The management of idiopathic subglottic stenosis (ISGS) continues to evolve. Surgery, however, remains the primary treatment. Here I give an overview of endoscopic management and the open surgical approach called cricotracheal resection. www.richardgallagher.com.au/news/managem...

The amazing Julie McCrossin AM interviewed me as part of her work promoting World Cancer Day - which is today. We discussed what the benefits that the single port robot will bring to head and neck surgery. www.richardgallagher.com.au/news/intervi... #WorldCancerDay

Performed my first da Vinci Single Port (SP) Trans Oral Robotic (TORS) case today. The SP extends the possibilities for Head and Neck Surgery. www.richardgallagher.com.au/news/first-d...

Subglottic stenosis is caused by inflammation which results in scar tissue. Trauma is the most common cause. However, a distinct group of patients who have isolated inflammation of the subglottis have no known cause. A) Concentric subglottic ulceration B) Hard subglottic stenosis #SubglotticStenosis

Over the past 35 years since I started training in ENT–head neck surgery the management of oropharyngeal cancer has changed significantly. This has prompted me to write a 2 part blog. www.richardgallagher.com.au/2tcu www.richardgallagher.com.au/y3po #oropharyngeal cancer #TORS

The larynx, or voicebox, consists of the supraglottis, glottis, and subglottis. The subglottis, encircled by cartilage, leads into the trachea and is the narrowest airway part, measuring 12-20 mm in adults. A reduced diameter, called subglottic stenosis, can obstruct the airway.

The Head and Neck Cancer Australia Gala Dinner this past Saturday was very enjoyable and a worthwhile cause. Head and Neck Cancer Australia plays a crucial role by offering resources and support for those affected. Thank you to GenesisCare for the invitation. #HeadandNeckCancer #ENT

Second opinions are sometimes sought, understandably, by patients facing complex treatment, especially when a timely decision is required. To facilitate this I have developed a 2nd opinion service via my website buff.ly/t9K79QP #Healthcare #SecondOpinion #ENT #Necklumps

As an ENT-Head&Neck Surgeon occasionally something unusual comes through the door or in someone’s ear canal. Like this mosquito lying against the eardrum.

Just seen another patient 5 years post Transoral Robotic Surgery (TORS) and neck dissections for an HPV associated oropharyngeal cancer. Fortunately, did not require extra treatment with radiotherapy or chemotherapy. Working, swallowing and cured. See our results @ doi: 10.1007/s11701-024-01910-0.

The da Vinci Single Port (SP) robotic platform will soon be available for TORS in Australia. I've just completed my training in Strasbourg, France. The smaller flexible instruments and 3-D camera will take minimally invasive surgery for tumours of the throat to a new level.

Many of our patients have expressed interest, sometimes bordering on surprise, at the new artworks hanging in our clinic. In particular our "Boomerang" series by Keemon Williams. You can learn more about Keemon here: www.richardgallagher.com.au/artwork/boom...

Plunging ranulas in adults. I've seen a lot of them recently. My latest blog discusses diagnosis and treatment, includes more pics (graphic images warning) and challenges the origin of the name #anatomy #medtwitter #surgery https://www.richardgallagher.com.au/news/plunging-ranulas-not-quite-a-fro...

Interesting - Health professionals urge US military to require vaccination against cancer-causing virus https://www.stripes.com/theaters/us/2021-11-18/HPV-cervical-throat-cancer-vaccine-mandate-3666800.html#.YZcMO9Hrso0.twitter

I flew to Wagga Wed pm, drove through 2 hours in pouring rain to Griffith, consulted at St Vincent’s Griffith all day Thurs, and drove back to Wagga that arvo to see patients in Abdul Lathif’s room’s all Friday. Food and friendship put a smile on a tired face. Thank you Lathif!

I've been working as Lead Reviewer on Cancer Council Australia's Head and Neck Cancer patient resources. The updated booklet has now been published. In my latest blog I describe the review process and the changes we made, as well as how to access booklet https://www.richardgallagher.com.au/61lc

I feel slightly like an imposter on this paper. I provide the patients, greater minds do the hard yards. #headandneckcancer #hpv #medicalresearch @GarvanInstitute @chin_venessa @drjosephpowell https://genome.cshlp.org/content/early/2021/09/21/gr.273300.120.abstract

Celebrating Dr Bal Krishnan one of the longest serving Rural Surgeons in Australia. Proud to be present with the ENT surgical crew from Wagga when he received his recognition from RACS @RACSurgeons @RuralDoctorsAus @RDANSW

Thanks a million Dairen, Nakita and the @SVHSydney operating theatre team for the best birthday cakes @AirwaySurgeon and I have ever seen. Grey’s Anatomy meets Picasso indeed. Blown away, thank you, its a joy and privilege to work with you #headandneckcancer #anatomy #Leoseason

Is it wrong to enjoy swabbing your colleagues? Surveillance testing @AirwaySurgeon so he can be cleared to run regional ENT - Head & Neck clinics in Griffith NSW at the end of the week #COVID #SydneyLockdown #regionalhealth #nasopharyngeal #otolaryngology #ENT @SVHSydney

New videos for World Head and Neck Cancer Day 2021 - How do we improve dental care for head and neck cancer patients? Thank you St Vincent’s Private Hospital, @SVHSydney @kinghorncancer @JulieMcCrossin #WHNCD2021 https://headneckcancerforum.com/2021-videos/

It's World Head and Neck Cancer Day and in Sydney we're under lockdown but that doesn't stop us. Keith is here today about his voice prosthesis, with help from @NikkiSpeechPath, & Lisa our H&N Oncology Nurse Practitioner. Keith is 15 years post initial treatment #WHNCD2021

Just flew back from two days of regional clinics at St Vincent’s Private Community Hospital Griffith. Four passengers on the flight, all doctors. Canine control gave my patient gift of home distilled bourbon and gin the okay #headandneckcancer ⁦@SVHSydney⁩

Sydney First Nations at risk of COVID catastrophe https://www.smh.com.au/national/nsw/sydney-first-nations-at-risk-of-covid-catastrophe-20210705-p586tu.html

Head & neck cancer patients are uniquely disadvantaged by separation of dental care from Medicare. Subsidised dental & mental health services exist but only GPs can refer. My latest blog discusses how letting specialists refer could improve survivor QOL https://www.richardgallagher.com.au...

When raising awareness of rare cancers we have to choose our audience carefully. Which is why I've developed 2 training programs for GPs worth CPD pts. My latest blog explains the HPV+ OPSCC training modules & response so far #gptraining #headandneckcancer https://www.richardgallagher.com.au/...

I'm running regular clinics in Griffith & Wagga for Head & Neck cancer patients who underwent part of their treatment @SVHSydney. My latest blog explains clinics, persevering through pandemic, & importance of equipment #ruralhealth #Riverina #Murrumbidgee https://www.richardgallagher....

Catchy title! Ondine’s Curse and Trismus in Association With Kelch-like Protein-11 Autoimmunity https://ja.ma/34ur2XV via @JAMANeuro part of @JAMANetwork

Exciting to see Thom Roberts make final selection for this year's Archibald Prize. Two of Thom's works were in my exam rooms until recently, "Thom Loves Maccas" and "Thom Loves Hungry Jacks". Great conversation starters #ArtBank @ArtGalleryofNSW https://www.artgallery.nsw.gov.au/prizes/archibald...

When your team sends you a photo at the end of a long and complex case #headandneckcancer @SVHSydney

Does radiotherapy have the same impact on parathyroid glands as thyroid? Radiotherapy often results in a gradual loss of thyroid function & hypothyroidism requiring replacement medication. I’ve never seen a case of hypoparathyroidism from radiotherapy alone #HNCancer #GPCESydney

Another question from #GPCESydney, what does 10 year survival look like for HPV+ OPSCC patients? Patients are cured at 5 years. They are at risk of developing second cancers, but the risk is lower for HPV+ OPSCC patients than HPV- patients. Overall, the outlook is good #HNCancer

When discussing sexual history as a risk for HPV+ OPSCC, why is no. of sexual partners important? Truth is, you could be unlucky, only need one HPV infection, but evidence suggests volume of sexual partners means repeated HPV infection & increased risk #HNCancer #GPCESydney

The next one was a comment rather than a question. There was a lot of surprise at the extensive latency period between original HPV infection and development of HPV+ oropharyngeal cancer. It can range from ten to thirty years #GPCESydney #headandneckcancer @gpce

Some great questions at my presentation today at GPCE. First of all, a bit more information about yerba mate, a South American tea promoted as a health drink, which is emerging as a #HNCancer risk factor when drunk frequently at high temperature @gpce https://www.mayoclinic.org/healthy-lifestyle/...

Delighted with how presentation went today at GPCE Sydney. Great questions. A lot of surprise at the excellent prognosis for HPV oropharyngeal cancers diagnosed early and treated appropriately. Thank you Holland Healthcare and Team Medical Supplies for support #headandneckcancer

I'm looking forward to presenting Masterclasses on HPV & Oropharyngeal Cancer at this weekend's GPCE Sydney (General Practice Conference & Exhibition). Includes hands on guide to examining patients #raisingawareness @gpce @RACGP @hncanceraus @SVHSydney https://www.gpce.com.au/sydney/en-...

I’m 186 km/115 mi northwest of Wagga today reviewing patients at St Vincent’s Private Community Hospital Griffith. @AirwaySurgeon and I want to thank the local community for a new exam chair, also patient Geoff for great modelling #HeadAndNeckCancer #ruralandremotehealth

I’m in Wagga Wagga reviewing patients 460km/285 miles from home. My regional #headandneckcancer patients travel long distances for treatment in high volume centres like @SVHSydney. It seems only fair to travel to them a few times a year #riverina #remoteandruralhealth

Tick of approval from the @SVHSydney vaccine clinic #vaccinerollout #AstraZeneca

Finally after COVID-19 on a stunning Sydney day it’s the St Vincent’s Hospital Head and Neck Dissection Course 2021! @SVHSydney #surgmentoring #headandneck #anatomy

Frequently Asked Questions about COVID-19 vaccines for people affected by cancer | Cancer Australia https://www.canceraustralia.gov.au/affected-cancer/covid-19-and-cancer/covid-19-vaccines-and-cancer/FAQs#.YFm32Au_OKg.twitter

Waiting 40 weeks for a cancer diagnosis. My latest blog describes patient stories of delayed diagnosis of HPV+ OPSCC. It coincides with our study due for publication in the next issue of ANZ Journal of Surgery #headandneckcancer #throatcancer https://www.richardgallagher.com.au/news/waiting-40-we...

Good to be back in the operating theatre. Over the past five days I’ve completed two modified radical neck dissections, five selective neck dissections, two transoral robotic surgeries (TORS), a hemiglossectomy, and a maxillectomy. Glass of wine tonight #headandneckcancer

“If you’re a newly diagnosed cancer patient you don’t need to be operated on tomorrow afternoon. Go away and think about your future and find the best place to be treated.” David Currow, Chief Cancer Officer of NSW, Reporting for Better Cancer Outcomes meeting with @SVHSydney

Setting up the da Vinci robot with @AirwaySurgeon for one of four transoral robotic surgery (TORS) cases today. All four patients being treated for human papillomavirus HPV positive oropharyngeal cancers #roboticsurgery #HPV #cancer #surgmentoring

“We’re suddenly going to have this jump in numbers over the next 12 months of people presenting who need more aggressive treatments...it means trying to get people through the system faster and we’ve [already] got a capacity problem.” https://www.sbs.com.au/ondemand/video/1809541187985/The-Feed-U...

‘It makes me feel sick to my stomach’: Experts concerned over alarming decrease in cancer screenings https://www.sbs.com.au/news/the-feed/it-makes-me-feel-sick-to-my-stomach-experts-concerned-over-alarming-decrease-in-cancer-screenings?cid=news:socialshare:twitter via @TheFeedSBS

No one makes a sandwich better than a regional hospital. Thank you St Vincent’s Community Private Hospital Griffith #riverina #murrumbidgee #regionalhealth

Congratulations Dr Cara Morris for your success in the recent Fellowship Exams. It’s been a long week keeping the news to myself but I know your COVID exam road has been much longer. I hope you enjoyed my court recreation #FRACS @RACSurgeons @SVHSydney