Head and Neck | Reducing the Unknowns-Investigations & Management of the Unknown Primary |Mr Al-

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07/10/23

Head and Neck | Reducing the Unknowns-Investigations & Management of the Unknown Primary

By
Mr Ali Al-Lami
Consultant ENT/Head & Neck SurgeonBSc ( Hons) MBBS (Distinction) MSc (Merit) MRCS DOHNS

Guy's And St Thomas Virtual Grand Rounds
07th April 2021

02:06 - Presentation
03:13 - Initial questions to ask
04:05 - Definitions
06:01 - Incidence of occult primary
06:56 - Diagnostic protocol - pathology
10:21 - Diagnostic protocol- radiological and surgical
12:08 - Bilateral tonsillectomy
12:49 - Potential other sites
14:37 - Impact of PET-CT
16:51 - Cystic LN/Branchial cleft cyst
18:28 - Rule of BoT mucosectomy
20:05 - Further surgical treatment protocol
21:53 - Radiation treatment protocol
22:22 - Role of TORS/endoscopic/laser
25:23 - Scenario 1: no pre-operative diagnosis
26:14 - Conclusion
27:14 - Q&A