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Journal 2018 Journal of ENT masterclass ISSN 2047-959X Journal of ENT MASTERCLASS® Journal of Journal ENT MASTERCLASS ® www.entmasterclass.com VOL: 11 No: 1 Year Book 2018 Volume 11 Number 1 YEAR BOOK 2018 VOLUME 11 NUMBER 1 JOURNAL OF ENT MASTERCLASS® Volume 11 Issue 1 December 2018 ENT Masterclass® Contents The FREE International training platform CALENDER OF RESOURCES 2019 Editorial 3 Hesham Saleh 8th Advanced ENT Emergencies Masterclass® Venue: Doncaster Royal Infirmary, 28th June 2019 Child maltreatment for the ear, nose and throat surgeon 4 Adal H Mirza, Steven J Frampton and Michael Roe 12th Thyroid & Salivary Gland Masterclass® Venue: Doncaster Royal Infirmary, 29th June 2019 ENT manifestations of paediatric immune dysfunction 9 Alasdair Munro and Saul N. Faust 10th ENT Radiology Masterclass® Venue: Doncaster Royal Infirmary, 30th June 2019 Laryngeal clefts 15 Kumar S and Wyatt ME ® ENT Masterclass Bahrain Clinical law: Treating children 20 Bahrain, 14th Feb 2019 Robert Wheeler 2nd ENT Masterclass® Pakistan Paediatric gastroesophageal reflux disease 24 Ali Hakizimana and Nadeem Ahmad Afzal Lahore, 16-17th Feb 2019 nd ® Assessment and management of pediatric dysphonia 31 2 ENT Masterclass South Africa Anne F. Hseu, Jennifer A. Brooks and Michael M. Johns III Cape Town, 19-21st April 2019 Scalp defect - Reconstruction protocol 36 4th ENT Masterclass® China Ali A. Alshehri, Alwyn D’Souza and Anil Joshi Beijing, 24-26th May 2019 Clinical challenges in management of keloids: th ® A review of literature 41 4 ENT Masterclass Europe Ali A. Alshehri, Alwyn D’Souzaand Anil Joshi3 Bucharest, Romania, 6-7th Sept 2019 Algorithm for the management of lateral crural pathology 45 2nd ENT Masterclass® Switzerland Saleh Okhovat and Natarajan Balaji Lausanne, 8-9th Nov 2019 Osteoma and Exostosis 54 o Limited places, on first come basis. Early applications advised. Nicholas Dawe and Charlie Huins o Masterclass lectures, Panel discussions, Clinical Grand Rounds Assessment and management of paediatric balance disorders 60 o Oncology, Plastics, Pathology, Radiology, Audiology, Medico-legal Helen Turner, Paramita Baruah2 and Peter Rea New flaps in head and neck reconstruction 66 Website: www.entmasterclass.com Richard Chalmers, Alastair Fry and Luke Cascarini Management of unilateral vocal fold immobility 72 Director: Prof. M. Shahed Quraishi, OBE, FRCS, FRCS (ORL, H&N) Declan Costello Consultant Otolaryngologist, Thyroid & Parathyroid surgeon A summary of the management of pulmonary nodules in Visiting Professor Capital Medical University, Beijing, head and neck cancer patients 79 Doncaster & Bassetlaw NHS Foundation Trust Richard Green, John T Murchison and Iain J. Nixon Tel: 01302 642418 E-mail: [email protected] Robotic surgery for head and neck cancer 84 ENT Masterclass® Enyinnaya Ofo, Stuart Winter and Vinidh Paleri These courses are sponsored by the Faculty Members with Institutional support 1 JOURNAL OF ENT MASTERCLASS® YEAR BOOK 2018 VOLUME 11 NUMBER 1 JOURNAL OF ENT MASTERCLASS® Welcome to Volume 11 Issue 1 of Journal of ENT Masterclass® 2018 The risk-benefit ratio of chemoradiation treatment in head and neck I very much welcome all our readers to the 11th edition of the Journal squamous cell carcinoma: value of extranodal spread and margin status 94 of ENT Masterclass®. In the previous 10 editions, we published more Mostafa Ammar, Stephen M Hayes and Volkert B. Wreesmann than 200 articles that were provided as a free-of-charge printed journal An analysis of 302 minimally invasive parathyroidectomy and were later accessible online. Financial constraints meant that patients over a 12-year period – is day-case surgery safe? 100 Editor: there was always a finite number of issues that could be distributed, Kimberley Lau, Ashish Talawdekar, Mahmoud Daoud and Shahed Quraishi1 Mr. M S Quraishi OBE, FRCS, FRCS (ORL, H&N) and online access was ultimately more readily available to readers. Consultant ENT Surgeon Abstracts: ENT Masterclass Trainees’ Gold Medal 2018 108 Hon Senior Lecturer in As the world of published research continues to evolve, it appears that Surgical Oncology online access is gradually taking over from printed material. This 11th Disclaimer: The individual authors have responsibility for the integrity of the content of the manuscripts. Doncaster Royal Infirmary Doncaster, UK edition is, therefore, going to be immediately available as a free online E-mail: [email protected] journal with no further printed issues. This will also give the publishers flexibility in editing, adding more material and, in the near future, incorporating videos within the articles. For this edition of the Journal of ENT Masterclass, we are pleased to have a selection of comprehensive articles written by national and Chairman Editorial Board: international authors. As always, the breadth of specialty is covered, Mr Hesham Saleh (UK) and new subjects such as laryngeal clefts, management of keloid, Sub-Editors: paediatric balance disorders and robotic surgery are included. We are Paediatrics: very grateful to all authors and must say that we are always in debt to Ms A Burgess & Ms H Ismail Otology: our editors who tirelessly continue their selfless work for the journal. Mr R Irving & Mr C Huins Rhinology: Mr S Ahmed & Mr A D’Souza On other fronts, the ENT Masterclass courses continue to be as Head & Neck: popular as ever, with long waiting lists for attendance. The travelling Mr R Simo & Mr I Nixon Masterclass has reached the far corners of the Earth, with the 2019 Editorial Board: planned journeys to Bahrain, Pakistan, South Africa, China, Germany, Prof S S Musheer Hussain (UK) Prof Deepak Mehta (USA) Romania, Switzerland and Uzbekistan. Prof Anthony Narula (UK) Prof Shakeel R Saeed (UK) th Prof Mumtaz Khan (USA) I hope you will enjoy reading this 11 edition, and we will always Mr James England (UK) welcome your comments and suggestions. Prof Alok Thakar (India) Mr Faruque Riffat (Aust) Prof Carsten Palme (Aust) Mr Hesham Saleh, FRCS (ORL, H&N) Prof Shu Sheng Gong (China) Consultant Rhinologist/Facial Plastic Surgeon Prof Zhiqiang Gao (China) Prof Oliver Kaschke (Germany) Charing Cross and Royal Brompton Hospitals, London. Prof Nirmal Kumar (ENT-UK) ® Mr Amit Prasai (UK) Chairman, Editorial Board, Journal of ENT Masterclass . December 2018. Emeritus Editor: Prof Patrick Bradley (UK) ENT Masterclass®, 106 Nottingham Road, Ravenshead,Nottingham NG15 9HL England www.entmasterclass.com 2 3 JOURNAL OF ENT MASTERCLASS® YEAR BOOK 2018 VOLUME 11 NUMBER 1 The impact of these insults, both emotional and physical, • bruises of a similar shape and size. Child maltreatment for the ear, nose and can be difficult to quantify but can undoubtedly persist into adult life with potential effects on physical and, • bruises on any non-bony part of the body or face throat surgeon importantly, mental health. Victims can continue to suffer including the eyes, ears and buttocks. as the result of direct biological injury and often develop Adal H Mirza1 BMBS MRCS DOHNS MSc., Steven J Frampton1 MA MBBS PhD FRCS (ORL-HNS) and Michael Roe2 MA BM BCh MRCP MRCPCH high-risk anti-social behaviours, inappropriate coping • bruises on the neck that look like attempted strangulation. 1Department of Otorhinolaryngology, Southampton Children’s Hospital & University Hospital Southampton, UK mechanisms and poor parenting emotions and skills7. 2Consultant Paediatrician and Named Doctor for Child Protection, • bruises on the ankles and wrists that look like Department of Child Health, Southampton Children’s Hospital, As a speciality with a large paediatric population8, ligature marks. University Hospital Southampton, UK Otolaryngologists play a critical role in ensuring children Correspondence: within their care are safeguarded from abuse and neglect. NAI in the Head and Neck Adal Mirza An awareness of how child maltreatment can present in A number of studies, including Dunstan et al (2002)10 and Department of Otorhinolaryngology the ears, nose and throat is therefore imperative. Kemp et al (2015)11 have shown that the head & neck is the Southampton Children’s Hospital & University Hospital Southampton Furthermore, an insight into characteristic features of non- commonest site for abusive bruising in children. Both Tremona Road Southampton accidental injury (NAI) in other anatomical locations is studies reported the left side of the head and neck to be SO16 6YD equally important, as these may be observed on general or more commonly bruised in abuse than the right – E-mail: [email protected] extended examination. presumably as most perpetrators are right-handed. Aims & Methods Willging et al (1992)12 reviewed all referrals from an This clinical review article was written to highlight the Emergency Department to Children’s Social Care over a important points for the practising ENT clinician. A 5 year period from an Otolaryngology perspective. Of the Abstract enshrines in law the concept that child welfare is paramount, literature review was performed to ascertain the current 1390 physically-abused patients, 641 (49%) had evidence The abuse of children, known as child maltreatment, is and further, sets out how Children’s Social Care will protect experience of child maltreatment under the care of of injury to the head & neck and the primary complaint common. Doctors have an implicit duty to protect the children. There has been subsequent legislation and a health and welfare of children, and as practitioners of a Otolaryngologists. Further articles were selected for leading to
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