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.

Submitted for Publication

Status

Submitted for Publication

Type

Regional Survey

Year launched

2026

Study Update · Submitted for Publication

Recruitment Complete & Manuscript Submitted

We extend our sincere thanks to all regional collaborators, site leads, and contributors across participating member hospitals. Data analysis and manuscript preparation are completed, and the paper has been submitted for peer-reviewed publication.

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 and NHS trusts. Those differences matter for patient pathways, service planning, and trainee exposure.

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

Study update

Data collection across all participating North London hospital trusts has concluded. Data analysis and manuscript preparation are complete, and the paper has been submitted for publication. We extend our sincere thanks to all regional collaborators and site leads who contributed.

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

Data collection and recruitment are now complete. Sincere thanks to all collaborators across member hospitals.

Eligibility criteria

ENT trainees, trust grade doctors, and SAS doctors working in a member North London ENT department.
Clinicians who provided site-level information on local access to navigation equipment and FESS workflow.
Participating units across the 8 member NHS trusts (10 hospital sites).

Study process

1. Regional site leads coordinated local dissemination across member hospital departments.
2. Trainee and consultant responses were collected across the North London network.
3. Data analysis and manuscript preparation completed.
4. Paper submitted for peer-reviewed publication.

Study Team

Steering committee and site leads

The steering committee oversaw study design and regional coordination, alongside local site leads across participating hospitals.

Steering committee

Mr Kiran Joshi

Mr Dave Sharma

Mr Shyam Gokani

Ms Lizzie Maughan

Ms Heide Mills

Trust & site leads

Imperial College Healthcare NHS Trust

Charing Cross Hospital

Dhruv Patel · ENT trainee

Barts Health NHS Trust

The Royal London Hospital

Dave Sharma · ENT trainee

University College London Hospitals NHS Foundation Trust

The Royal National Throat, Nose and Ear Hospital

Samuel Massias · ENT trainee

Royal Free London NHS Foundation Trust

Royal Free Hospital

Site lead to be confirmed · ENT trainee / SAS collaborator

Chelsea and Westminster Hospital NHS Foundation Trust

West Middlesex University Hospital

Ainesh Singh · ENT trainee

London North West University Healthcare NHS Trust

Northwick Park Hospital

Jonathan Botterill · ENT trainee

Barking, Havering and Redbridge University Hospitals NHS Trust

Queen's Hospital, Romford

Site lead to be confirmed · ENT trainee / SAS collaborator

Homerton Healthcare NHS Foundation Trust

Homerton Hospital

Site lead to be confirmed · ENT trainee / SAS collaborator

Publications

Outputs linked to this study

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

Manuscript submitted for publication.

Data analysis and manuscript preparation completed and paper has been submitted for publication. Citation details will be posted here once published.

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.

Submitted for Publication

Regional Survey · 2026

Download protocolContact the collaborative

Collaborator recognition

Thanks to all collaborators across member hospitals. Data analysis and manuscript preparation are completed, and the paper has been submitted for publication.

Local leads coordinated dissemination and ensured completeness of site responses.
Collaborator recognition and formal co-authorship follow the collaborative policy published on the About page.

Contact collaborative