Stuart Clark (ENT)

Consultant Oral and Maxillofacial Surgeon

Manchester Royal Infirmary, Manchester, UK.

Latest Contribution

Surgical management of refractory osteoradionecrosis

27 February 2020 | | ENTA-Head & Neck | Osteoradionecrosis, free flap, management, mandibular, surgery

This is a French single-centre, 10-year experience of 55 surgical resection and reconstruction procedures. They claim an overall effectiveness rate of 92.3%. A total of 36 segmental and 19 marginal mandibulectomies were performed. A variety of free flaps were used,...

Hierarchy of orthognathic surgical stability

27 February 2020 | | ENTA-Head & Neck | orthognathic surgery, overview of systematic reviews, recurrence, stability, systematic review

This study was designed as “an overview” of secondary studies and analysed 15 articles. Two procedures were considered highly unstable: a bilateral sagittal split osteotomy for clockwise rotation of the mandible with bi-cortical screw rigid internal fixation, and posterior maxillary...

Delays in oral cancer

1 November 2019 | | ENTA-Head & Neck | Oral cancer, patient delay, professional delay, squamous cell carcinoma, treatment delay

This is a review from Canada where they attempt to relate delays in oral cancer presentation to treatment and the impact on stage, diagnosis and survival. They recognise that potentially the most significant delay is between the patient first noticing...