R James A England MD FRCS (ORL-HNS) is Consultant Otolaryngologist Head and Neck and Thyroid Surgeon and Honorary Senior Lecturer at Hull University Teaching Hospitals NHS Trust, UK.Eamon Shamil MBBS, MRes, MRCS, DOHNS is Specialist Registrar in ENT - Head and Neck Surgery at St. George’s University Hospital, South London Deanery, UK