INTENT Collaborative logo

INTENT-01

CT Image Guidance for FESS: A North London Regional Survey

A multi-site regional survey exploring access to and use of surgical navigation for functional endoscopic sinus surgery across North London ENT units.

Recruiting

Status

Recruiting

Type

Regional Survey

Year launched

2026

Background

Rationale

Study context and regional significance.

CT image guidance has become an increasingly visible adjunct in functional endoscopic sinus surgery (FESS), particularly in anatomically complex disease, revision cases, and higher-risk skull base work.

Across a regional training network, access to this technology and the way it is incorporated into routine practice can vary substantially between hospitals. Those differences matter for patient pathways, service planning, and trainee exposure.

INTENT-01 is designed as the collaborative's first North London project. It will map the current regional landscape, describe patterns of use, and capture how trainees experience access to navigation-enabled FESS in day-to-day practice.

Why this matters

  • Establishes a baseline picture of regional practice.
  • Identifies variation in equipment access, theatre workflows, and training exposure.
  • Creates a platform for future quality-improvement work and collaborative publications.

Objectives

Primary aims

The questions the survey is intended to answer across the network.

  • Describe the availability of CT image guidance for FESS across participating North London ENT departments.
  • Characterise how surgical navigation is currently used in routine elective and complex sinonasal practice.
  • Capture trainee experience, confidence, and perceived barriers to accessing navigation-supported FESS.
  • Generate baseline regional data to support future collaborative audit, service evaluation, and interventional studies.

Participation

Eligibility and involvement

Participating sites will identify a local lead to coordinate survey completion and confirm departmental practice details.

Eligibility criteria

  • ENT trainees, trust grade doctors, and SAS doctors currently working in a member North London ENT department.
  • Clinicians able to provide site-level information on local access to navigation equipment and FESS workflow.
  • Participating units within the 10-member INTENT hospital network.

How to participate

  1. 1. Register your interest with the INTENT steering committee.
  2. 2. Confirm your hospital and collaborator role.
  3. 3. Receive the study pack and local survey instructions.
  4. 4. Submit site-level responses within the active data-collection window.

Study Team

Steering committee and site leads

The steering committee oversees study design and regional coordination, while local site leads support delivery within each participating hospital.

Steering committee

Mr Kiran Joshi

Mr Dave Sharma

Mr Shyam Gokani

Ms Lizzie Maughan

Ms Heide Mills

Site leads

The Royal London Hospital

Simran Thadani · ENT trainee

Whipps Cross University Hospital

Marios Erotocritou · ENT trainee

Charing Cross Hospital

Dhruv Patel · ENT trainee

St Mary's Hospital

Site lead to be confirmed · ENT trainee / SAS collaborator

Recruiting

West Middlesex University Hospital

Ainesh Singh · ENT trainee

Northwick Park Hospital

Jonathan Botterill · ENT trainee

Queen's Hospital, Romford

Site lead to be confirmed · ENT trainee / SAS collaborator

Recruiting

The Royal National Throat, Nose and Ear Hospital

Samuel Massias · ENT trainee

Royal Free Hospital

Site lead to be confirmed · ENT trainee / SAS collaborator

Recruiting

Homerton Hospital

Site lead to be confirmed · ENT trainee / SAS collaborator

Recruiting

Publications

Outputs linked to this study

Study-specific abstracts and publications will appear here as they become available.

Results pending.

Study Summary

INTENT-01

A cross-sectional survey examining the availability, utilisation patterns, and trainee experience of CT image guidance for functional endoscopic sinus surgery across North London ENT departments.

Recruiting
Regional Survey · 2026
Download protocolContact the collaborative

Site lead information

Local collaborators will coordinate dissemination, confirm site-specific details, and support submission of complete responses.

  • Local leads will coordinate dissemination, ensure completeness of responses, and act as the point of contact for clarifications.
  • Recognition and authorship will follow the collaborative policy published on the About page.
Register interest