumar N, Garas G, Swift AC, O’Donoghue GM
      Laryngoscope. 2020 Oct;130(10):E524.
    • “Surgical Innovation in the Era of Global Surgery: A Network Analysis.”
      Garas G, Cingolani I, Patel V, Panzarasa P, Alderson D, Darzi A, Athanasiou T
      Ann Surg. 2020 May;271(5):868-874.
    • “Evaluating the implications of Brexit for research collaboration and policy: a network analysis and simulation study.”
      Garas G, Cingolani I, Patel VM, Panzarasa P, Darzi A, Athanasiou T
      BMJ Open. 2019 Sep 10;9(9):e025025.
    • “Beyond IDEAL: the importance of surgical innovation metrics.”
      Garas G, Cingolani I, Panzarasa P, Darzi A, Athanasiou T
      Lancet. 2019 Jan 26;393(10169):315.
    • “Robotics in otorhinolaryngology – head and neck surgery.”
      Garas G, Tolley N
      Ann R Coll Surg Engl. 2018 Sep;100(Suppl 7):34-41.
    • “Transoral Robotic Surgery for Obstructive Sleep Apnoea-Hypopnoea Syndrome.”
      Vauterin T, Garas G, Arora A
      ORL J Otorhinolaryngol Relat Spec. 2018 Jun 22:1-14.
    • “Robotic Head and Neck Surgery: History, Technical Evolution and The Future.”
      Garas G, Arora A
      ORL J Otorhinolaryngol Relat Spec 2018 Jun 20:1-8.
    • “Robotic Thyroid Surgery: Current Perspectives and Future Considerations.”
      Aidan P, Arora A, Lorincz B, Tolley N, Garas G
      ORL J Otorhinolaryngol Relat Spec. 2018 May 22:1-9.
    • “Induced Bias Due to Crossover Within Randomized Controlled Trials in Surgical Oncology: A Metaregression Analysis of Minimally Invasive versus Open Surgery for the Treatment of Gastrointestinal Cancer.”
      Garas G, Markar SR, Malietzis G, Ashrafian H, Hanna GB, Zacharakis E, Jiao LR, Argiris A, Darzi A, Athanasiou T
      Ann Surg Oncol 2018 Jan;25(1):221-230.
    • “Network analysis of surgical innovation: Measuring value and the virality of diffusion in robotic surgery.”
      Garas G, Cingolani I, Panzarasa P, Darzi A, Athanasiou T
      PLoS One 2017 Aug 25;12(8):e0183332.
    • “Outcome of TORS to tongue base and epiglottis in patients with OSA intolerant of conventional treatment”
      Arora A, Chaidas K, Garas G, Amlani A, Darzi A, Kotecha B, Tolley NS
      Sleep Breath 2016 May;20(2):739-47.
    • “A long-term prospective evaluation comparing robotic parathyroidectomy with minimally invasive open parathyroidectomy for primary hyperparathyroidism”
      Tolley N, Garas G, Palazzo F, Prichard A, Chaidas K, Cox J, Darzi A, Arora A
      Head Neck 2016 Apr;38 Suppl 1:E300-6.
    • “Comparing transaxillary robotic thyroidectomy with conventional surgery in a UK population: A case control study”
      Arora A, Garas G, Sharma S, Muthuswamy K, Budge J, Palazzo F, Darzi A, Tolley N
      Int J Surg. 2016 Mar;27:110-7.
    • “Radiological considerations and surgical planning in the treatment of giant parathyroid adenomas”
      Garas G, Poulasouchidou M, Dimoulas, A, Hytiroglou P, Kita M, Zacharakis E
      Ann R Coll Surg Engl. 2015 May; 97(4):e64-e66(3).
    • “Is robotic parathyroidectomy a feasible and safe alternative to targeted open parathyroidectomy for the treatment of primary hyperparathyroidism?”
      Garas G, Holsinger FC, Grant DG, Athanasiou T, Arora A, Tolley N
      Int J Surg. 2015 Mar;15:55-60.
    • “The psychological impact of hearing aids in children with otitis media with effusion”
      Qureishi A, Garas G, Mallick A, Parker D
      J Laryngol Otol. 2014 Nov;128(11):972-5.
    • “Is chronic rhinosinusitis related to allergic rhinitis in adults and children? Applying epidemiological
      guidelines for causation”
      Georgalas C, Vlastos I, Picavet V, van Drunen C, Garas G, Prokopakis E
      Allergy 2014 Jul;69(7):828-33.
    • “A two-cycle prospective audit of temporal bone computed tomography scan requests: improving the clinical applicability of radiology reports”
      Qureishi A, Garas G, Shah J, Birchall J
      J Laryngol Otol. 2014 Jan;128(1):49-52.
    • “Which Hemostatic Device in Thyroid Surgery? A network meta-analysis of surgical technologies”
      Garas G, Okabayashi K, Ashrafian H, Shetty K, Palazzo F, Tolley NS, Darzi A, Athanasiou T, Zacharakis E
      Thyroid. 2013 Sept;23(9):1138-50.
    • “Is there a role for intraoperative recurrent laryngeal nerve monitoring during high mediastinal lymph node dissection in three-stage oesophagectomy for oesophageal cancer?”
      Garas G, Kayani B, Tolley N, Palazzo F, Athanasiou T, Zacharakis E
      Int J Surg. 2013 May;11(5):370-3.
    • “An evidence-based review of botulinum toxin (Botox) applications in non-cosmetic head and neck conditions”
      Persaud R, Garas G, Silva S, Stamatoglou C, Chatrath P, Patel K
      Journal of The Royal Society of Medicine Short Reports 2013 Feb;4(2):10.
    • “Is there survival benefit from life-long follow-up after treatment for differentiated thyroid cancer?”
      Garas G, Jarral O, Tolley N, Palazzo F, Athanasiou T, Zacharakis E
      Int J Surg. 2013 Feb;11(2):116-21.
    • “Endoscopic laser surgery for early glottic cancer: A contemporary review of decision-making and treatment choices”
      Koonce S, Garas G, Hinni M, Grant D
      J ENT Masterclass. 2012 Nov;5(1):70-74.
    • “Evidence-Based Surgery: Barriers, Solutions and the Role of Evidence Synthesis”
      Garas G, Ibrahim A, Ashrafian H, Ahmed K, Patel V, Okabayashi K, Skapinakis P, Darzi A, Athanasiou A
      World J Surg. 2012 Aug;36(8):1723-31.
    • “The modified Merocel(®) pope ear wick in severe acute otitis externa management”
      Garas G, Persaud RA
      Clin Otolaryngol. 2012 Feb;37(1):85-6.
    • “Is there a role for measurement of nasal IgE antibodies in diagnosis of Alternaria-induced rhinitis in children?”
      Garas G, Jones N
      Allergol Immunopathol. 2012 Mar-Apr;40(2):69-70.
    • “Robotic-assisted parathyroidectomy: A feasibility study”
      Tolley N, Arora A, Palazzo F, Garas G, Dhawan R, Cox J, Darzi A
      Otolaryngol Head Neck Surg. 2011 Jun;11(6):859-66.

    Selected chapters in surgical textbooks and atlases:

    • “Video-assisted and Robotic Thyroidectomy”
      Garas G, Timon C, Tolley N
      In “Head and Neck Surgery (Springer Surgery Atlas Series)” Editors: Simo R, Pracy P, Fernandes R Springer New York In press
      ISBN: 978-3-031-36592-8  
    • “Quality of Life in Head & Neck Surgical Oncology and Thyroid Surgery” Garas G, Gupta K, Mallick S
      In “Patient Reported Outcomes and Quality of Life in Surgery” Editors: Athanasiou T, Patel V, Darzi A Springer Nature Switzerland AG 2023
      ISBN: 978-3-031-27596-8
    • “Surgical Technology and Innovation”
      Garas G, Modi H, Barrow E, Darzi A
      In “Clinical Surgery” Editors: Chaudry A, Rasheed S, Kinross J 2023 Elsevier London
      ISBN: 978-0-7020-7051-8
    • “Single-Port Transaxillary Robotic Parathyroidectomy”
      Garas G, Darzi A, Arora A, Tolley N
      In “Atlas of Head and Neck Robotic Surgery” Editors: Gil Z, Amit M, Kupferman ME 2017 Springer New York
      ISBN: 978-3-319-49576-7
    • “Robotic Surgery of the Parathyroid Glands”
      Garas G, Arora A, Tolley N
      In “Robotic Surgery of the Head and Neck” Editors: Grillone GA, Jalisi S 2015 Springer New York
      ISBN: 978-1-4939-1546-0
    • “Minimally Invasive Endocrine (Thyroid, Parathyroid, Adrenal) Surgery: Evolution of Operative Techniques, Safety, Effectiveness and Outcomes”
      Christakis I, Constantinides V, Garas G, Joseph J, Tolley N, Palazzo F In “Minimally Invasive Surgery: Evolution of Operative Techniques, Safety and Effectiveness and Long-Term Clinical Outcomes”
      Editor: Hawthorne FT 2014 Nova Science Publishers, Inc. New York
      ISBN: 978-1-62948-838-7
  • Membership in Societies and Editorial Boards
    • Athens Medical Association
    • Hellenic Society of Head and Neck Oncology (HeSHNO)
    • Hellenic Society of Oncology
    • The Royal College of Surgeons of England
    • European Academy of Otorhinolaryngology – Head and Neck Surgery (Board Certified – Gold Medal 2019)
    • British Medical Association  
    • ENT-UK British Association of Otorhinolaryngologists – Head and Neck Surgeons 
  • Research
    • Elected Chairman of INTEGRATE Head & Neck subcommittee (2018 - 2021), The UK ENT Trainee Research Network co-leading on Post-treatment head and neck cancer care: National audit and analysis of current practice in the United Kingdom (5,123 patient consultations across 89 UK centres)
    • Contributor (providing written evidence) to the RCS Future of Surgery Report, Royal College of Surgeons of England, London, UK 2018
    • Numerous publications in high-impact journals incl. first author publications in The Lancet, Annals of Surgery, PLoS One, and BMJ Open
    • Co-author of several book chapters in international leading textbooks and surgical atlases
    • Global research collaboration network spanning geographical boundaries beyond the UK and EU incl. Mayo Clinic, Stanford School of Medicine, and Thomas Jefferson University in the US
    • Head & Neck Surgical Oncology
    • Thyroid and Parathyroid Surgery
    • Obstructive Sleep Apnoea (OSA)
    • Surgical Technology and Innovation
    • TransOral Robotic Surgery (TORS)