Head and Neck Surgery- Auckland
Dr John Chaplin is an experienced, high volume head and neck surgeon with an international pedigree and reputation. John is an expert in the management of thyroid nodules and particularly thyroid cancer including thyroid cancer that has metastasised to neck lymph nodes. John also has expertise in diagnosing and managing salivary gland tumours and swellings . He is highly skilled in managing the facial nerve in parotid tumours and particularly in cancers involving the parotid gland. John has just completed co-authoring a book chapter on the management of metastatic and advanced cutaneous malignancy to the parotid gland that is due for publication in late 2019. He is a surgical leader in neck dissection and performs neck dissection procedures weekly for management tongue cancer, HPV and non HPV related throat cancer, larynx cancer and skin cancer that has metastasised to neck lymph nodes. Dr John Chaplin has 20+ years experience in private and public hospital in head and neck surgery and is an integral member of the Auckland Regional Head and Neck Team. John has trained over 20 international fellows in head and neck surgery and microvascular reconstruction and he is the highest volume head and neck reconstructive surgeon in the country. John can see patients with neck lumps urgently. Call (09) 6311948 or click this link
John Chaplin performs neck lymph node and neck lump investigations with office based ultrasound scan and fine needle aspiration (FNA) biopsy at his One Stop Neck Lump Clinic based at Mauranui Clinic in Epsom, Auckland.
Examination and Endoscopy
At these appointments a full expert head and neck examination is performed and this includes flexible endoscopy of the upper airway. This allows a comprehensive assessment of potential tumour primary sites that may lead to neck lumps. This is particularly relevant in the current HPV related oropharyngeal cancer era, where it is recognised that there is an increase in HPV related tonsil and base of tongue throat cancer that goes against the decline in other cancers seen.
Neck and Thyroid Ultrasound
Ultrasound is performed at the time and the site, number and size of the lump or lumps is noted. In addition, the echogenicity, shape, margin, vascularity and calcifications are reported upon. These features are compared against risk based scoring systems particularly with respect to thyroid nodules to determine whether FNA biopsy is indicated.
Neck Lump FNA Biopsy
If FNA is indicated it will be performed under ultrasound guidance as this allows accurate placement of the needle into the tissue likely to offer the highest yield of cellular material and therefore a diagnosis. The material is processed urgently and an accurate answer is available within 24-48 hours. A follow up appointment will be arranged to discuss the results.
CT scanning is available on site at Mauranui Clinic with Ascot@Mauranui scanning allowing full contrast enhanced scanning appropriate for assessment of primary site and regional nodal assessment as well as assessment of distant sites like lungs.