Mr Bruce Richard MB,BS, FRCS, MS, FRCS (Plast) is a Consultant Plastic Surgeon at Birmingham Children’s Hospital and University Hospital Birmingham NHS Trust. Mr Richard’s NHS clinical work involves treating children, young people and adults with facial deformities as a result of cleft lip and palate or other birth defects. He also carries out muscle transplants for re-animating the face to create a smile for those with paralysis of the facial nerve.
Research Interests ; UK Facial aesthetic outcome assessment for cleft lip and palate children and young people. Developing a validated outcome score with newer uses of photography and 3-D imaging so that some of the many unknowns of cleft surgery treatment might be measured and compared for success of technique or timing or even who did the operation.
Past Research Interests: Eleven years in Nepal where he systematically tested the facial nerve function of patients affected by leprosy and discovered the extent, site and severity of facial nerve involvement and how to overcome the loss of facial nerve function with neurolysis and muscle transfer to the face and appropriate nerve repair to the proximal non diseased nerve. Also neurological testing of the sciatic nerve and subsequent neurolysis of the whole nerve in leprosy patients. A randomised controlled trial (RCT) of the two most contentious cleft palate repair techniques with no obvious difference in shape or growth of the maxilla found between the two techniques. An investigation into tendon transfer for paralysed drop foot and determined the exact technique to optimise the functional outcome.
“I enjoy being a plastic surgeon as it makes a real difference to people’s lives.
Understanding their hope of what an operation might achieve and then creating that by surgery, is a unique procedure every time. I enjoy the feedback from the patients, they’ve been anxious to come through the process and are usually delighted and feel it was all worthwhile.”