On-demand: Controversies and management dilemmas

Watch the pre-recorded webinar of the second ENT day to learn about the past controversies in ENT and how to manage patients who present a diagnostic or treatment challenge.

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 a lecture 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.

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 

This pre-recorded webinar will be available seven days after the in-person event on Friday 6 December 2024. Registered event participants will receive the link to the recording via email to watch on-demand for up to 60 days.

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The Laryngology, Rhinology and Otology Sections would like to thank our Annual Sponsors B.Braun Medical Ltd, DP Medical Systems LTD, Medtronic and Soluvos Medical for their valued support of the 2024 to 2025 Academic Programme. We would also like to thank our sponsors Guymark UK Ltd, KARL STORZ Endoscopy (UK) Ltd, Minim Healthcare Ltd and Mitchell Wealth Management for supporting this meeting.
Please note that none of the companies listed has had any influence or involvement over the agenda, content or organisation of this meeting.