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Miss Louise Melia

Consultant ENT Surgeon

I am a Consultant ENT Surgeon who specialises in nose, sinus and skull base surgery as well as facial plastic surgery. I hold a consultant post at the Royal United Hospital in Bath and an Honorary Consultant post at Southmead Hospital, North Bristol. Following completion of my fellowship in advanced rhinology and open and endoscopic skull base surgery, I was appointed as a consultant at Glasgow Royal Infirmary in the West of Scotland, where I managed an extremely busy tertiary referral rhinology and skull base practice. I then moved to the South West of England bringing with me extensive experience in advanced approaches to the nose, sinuses, orbits, and skull base.

I see my private patients at Sulis Hospital Bath.

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Additional information about Miss Louise Melia

My particular areas of interest include:

  • Inflammatory Nasal Disease: Rhinitis, Chronic rhinosinusitis and nasal polyps, especially approaches to the frontal and sphenoid sinus, including novel therapies such as Clarifix and Drug Eluting Sinus stents
  • Sinonasal Tumours: Management of benign and malignant sinonasal tumours.
  • ENT-Related Eye Conditions: Dacryocystorhinostomy (DCR) and orbital wall decompression.
  • Facial Plastics: Nasal reconstruction after tumour removal or trauma, skin cancer management, and septorhinoplasty.

I have experience treating both adult and paediatric populations and ensure my practice aligns with published guidelines. I regularly audit and evaluate my outcomes to optimize interventions. I am passionate about teaching and training the next generation of ENT surgeons. My contributions include:

  • Faculty member on national and international skull base and sinus courses, including the Copenhagen Rhinology and Skull Base Course, the East Anglia Sinus, Orbit and Skull Base Course and the Bristol Endoscopic Skull Base Course.
  • Current Programme Director for the Olympus and British Rhinology Society (BRS) Advanced Rhinology Fellowship, expanding mentorship opportunities across the UK.
  • Current ENT UK Lead for the Emergency Surgical Skills Course, providing essential training to develop expertise in managing complex surgical emergencies.
  • Previous Fellowship Director in the West of Scotland, supporting advanced training in rhinology and skull base surgery.

I regularly present at conferences throughout the UK. I chair sessions and contribute to discussions at international forums, fostering innovation and collaboration within the ENT field. I am deeply committed to advancing research in rhinology and skull base surgery.

My contributions include:

  • Author of a number of research papers, covering topics such as epistaxis (nosebleeds), nasal tumours and skull base repair techniques.
  • Author of numerous book chapters, including contributions to the 8th and upcoming 9th editions of Scott-Brown’s Otorhinolaryngology, focusing on nasal polyps and fungal sinusitis.
  • Poster and oral presentations in collaboration with my trainees at national and international meetings, with ongoing research interests in topics such as CSF leak repair and orbital preservation.

As a Council Member of the British Rhinology Society, I am actively involved in shaping the future of rhinology and have been involved in recommendations for several guidelines. I regularly moderate for the Global Rhinology Network, fostering international collaboration among rhinologists.

With a unique combination of surgical expertise, teaching excellence, and research innovation, I strive to provide the highest standard of care for my patients. My commitment to evidence-based practices ensures that every intervention is both effective and patient-centred.

Outside of work, I enjoy spending time with my friends and family and exploring the beautiful countryside of the South West of England. I love music and enjoy attending concerts in and around Bath, in particular the Bath Bach Choir. I love to watch my two daughters play sport, which brings me immense joy and pride. These activities help me maintain a healthy work-life balance and bring fresh perspectives to my professional practice.

ENT Consultant Rhinologist and Skull Base Surgeon Royal United Hospital, Bath.

Honorary Consultant Rhinologist and Skull Base Surgeon, Southmead Hospital, North Bristol.

ENT UK Lead for Emergency Surgical Skills Course.

Programme Director for the BRS Advanced Rhinology Fellowship.

2004

Nose and Sinus Conditions

• Surgery for blocked nose

• Management of chronic sinus disease with or without polyps

• Managing complex sinusitis cases that require revision surgery

• Endoscopic management of inflammatory sinonasal disease

• Endoscopic frontal sinus surgery

• Comprehensive sinus surgery (full house FESS)

• Local anaesthetic nasal polypectomy

• Management of blocked nose – deviated septum, nasal allergies including Clarifix

Facial Plastic and Reconstructive Surgery

• Surgery to correct nasal deformity - rhinoplasty and septorhinoplasty

• Reconstruction of complex nasal defects using facial flaps

• Surgical management of skin cancers on the nose, ear and face

Orbital/ Lacrimal

• Endoscopic management of blocked tear ducts and watery eyes

• Orbital decompression surgery

Inflammatory nasal disease, fungal sinusitis, benign and malignant sinonasal tumours.

Professional memberships:

Full GMC Registration

Fellow of the Royal College of Surgeons

Member of ENT UK

Council Member of the British Rhinology Society

Member of the British Rhinology Society

Member of the British Society of Facial Plastic Surgery