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Transnasal oesophagoscopy in head and neck cancer: an update

1 September 2015 |
The role of transnasal oesophagoscopy (TNE) in the management of head and neck cancer patients is evolving. Until 1990, oesphagoscopy required specialist endoscopists, general anaesthesia or sedation. This review succinctly summarises updates in the evidence for TNE in: i) Screening...

Grading dysphagia as a toxicity in treating head and neck cancer

1 September 2018 | | Clinical trials, Deglutition and deglutition disorders, Head and neck cancer, Toxicity grading
Common Terminology Criteria for Adverse Events (CTCAE) is a system used by clinicians to grade the toxicity of oncology treatments in a standardised manner. Dysphagia is perhaps the most common long-term toxicity of head and neck cancer treatment. Currently, a...

Prophylactic swallowing exercises in head and neck cancer

1 May 2015 |
Clinicians working in head and neck cancer will be familiar with the increased interest in prophylactic swallowing exercises to reduce the devastating impact of dysphagia experienced by patients undergoing radiation or chemo-radiation therapy. This study from Denmark is one of...

Multiple free flaps for head and neck cancer

1 March 2015 | | ENTA - Head & Neck, ENTA - Skull Base Surgery | Complications, Free tissue transfer flaps, Head and neck cancer, Maxilla-mandibular reconstruction, Microsurgical free flaps
Most patients with advanced head and neck cancers now undergo microvascular free flap reconstruction. This is mainly as flaps facilitate complete tumour and margin removal by providing reliable wound coverage and better restoration of form and function. However despite this,...

National analysis of outcome of head and neck cancer surger

1 September 2014 |
Patient outcomes continue to become ever more visible in the NHS with ongoing drives to demonstrate transparency in our delivery of healthcare. This article reviews unit-level data publication using Hospital Episode Statistics data in all units undertaking head and neck...
Dysphagia journal cover image.

Measuring radiation fibrosis in patients with head and neck cancer

4 March 2025 | | ENTA - Laryngology / Swallowing / Voice
People treated with radiotherapy for head and neck cancer experience several acute and chronic effects of this treatment, of which fibrosis is perhaps the most common. Fibrosis occurs as a wound healing response and leads to scarring and reduced range...

Imaging and management of head and neck vascular anomalies

1 May 2014 | | ENTA - ENT, ENTA - Head & Neck, ENTA - Maxillofacial Surgery
Vascular anomalies are a diffuse spectrum of abnormalities which often involve the head, neck and oral cavity. They are frequently misnamed, often being generically labelled as haemangiomas. This lack of basic understanding can cause confusion leading to a cascade of...

Harnessing head and neck cancer genomics for personalised medicine

1 March 2016 | | ENTA - ENT, ENTA - Head & Neck
Luc Morris updates us on the future of cancer diagnosis and treatment, which lies in “personalised oncology”, where specific molecular alterations of each tumour will be identified, and matched with actionable alterations in existing therapies, ushering in the era of...

Near-miss in otolaryngology head and neck surgery

1 September 2018 | | ENTA - ENT
It is recommended by John Fenton that we as a specialty need to embrace the concept of, take responsibility for and learn from all near-miss events, rather than our traditional haphazard approach of an occasional educational anecdote or case report....

Patient initiated follow-up in head and neck cancer

3 May 2024 | | ENTA - Head & Neck
Is it time for a change in the way we follow up head and neck cancer patients after treatment? Paul Nankivell and Hisham Mehanna explain the rationale for the PETNECK2 trial. After completion of curative intent treatment, clinical follow-up currently...

Head and neck robotic surgery – considerations for the surgical trainee

4 November 2021 | | ENTA - Head & Neck
In 2021, training in head and neck cancer surgery would be incomplete without some robotic resections under the belt. Henry Zhang explains how he did it and outlines the options available. With a wide range of applications in both benign...