Controversies and management dilemmas

Join the second ENT day to learn about the past controversies in ENT and how to manage patients who present a diagnostic or treatment challenge. These meetings offer the perfect opportunity for networking with colleagues and renowned speakers. Lunch is included when booking the morning and afternoon meetings.

Morning meeting

The first subject addressed will be how to push boundaries on novel therapies reflecting on the controversy surrounding tracheal transplants with the research fraud surrounding Paolo Macchiarini. Attention will be paid to peer review and the complexity and adequacy of the reference literature if the data used in those papers is manufactured by others. The transparency of the consent process and how to progress when outcomes are poor will be considered. Professor Paolo de Coppi from University College London will discuss the future of stem cell science in the light of the events that occurred.  

There will then be a review of the current status of laryngeal reinnervation by Mrs Kate Heathcote from the University Hospitals in Poole. She is recognised as a pioneer for this technique in the UK having undertaken a fellowship with Prof Jean Paul Marie in Rouen. She will also talk about how she has travelled around the world to support colleagues as they start their own programmes. 

The next part of the day will move onto the second in the Update series focusing on Rhinology with Mr Raj Bhalla from Manchester Royal Infirmary moderating.  

Afternoon meeting

We will begin with a masterclass covering the complex fields of tinnitus, hyperacusis and sound tolerance disorders from the world-renowned University of Antwerp Group, Belgium. The group will focus on the management of the distraught patient and how to distinguish between the different types of sound tolerance disorders. There will be key insights into the complex interrelationship between cognitive decline and hearing and balance disorders as well as how best to advise patients and their families. There will then follow a panel discussion exploring how best ENT surgeons should manage these complex conditions. 

After the break we will hear personal experiences from young otologists striving to develop an aspect of their practice that sits outside ENT norms. The difficulties and support that they experienced on their journey and the benefits their new practice has brought to patient care. The session will end with 2 lectures from experts outside ENT. The first is delivered by Andrew Axon, a leading medical negligence barrister on how to avoid litigation id pushing boundaries. He will explore the complex area of clinical intervention outside the normal evidence-based safety net. What we should consider when trying to help patients struggling to find a symptom solution and faced with difficult decision about whether to intervene or not. Finally, he will describe the early actions surgeons must take if a complaint is received and how best to manage the situation to reduce the risk of litigation. The second is by Prof Damian Hughes, Visiting Professor, Division of Organisational Behaviour, Manchester Metropolitan University. Professor Hughes is an international speaker (TEDx Talk) and best-selling author. He also hosts the highly popular and influential “high performance podcast” focusing on maximizing performance. Damian has interviewed countless sports stars and high achievers to gain understanding on how success is reached and achieving personal goals. He will talk on organizational development and change psychology to help teams create a high-performance culture.

By attending this event, you will learn:

• What can we learn from past controversies 
• Learning from world experts in allied professions specializing in tinnitus and sound tolerance disorders/laryngology
• Understanding current management philosophies
• Learning how to avoid medical litigation and maximising performance  
• How to support colleagues around the world in delivering a new surgical intervention 

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