A weekly podcast breaking down the latest peer-reviewed research in head and neck surgery and oncology. Perfect for busy clinicians.

Head and Neck Oncology Journal Club
Claim This Podcastby Krishnakumar Thankappan
Podcast Overview
A weekly podcast breaking down the latest peer-reviewed research in head and neck surgery and oncology. Perfect for busy clinicians.
Language
🇺🇲
Publishing Since
12/3/2025
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Recent Episodes

July 4, 2026
The METRO PLUS Trial: Metronomic Chemotherapy Added to Paclitaxel-Carboplatin in Advanced HNSCC
<p><strong>Can a $180-a-year regimen close the access gap in advanced head and neck cancer?</strong></p><p>In this episode we cover METRO PLUS (Kapoor et al., JCO Global Oncology 2026), a single-center, open-label, phase III trial from Varanasi testing whether adding triple oral metronomic chemotherapy — erlotinib, celecoxib, and weekly methotrexate — to paclitaxel-carboplatin improves survival in platinum-sensitive, unresectable advanced HNSCC.</p><p>238 patients, randomized 1:1, in a young, oral-cavity-predominant cohort. The combination doubled median overall survival (10 v 5 months; HR 0.54) and progression-free survival (6 v 2 months; HR 0.38), lifted the 6-month OS rate to 68.6% versus 36.5%, and did all of this without increasing grade 3-5 toxicity. Quality of life favored the combination across multiple domains.</p><p>Paper: <a href="https://doi.org/10.1200/GO-25-00721">https://doi.org/10.1200/GO-25-00721</a></p>

June 28, 2026
Thyroglossal Duct Cyst Excision: Sistrunk Procedure
<p>Audio companion to our surgical video on the Sistrunk procedure for thyroglossal duct cyst. Embryology, why simple excision recurs, and a concise step-by-step of the operation — incision, subplatysmal flaps, strap separation, central hyoid skeletonisation and resection, en bloc specimen delivery, and layered closure. Watch the dissection: <a href="https://www.youtube.com/watch?v=cki1r1fIAw8">https://www.youtube.com/watch?v=cki1r1fIAw8</a></p>

June 28, 2026
Neoadjuvant Chemoimmunotherapy vs Immunotherapy Alone in HNSCC
<p><strong>A 23-study, 751-patient meta-analysis asks a practical question: when you give neoadjuvant immunotherapy before surgery in resectable head and neck cancer, does adding chemotherapy actually help?</strong></p><p>Baratz and colleagues (Mayo Clinic, JAMA Otolaryngology–Head & Neck Surgery, March 2026) pooled the prospective phase 1 and 2 data across three regimens — chemoimmunotherapy, single-agent immunotherapy, and dual-agent immunotherapy — in mostly HPV-negative, locally advanced disease.</p><p><strong>What we cover:</strong></p><ul><li>The headline response gap: major-plus-complete pathologic response of <strong>66% with chemoimmunotherapy vs 18% dual-agent vs 6% single-agent</strong></li><li>Complete pathologic response (~38% vs 5% vs 3%) and why radiographic complete responses appeared only in the chemoimmunotherapy arm</li><li>The counterintuitive safety finding — more grade 3–5 events with single-agent immunotherapy (29%) than chemoimmunotherapy (17%) — and why the authors won't draw conclusions from it</li><li>The crucial caveat: these are pooled single-arm trials, not a randomized head-to-head</li><li>Who the likely target population is for a future phase 3 trial: HPV-negative, T3/T4 oral cavity disease</li></ul><p><strong>Bottom line:</strong> A large, consistent signal that neoadjuvant chemoimmunotherapy outperforms immunotherapy alone on pathologic response — strong enough to justify a phase 3 comparison, not strong enough to settle it.</p><p><strong>Source paper</strong><br> Baratz HQ, Hidalgo C, Price DL, et al. Neoadjuvant Immunotherapy and Chemoimmunotherapy Regimens in Head and Neck Cancer: A Systematic Review and Meta-Analysis. JAMA Otolaryngol Head Neck Surg. Published online March 12, 2026. doi:10.1001/jamaoto.2026.0080<br> <a href="https://doi.org/10.1001/jamaoto.2026.0080">https://doi.org/10.1001/jamaoto.2026.0080</a></p><p>More episodes: hnoncology-journalclub.netlify.app</p>
21 total episodes available
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Frequently asked questions
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- What is Head and Neck Oncology Journal Club?
- How often does this podcast release new episodes?
This podcast updates daily.
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This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
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Information about guest appearances is not available.
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