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• W2008184499 abstract "Dick Williams was one of a few ENT surgeons who in the 1960s helped to pioneer the treatment of head and neck cancer in the UK. With Sir Paul Bramley he trained four generations of senior registrars on the Sheffield maxillofacial surgery rotation. Two went on to hold professorial appointments (JE de B Norman of Sydney, Australia, and Mark McGurk at Guy's and St Thomas's). He entered St Mary's medical school in London in 1943, where he developed a passionate interest in anatomy and physiology. He graduated in 1949 and became house officer to Arthur Dickson Wright, whose elegant surgical technique and meticulous attention to haemostasis he adopted. He went on to work in Tottenham with Mr E.R. Garnett Passe, who had originally been a dentist and who applied his experience of the rotary instruments used in dentistry to ENT practice. Garnett Passe's mastoid operations (usually undertaken at that time with a mallet and gouge) were done with a dental drill. They were bloodless and at the end, the surgical field was “as smooth as a billiard table.” Williams also worked with Sir Harold Gillies and Mr Samuel Birdsall in London, and in 1955 gained his Fellowship. However, the return of men from military service in World War II created a bottleneck in registrar appointments. In 1956, newly married to Maire (who had been sister on the surgical ward at St Mary's) he emigrated to Rhodesia. Here, he continued his interest in surgical oncology. However, it soon became apparent that Maire was not suited to the African climate, and within a year they had returned (along with the first of their six children). Williams then took up a position as registrar in Wolverhampton under Mr Moffett. In this post his appreciation of the applied anatomy of the paranasal sinuses was fine-tuned. He embraced the Patterson external ethmoidectomy with enthusiasm and published a paper on the subject in the Journal of Laryngology and Otology. In 1960 he was appointed one of three ENT consultants at Hull, and he remained there until his retirement in 1986. Williams took the opportunity to spend time with the doyen of head and neck surgery, Dr Hayes Martin, at the Memorial Sloan-Kettering Hospital in New York and on his return to the UK reported that it was gratifying to find that in New York they were not achieving more than they were in Hull. Together with fellow ENT surgeons, Mr Omar Shaheen and Professor Philip Stell, he formed a group that pioneered the development of head and neck oncology in the UK. Dick Williams was regarded by his former pupils as a fine diagnostician, and a master surgeon. He was also a natural teacher and mentor. His hospitality to the Sheffield senior registrars at his Georgian home, the New Hall, in East Yorkshire is remembered affectionately. As well as his passion for surgery, Dick Williams had a passion for the Army. He was in the Royal Army Medical Corps of the Territorial Army where he was appointed Lieutenant Colonel, and Honorary Consultant ENT surgeon at the Duchess of Kent Military Hospital in Catterick. He was proud of his service, and always wore the RAMC tie. Williams had a wide range of interests, and was extremely well-read, particularly in military history, philosophy, and politics. He enjoyed discourse and his views were always fresh and interesting. Later in life, he liked to apply his analytical mind to the medicolegal issues of noise-induced hearing loss, a subject that he worked hard to put on a firm scientific footing. He was actively involved in local politics, being on the Town Council of the Borough of Hedon, in East Yorkshire, and serving as Mayor for a year. In hospital politics, he was intolerant of some aspects of modern hospital administration and he particularly lamented the loss of the experienced ward sister. Although his later years were blighted by Parkinson's disease, he maintained a lively interest in medical developments, in politics and in the careers of those he had taught. He is remembered by them as one of a rare breed, the intellectual surgeon. His achievements in the surgery of oral cancer were important. Despite advances in technology, survival rates achieved at Guy's over the period 1992–2002 were no better than those of Williams in Hull in the years 1960–1986. His witty and perceptive observations on the world will be much missed both by his former pupils and by his six children." @default.
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• W2008184499 date "2011-07-01" @default.
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• W2008184499 title "Obituary: Richard Guilfoyle Williams" @default.
• W2008184499 doi "https://doi.org/10.1016/j.bjoms.2010.11.008" @default.
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