The inside out surgical anatomy of the oropharynx, the expected surgical margins, and TORS in the context of the Carcinoma of Unknown Primary have been covered in the last 3 webinars in this Trans-oral Robotic Surgery of the Head and Neck webinar series.

Before embarking on trans-oral robotic surgery, it is imperative for the TORS surgeon to have a conversation with his/her H&N Radiology colleague and perform a thorough review of the pre-operative scans.

In this 1 hour webinar, we will cover:

• normal conventional imaging of the oropharynx
• imaging in the context of an unknown primary
• some of the subtle radiological appearance we do not want to miss which can change what we think is an early oropharyngeal cancer to a T3/4 making an adequate surgical margin difficult with TORS technique
• the radiological contraindication (or relative contraindication) to TORS
• post-TORS radiological appearance and how not to miss a recurrence

Aims

To become familiar in assessing a CT and an MRI scan before and after Trans-Oral Robotic Surgery of the Oropharynx.

Learning Objectives

By the end of this webinar, attendees should be able to:

• Learn how to read a CT/MRI scans of the oropharynx
• Be familiar with the radiological difference between a T2 and a T3 oropharyngeal cancer
• Be aware of the radiological contraindication to TORS
• Be familiar with post-TORS radiological appearance

Panellists

Our panellists include:

• Dr Youssef Mentias, H&N Radiology Consultant, based at South Tyneside and Sunderland NHS Trust. Dr Youssef Mentias is the Lead head and neck radiologist in South Tyneside and Sunderland NHS Foundation Trust. He is a Fellow of European Society of Head and Neck Radiology (ESHNR) and Member of British Society of Head and Neck Imaging (BSHNI). Being passionate about teaching, he is actively involved in training of radiology and ENT trainees in the region through lectures and workshops.

• Miss Nashreen Oozeer, H&N Consultant Surgeon, based at South Tyneside and Sunderland NHS Trust. Nashreen Oozeer is a H&N consultant at Sunderland Royal Hospital. She is a member of the RCSEd Otolaryngology Surgical Specialty Board and the H&N representative on the Robotic Taskforce. She is faculty on a number of national courses including the RCSEd Essentials in Robotics. She is the Patient Information lead for ENTUK and is actively involved in undergraduate and postgraduate training.

CPD

1 Hour