Head and neck oncology
We are a regional centre for head and neck surgery and our head and neck cancer services include primary assessment and diagnosis, specialist review, surgery and follow up.
The surgical team includes maxilllofacial surgeons and an ENT surgeon, all with sub specialty experience in tumours of the mouth, throat, neck and head.
Both routine and advanced surgery is carried out, including laser surgery and advanced reconstructive techniques. This may include routine tongue cancer ablation and simple free tissue transfer to complex facial or laryngopharyngeal ablation requiring advanced complex free tissue transfer techniques.
The surgical team meet weekly as a multidisciplinary team with other local ENT surgeons, oncologists, speech and language therapists, psychological therapists, dieticians and specialist nurses to offer co-ordinated state-of-the-art care to both inpatients and outpatients.
Our Macmillan Head and Neck Clinical Nurse Specialists, Pauline Mortimer and Adiola Katandika, act as a point of contact for patients, relatives, carers and other healthcare professionals and coordinates care and psychological support for patients receiving treatment for head, neck and thyroid cancer at QVH.
We also provide treatment for patients with associated skull base disease in conjunction with Hurstwood Park neurosurgery centre.
Consultant treatment outcomes
As part of a drive to give patients more information about their treatment and help the NHS drive up and maintain the quality of care, NHS England is now publishing mortality rates for individual hospital consultants in ten specialties including head and neck cancer.
Head and neck surgeons at QVH have been 100% compliant with entering cases using the new DAHNO (Data for Head and Neck Oncologists) data collection system. The data is based on the initial treatment of new diagnosis cancer only, and not on salvage surgery or treatment of recurrent disease or advanced skin cancer – all of which is also frequently performed at QVH.
Find out more about our head and neck oncology service in our latest quality report which you can read here.
Mr Brian Bisase
Consultant Maxillofacial Surgeon
Specialist interests: Head and neck cancer ablation and reconstruction, including micro-vascular surgery and surgical dermatology; maxillofacial trauma surgery; salivary gland disease; and routine oral surgery.
Mr Brian Bisase graduated in dentistry and medicine from the University of London, where he was awarded the Newland Pedley Medal and Scholarship. After completing his surgical training, Mr Bisase undertook higher training in oral and maxillofacial surgery over a five year period, working across the Royal Surrey County Hospital in Guildford, Guys and Kings College Hospitals in London, and here at QVH.
He was awarded the British Association of Oral and Maxillofacial Surgery Gold Medal for coming top in the intercollegiate maxillofacial surgery FRCS exams in 2009. He undertook further specialist training in Toronto, Canada and at the Royal Marsden Hospital where he developed experience in thyroid, anterior skull base and sarcoma surgery, laryngo-pharyngeal reconstruction and advanced reconstruction of the complex defect. He joined QVH in January 2012.
Mr Bisase is an active member of the British Association of Oral and Maxillofacial Surgery and British Association of Head and Neck Oncologists where he has presented clinical research projects and been published in their journals. He is also published in other peer reviewed journals and plays an active part in research at QVH and collaboration with other hospitals. He is a member of the NICE (National Institute for Health and Care Excellence) quality assurance and framework group.
In addition to his clinical work at the Trust, he is the Trust clinical lead for head and neck (H&N) cancer. He also works closely with the Surrey and Sussex Cancer Alliance and is its clinical lead for head and neck cancer. He also devotes time to teaching, professional training and steers the clinical outcomes group for head and neck surgery at QVH. He is national leader for question writing section 1 for the JCIE (Joint Committee for Intercollegiate Examinations) for the FRCS maxillofacial consultant examinations. Mr Bisase is also project lead for the introduction of a number of programmes aimed at improving patient care such as – Tracheostomy Care and the Enhanced Recovery Programme for patients undergoing major Head and Neck surgery (ERPHN), sentinel node biopsy and electrochemotherapy. QVH is the only provider of the latter two services in the South East of England. Together with allied healthcare professionals at QVH, Mr Bisase has introduced a process for collating the feedback of head and neck cancer patients.
Mr Bisase’s major cases are all fully discussed in a multi-disciplinary team, he ensures that they have received sufficient testing for diagnosis, and treatment plans are in line with national standards.
Mr Bisase also runs clinics at Horsham and Maidstone hospitals.
Mr Jag Dhanda
Consultant Maxillofacial/Head and Neck Reconstructive Surgeon
Mr Jag Dhanda is a triple qualified surgeon with a medical degree, a dental degree and a doctorate in philosophy. He is also a Clinical Reader at Brighton Medical School. Mr Dhanda has also obtained a Medical Research Council funded intercalating degree (Bachelor of Science) in cellular and molecular pathology. He has dual membership of the Royal College of Surgeons of England (MFDSRCS, MRCS and FRCS) and has trained in Bristol, London, Birmingham and Liverpool as well as East Grinstead.
Mr Dhanda is the only UK surgeon to have obtained the college, faculty and specialty research fellowships from the Royal College of Surgeons of England (Royal College of Surgeons of England Research Fellowship, British Association of Oral and Maxillofacial Surgeons/Facial Surgery Foundation-Saving Faces Research Fellowship and Faculty of Dental Surgery, Royal College of Surgeons of England Research Fellowship).
After completing his higher surgical training, Mr Dhanda went on to gain experience as an interface fellow as the highest ranked maxillofacial trainee for the nationally competitive and prestigious interface fellowship in head and neck surgical oncology.
He has also been awarded the National Cancer Research Institute Head and Neck Clinical Studies Group Clinical Trials Fellowship and holds both an Honorary Senior Lecturer position at Imperial College London and a Honorary Clinical Readers position at Brighton and Sussex Medical School. He is authored several book chapters and published in journals including British Journal of Cancer, Head and Neck and the British Journal of Oral and Maxillofacial Surgery.
Mr Dhanda is currently setting up the MSc programme in dental implant reconstructive surgery at Brighton Medical School and was recently awarded the Presidents Prize at the British Association of Oral and Maxillofacial Surgeons Conference in 2018 for his work on iKnife technology at Imperial College, London. He also hosts the annual advanced microvascular, virtual surgical planning and cadaveric perforator course.
Mr Dhanda is a member of council of the British Association of Oral and Maxillofacial Surgeons and a member of council of the Royal College of Surgeons of England, Faculty of Dental Surgery.
Mr Aakshay Gulati
Consultant Maxillofacial Surgeon
Specialist interests: Head and neck oncology and microvascular facial reconstruction, surgical dermatology and reconstruction, salivary gland surgery, complex oral surgery and implantology.
Mr Aakshay Gulati is a dually qualified oral and maxillofacial surgeon. He obtained his Bachelor’s degree in Dental Surgery in 1996 and worked in a series of hospital posts in oral surgery around the London region for five years, successfully obtaining the Fellowship in Dental Surgery (FDSRCS), awarded by the Royal College of Surgeons of England in 2001.
Thereafter he graduated in Medicine (MBBS) from King’s College London in 2006 and completed generic surgical training, which culminated in the Membership of Royal College of Surgeons (MRCS) in 2009. His higher surgical training in oral and maxillofacial surgery was based in the south coast of England and this led to the award of the Fellowship of the Royal College of Surgeons in Oral and Maxillofacial Surgery (FRCS-OMFS) in 2014. He has completed a head and neck and microvascular reconstruction fellowship in a renowned centre in Munich in 2012 and was subsequently also selected for the highly coveted national interface head and neck fellowships. He has also developed an interest in implantology and has completed advanced training in the field.
Mr Gulati is the clinical tutor for oral and maxillofacial surgery in East Grinstead. He is on the review panel and has publications in various peer reviewed journals. He is passionate about teaching and regularly lectures in oral and maxillofacial surgery and implantology. He has had the opportunity of being invited as guest lecturer and keynote speaker on head and neck reconstruction at international scientific meetings.
Mr Gulati was the recipient of the Leibinger Prize in 2012. He is also actively involved with leadership roles as an executive board member of the European Association for Cranio-Maxillo-Facial Surgery.
Mr Gulati’s surgical interests lie in head and neck oncology and microvascular reconstruction, salivary gland surgery, surgical dermatology, complex oral surgery and implantology. His clinics are based in East Grinstead and the Medway region, and he is also a member of the West Kent Head and Neck Multidisciplinary team.
Mr Laurence Newman
Consultant Maxillofacial Surgeon
Specialist interest: Maxillofacial surgery
Mr Laurence Newman has been a Consultant Maxillofacial / Head and Neck Surgeon since 1997. His clinical practice is focused on the management of benign and malignant head and neck tumours. He operates on approximately 70 major head and neck cases annually.
He is also the Chair of the head and neck multidisciplinary team at the Kent Oncology Centre.
Mr Newman was a member of the Guideline Development Group at NICE (the National Institute for Health and Care Excellence) responsible for writing national guidelines for the management of head and neck cancers that were published in 2016.
He has a Master in Laws Degree (LLM) and is actively involved in medicolegal matters, particularly involving clinical negligence. He works closely with NHS Resolution and the NHS Ombudsman.
Mr Newman is currently an Assessor of Examiners for the FRCS examination in Maxillofacial Surgery and was the Chair of the Court of Examiners from 2010-2013. He helps to quality assure the examination process which impacts on patient safety.
Mr Paul Norris
Consultant Maxillofacial Surgeon
Specialist interests: Oral and skin malignancy of the head and neck, particularly reconstruction of the post-ablative defect including microvascular surgery; surgery involving salivary gland disease; facial trauma; and dentoalveolar surgery.
Mr Paul Norris works at the world famous Queen Victoria Hospital in East Grinstead, Darent Valley Hospital Dartford and Maidstone Hospital.
He graduated in medicine from the University of London (Kings College Hospital) in 1998. As he specialises in the surgical ablation and reconstruction of head and neck cancer patients he also studied dentistry, gaining another degree from the University of London. He is a Fellow of the Royal College of Surgeons of both England and Edinburgh.
After experience in general, vascular, plastics, orthopaedics and urology surgery, Paul entered higher surgical training in oral and maxillofacial surgery working at Addenbrooke’s Hospital Cambridge, QVH, University College London Hospital, The Eastman Dental Hospital and Great Ormond Street Hospital in London. He passed the Intercollegiate Examination in Maxillofacial Surgery in March 2007 and has been on the Specialist Register of the General Medical Council since September 2008. He took up appointment as a consultant at QVH in November 2008.
Mr Norris devotes a significant amount of time to teaching, professional training and continuing medical education. He lectures internationally and was honoured to be asked to undertake head and neck cancer educational courses recently for the International Association of Oral and Maxillofacial Surgery in Indonesia and Malaysia.
Qualifications: BDS, MBBS, FDSRCS (Eng), FRCS (Ed), FRCS(OMFS)
Mr John Tighe
Consultant Maxillofacial Surgeon
Clinical Director for Head and Neck Services
Specialist interests: Management of patients undergoing surgical treatment and reconstruction for head and neck malignancy.
Mr John Tighe is a Consultant Oral & Maxillofacial Surgeon at Queen Victoria Hospital in East Grinstead and has been in post since 2002.
Mr Tighe is qualified in both dental surgery (U. Bristol 1986) and medicine (U. London 1990) and carried out his higher surgical training locally on the South Thames rotation. As well as his duties at East Grinstead he carries out a peripheral clinic at Uckfield Community Hospital and a rapid access clinic at East Surrey Hospital.
Mr Tighe has a special interest in the management of patients undergoing surgical treatment and reconstruction for head and neck malignancy and is a core member of the Brighton Head and Neck Oncology Multidisciplinary Team. In addition, Mr Tighe carries out a broad spectrum of oral and maxillofacial surgical procedures including salivary gland surgery, surgical dermatology and dental implantology.
His latest major cases show that he ensures all his patients are fully discussed in a multi-disciplinary team, and ensures that they have received sufficient testing for diagnosis and treatment plans.
John Tighe, year ending October 2014:
No. of major surgical procedures: 12 cases.
Pre-treatment multi-disciplinary team discussion: 12 cases (100% of cases).
Resective pathology multi-disciplinary team discussion: 12 cases (100% of cases).