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Preoperative prediction of pain outcomes in patients with trigeminal neuralgia

The authors of this retrospective study have developed a preoperative trigeminal neuralgia (TN) grading system for the preoperative prediction of long-term pain relief after microvascular decompression (MVD). Patients who had become refractory to or developed toxicity to carbamazepine or oxycarbamazepine...

Does ‘weekend effect’ alter post tonsillectomy haemorrhage rates?

Staffing levels are generally low over the weekends and senior physicians are less easily available. It is generally believed that this affects patients undergoing high-risk surgery. Whether doing tonsillectomy at weekends adds to the risks of post tonsillectomy haemorrhage is...

Transoral surgery for submandibular stones

The authors assessed the factors that influence the outcome of transoral excision of submandibular duct stones. This was a retrospective case-note review and prospective telephone survey of 125 patients, who had surgery over an eight-year period by a single surgeon....

Do I need Google maps in here?

Image guidance surgery (IGS) has grown in popularity. This review article discusses its application in endoscopic sinus surgery (ESS). IGS technology has vastly improved with smaller, more mobile platforms that are easy to set up and use. IGS allows validation...

Thyroidectomy and hypnosis

This is a retrospective study comparing thyroidectomy under conventional general anaesthesia and surgery under hypnosis. Patients are interviewed and evaluated before the surgery and the process explained. During the surgery, they are induced into a hypnotic trance in a controlled...

The role of the maxillo-facial surgeon in the management of skull base malignancy

Whilst ablative surgery remains the principal treatment option for head and neck malignancy, the skull base is the last frontier. The complex anatomy, supreme functionality of the brain, and varied pathology provokes many a detailed discussion in the multidisciplinary team...

Sir Terence Edward Cawthorne (1902-1970): first Chairman of the BACO Academic Committee

Sir Terence Cawthorne was the chairman of the academic committee of the first BACO in 1963, and was Master of the second BACO in 1967. In this article, Neil Weir describes the life and career of one of the UK’s...

Young CEORL-HNS: growing a pan-European ENT network

We are seeing a growth in the number of organisations supporting young ENT surgeons. Young CEORL-HNS is a thriving and expanding group. The Young Confederation of European ORL-HNS (Y-CEORL) was created with a simple idea in mind: to give young...

In conversation with Liam M Flood: Middlesbrough (M for Michael? ...nope, Martin!)

Liam Flood. With a name such as Liam you must have some ‘Irish blood’? Where does your family come from? Tell us more? (What did your old man / mum do?) Some Irish blood? Those who know me well would...

Practical training courses for otolaryngology trainees

In this extended Trainee Matters, it’s a pleasure to present a trio of excellent articles with a theme of practical training courses for otolaryngology trainees. Miss Rachel Edmiston, Professor Nirmal Kumar and colleagues have written a valuable guide to setting...

Virtual reality: the future of surgical training

The evolution of surgical education Surgical training has traditionally been rooted in cadaveric dissection, hands-on apprenticeships and theoretical learning through lectures and textbooks. For centuries, aspiring surgeons refined their skills through a structured process of observation, practice and mentorship. The...

From the editor May/Jun 2025

Declan Costello, MA, MBBS, FRCS(ORL-HNS),Consultant Ear, Nose and Throat Surgeon, Wexham Park Hospital, Slough, Berkshire, UK. E: d.costello@nhs.netTW / X: @Voicedoctor_uk For May/Jun 2025, we look both forward and back. We celebrate the 100th birthday of Jean-Marc Sterkers, a pioneer...