Head and Neck Society (HNSOC) Programme

Wednesday 4 July 2018, 15.15-16.15

Symposium: Management of Benign Salivary Tumours

The session will focus on some of the challenging issues surrounding the management of benign salivary tumours. After attending this session participants can expect to have gained knowledge on the following topics:

  • Optimising outcomes of surgery for benign salivary disease – ‘tips and pearls’ provided by an expert Salivary Gland Surgeon.
  • Understanding the current management of recurrent pleomorphic adenoma based on current best evidence.
  •  Key points on the assessment and treatment options of challenging cases of benign salivary tumours presented via an expert panel discussion.

Chair: Mr Sanjai Sood, Consultant Otorhinolaryngologist, Bradford Teaching Hospitals NHS Trust, UK


Surgery for benign salivary tumours: optimising outcomes
Mr Nick RolandConsultant ENT/Head & Neck Surgeon, University Hospital Aintree, Liverpool; Honorary Secretary, British Association of Head & Neck Oncologists, UK

Management of recurrent Pleomorphic salivary adenoma
Dr Nitin Pagedar, Consultant Otolaryngologist, University of Iowa

FC21.1 Incidental findings on PET-CT in head and neck cancer
Elizabeth Casselden, Nuffield Department of Surgery, Oxford University Hospitals, Oxford, UK

FC21.2 Impact of 8th Edition AJCC TNM staging for oropharyngeal SCC: A regional centre review 2012-2017
Johnny Wu, Palmerston North Hospital, New Zealand

FC21.3 Management of recurrent pleomorphic adenoma of the parotid gland
Bayo Alli, Great Western Hospital, Swindon, UK

Panel Discussion
Mr Nick Roland, Dr Nitin Pagedar, Mr Suren Krishnan

Thursday 5 July 2018, 10.00-11.00

Cadaver Dissection: Endoscopic Transoral Oropharyngeal Surgery

Chair: Stuart Winter, Consultant ENT Surgeon, Honorary Senior Clinical Lecturer, Oxford University Hospitals Trust, UK
Costa Repanos, ENT Head and Neck Consultant, Portsmouth, UK


Endoscopic transoral oropharyngeal surgery
Mr Jemy Jose, Consultant Head and Neck Surgeon, Hull and East Yorkshire Hospitals, UK
Mr Shane Lester, Consultant Head and Neck Surgeon, South Tees MDT in Middlesbrough, UK

Parotid/facial sling/Labbe/cable graft/submental island/supraclavicular flap
Dr Subramania Iyer, Dr Nitin Pagedar

Thursday 5 July 2018, 11.45-13.15

Symposium: Early Oropharynx Cancer

Chair: Professor Terry Jones, Professor of Head and Neck Surgery, University of Liverpool, UK; Honorary Consultant Otolaryngologist/Head & Neck Surgeon, Aintree University Hospitals NHS Foundation Trust, Liverpool, UK


What is early stage OPSCC – the impact of TNM8
Professor Mererid Evans, Consultant Clinical Oncologist; Honorary Visiting Professor, University of Liverpool, IK

The case for surgery
Professor Prathamesh Pai, Professor & Consultant Surgeon, Convener – Head Neck Disease Management Group, Department of Head Neck Surgical Oncology, Tata Memorial Centre, Mumbai, India

The case for non-surgical treatment
 Dr Bernie Foran, Consultant Clinical Oncologist, Sheffield Teaching Hospitals NHS Foundation Trust, UK

Getting the evidence we need
Professor Christian SimonDepartment of Otolaryngology, Head and Neck Surgery, CHUV, University of Lausanne

FC49.1 Multi-biopsy tumour heterogeneity in squamous carcinomata of the oropharynx
Andrew Lau, Aintree University Hospital, Liverpool, UK; University of Liverpool, Liverpool, UK

FC49.2 Indications and outcomes of transoral robotic-assisted oropharyngeal reconstruction: The UK experience
Laura Warner, Freeman Hospital, Newcastle-upon-Tyne, UK

Panel Discussion

Thursday 5 July 2018, 14.15-15.15

Cadaver Dissection: Parathyroid / Laryngectomy

Mr Hugh Wheatley
Mr Paul Pracy, Consultant ENT/Head and Neck Surgeon at the Queen Elizabeth Hospital, Birmingham, UK


Thyroid and Parathyroid Dissection 
Mr James England, Consultant ENT/Thyroid Surgeon, Hull University Teaching Hospitals Trust, UK
Mr Ricard SimoConsultant Otorhinolaryngologist Head and Neck Surgeon at Guy’s and St Thomas’ Hospital and Senior Lecturer at GKT Medical School

Supratracheal partial laryngectomy
Mr Giovanni SuccoChief of Head & Neck Service, University Dept. of Oncology, Candiolo Cancer Institut, University of Turin, Italy
Mr James O’Hara

Thursday 5 July 2018, 14.15-15.15

Update Session: Thyroid & Head & Neck Cancer

Chair: Professor Jarrod Homer, Professor of Otolaryngology-Head and Neck Surgery/ Consultant Head and Neck Surgeon, Manchester Academic Health Sciences Centre (MAHSC), Manchester University Foundation NHS Trust/  University of Manchester


Evolving paradigms in low-risk papillary thyroid carcinoma, clinician-conducted ultrasound
Mr Jonathan Bernstein, Consultant Surgeon, The Royal Marsden; Head and Neck Cancer Surgeon at Imperial College Healthcare; Honorary Clinical Senior Lecturer, Imperial College London

Oropharyngeal cancer and HPV: expected impact of AJCC 8 and advising our patients
Mr Paul Nankivell, ENT/Head and Neck Surgeon, University of Birmingham and University Hospital Birmingham

Suspected H&N cancer referral guidelines: stratifying risk, dealing with globus
Miss Susannah Penney, Consultant Head, Neck & Thyroid Surgeon, Manchester University NHS Foundation Trust, Manchester, UK

Panel Discussion

Friday 6 July 2018, 10.00-11.00

Symposium: What is the role of surgery in early laryngeal cancer?

This session will look at the surgical options for the management of early laryngeal cancer with both open and transoral surgical techniques. There will be discussion of the post operative rehabilitation of patients and insights into the patient experience of open partial laryngectomy.

Learning outcomes

  • Indications for Open Partial laryngectomy and transoral laser endoscopic laryngectomy
  • Surgical tips for Open Partial and transoral endoscopic surgery
  • Key issues in the rehabilitation of patients undergoing partial laryngectomy

Chair: Mr Paul Pracy, Consultant ENT/Head and Neck Surgeon at the Queen Elizabeth Hospital, Birmingham, UK


Intermediate-locally advanced laryngeal cancer: when and why choosing an open partial surgery
Dr. Erika Crosetti, University Department of Oncology, Candiolo Cancer Institut, University of Turin, Italy

Transoral surgery for early larynx cancer; why aren’t we doing more?
Mr James O’Hara
Dr Camilla Dawson,  Clinical Lead for Speech and Language Therapy, Queen Elizabeth Hospital, Birmingham, UK

FC71.1 Elective neck dissection in patients with radio-recurrent and radio-residual squamous cell carcinoma of the larynx undergoing salvage total laryngectomy: a systematic review and meta-analysis
Daniel Lin, Freeman Hospital, Newcastle upon Tyne, UK; Newcastle University, Newcastle upon Tyne, UK

FC71.2 Laryngology patient triage – a questionnaire based proposal
Theofano Tikka, ENT Department, Queen Elizabeth University Hospital, Glasgow, UK

Friday 6 July 2018, 11.45-13.15

Keynote: Robotics in Head and Neck Surgery

This 90 minutes session will encompass the entire spectrum of robotic surgery as it stands today and also provide the participant into an insight into the future. The primary focus will be transoral robotic surgery for resection of mucosal tumours for reconstruction and rehabilitation involved following surgical intervention. We also have a guest speaker from Korea who has significant expertise in endoscopic neck and thyroid surgery and will educate us on the role, the rationale and the evidence base and the outcomes of such procedures.

Key learning points

  • Understand indications for transoral robotic surgery in oropharyngeal and laryngeal malignancies.
  • Appreciate the extended role of robotic surgery in managing recurrent cancers
  • Define the indications and options for reconstruction after transoral robotic surgery
  • Awareness of the need for swallow rehabilitation after transoral surgery
  • Appreciate of the rationale and technique of endoscopic neck and thyroid surgery, with or without robotics.

Chair: Professor Vinidh PaleriConsultant Head and Neck Surgeon, The Royal Marsden Hospital NHS Foundation Trust, London Professor of Robotic and Endoscopic Head and Neck Surgery, Institute of Cancer Research, London


Robotic/Endoscopic neck and thyroid surgery
Professor Kyun Tae, Professor, Department of Otolaryngology – Head and Neck Surgery, Hyang University, Seoul, Korea 

Transoral robotic surgery: global experience and evidence base
Mr Stuart Winter, Consultant ENT Surgeon, Honorary Senior Clinical Lecturer, Oxford University Hospitals Trust, UK

Transoral robotic reconstructive surgery
Mr Cyrus Kerawala

Swallow rehabilitation after robotic surgery
Mrs Sarah Stephen, Specialist, Dysphagia Rehabilitation, Freeman Hospital, Newcastle, UK

The future of robotic surgery
Professor Vinidh Paleri, Consultant Head and Neck Surgeon, The Royal Marsden Hospital NHS Foundation Trust, London Professor of Robotic and Endoscopic Head and Neck Surgery, Institute of Cancer Research, London

My experiences with treatment for throat cancer: open surgery to robotic surgery
Mr Peter Sewell

Panel discussion
Professor Kyung Tae, Mr Stuart Winter, Mr Cyrus Kerawala, Mrs Sarah Stephen, Mr Dae Kim, Mr Enyi Ofo, Miss Hannah Fox

Friday 6 July 2018, 14.15-15.15

Symposium: Thyroid

Chair: Mr James England, Consultant ENT/Thyroid Surgeon, Hull University Teaching Hospitals Trust, UK


Assessment and management of the incidental retrosternal goitre
Mr Nitin Pagedar, Associate Professor and Director, Division of Head and Neck Oncology, Department of Otolaryngology – Head and Neck Surgery at University of Iowa, Iowa City, USA

Management options for the recurrent progressively dedifferentiating DTC
Dr Kate Garcez, Consultant Clinical Oncologist, The Christie Hospital, Manchester, UK

NIFTP for dummies: what the surgeon needs to know
Miss Sarah Johnson

FC94.1 Daycase hemithyroidectomy increases the risk of emergency readmission for haemorrhage: a big-data analysis
Oliva Corbridge, The Robert White Centre for Airway Voice and Swallowing, Poole, UK

FC94.2 Predicting bilateral disease in patients diagnosed with differentiated thyroid cancer after initial hemithyroidectomy: Who needs completion thyroidectomy?
Georgios Oikonomou, St George’s University Hospital, London, UK

Panel Discussion