Report by Robin Youngs,
Consultant ENT Surgeon Gloucester

The annual meeting of the BRS for 2009 was held in Cheltenham, being hosted by Robin Youngs and Kate Evans. Cheltenham Racecourse proved to be an excellent setting for the meeting, being popular with delegates and trade exhibitors alike. There was a full and stimulating academic content to the meeting.

The first session saw ten excellent short papers show-piecing some of the first class work currently being undertaken in British rhinology. The standard of presentation was outstanding, with Jonathan Fishman being awarded the prize for best paper for his talk on “A single-blinded prospective randomised controlled trial comparing intense endoscopic cleaning versus minimal intervention following functional endoscopic sinus surgery”.

The next session focused on trans-gender and psychological issues in rhinoplasty. Hisham Saleh presented his experience of rhinoplasty in patients undergoing gender re-assignment surgery at Charing Cross. David Veale from The Maudsley Hospital gave an excellent talk on “Body dysmorphia and the nose”. These presentations were followed by a light-hearted but taxing rhinology quiz ably put together by Kate Evans.

After lunch Professor Jan Gosepath from Wiesbaden, Germany delivered the inaugural Karl Storz Lecture. The subject was “Novel concepts in the management of nasal polyposis”. This was a superb account of the pathophysiology of nasal polyposis, with its cllinical applications. Of particular interest was Professor Gosepath’s experience of aspirin immunotherapy in aspirin sensitive polyp patients. The afternoon was rounded off by a discussion of interesting cases, followed by the society’s AGM.

The event concluded by Professor Valerie Lund handing over the Presidency of the BRS to Andrew Swift. Mr Swift thanked Professor Lund for her work on behalf of the Society during the three years of her stewardship. Also many thanks are due to Barbara Komoniewska from the ENT UK office for her part in the administration of the meeting. Next year’s meeting will be held in Oxford and organized by Grant Bates.

	09:00	Registration Tea / Coffee - Posters & Exhibitors
	09:50	Welcome and introduction
	10:00	Registrar papers
		Automated tool for reporting ct scans of paranasal sinuses Abdel-Razzak Natsheh, A. El-Kholy, P.V.S. Ponnapalli, P. Norburn, N. Anani
		Can geometric complexity be used to predict flow outcomes? Robert Almeyda, N. Tolley, D. Doorly
		British Rhinological Society Audit of Antibiotic Use for Complications of Acute Rhinosinusitis : A National Prospective Audit Humera Babar-Craig, Y. Gupta, V.J. Lund CBE
	1st PRIZE	A single-blinded prospective randomised controlled trial comparing intense endoscopic cleaning versus minimal intervention following functional endoscopic sinus surgery Jonathan Fishman, L. Orr, S. Sood, D. Gupta
		Psychometric validity of the 22 item Sinonasal Outcome Test (SNOT22) Claire Hopkins, S. Gillett, R. Slack, J. Browne
		Coblation® inferior turbinate reduction surgery: A long-term follow-up with subjective and objective assessment Samuel C Leong, S. Farmer, R. Eccles
		Local nasal immunotherapy for allergic rhinitis: a systematic review Stephen McDonald
		A Standardised Endoscopic Method for Photographic Measurement of Areas in the Nasal Cavity Arash Naraghi, J. Hallinan, D. Gupta
		A double-blinded randomised controlled trial of gloved versus ungloved merocel middle meatal spacers for endoscopic sinus surgery Carl Philpott, E. Akbari, A. Ostry, A. Janver [Canada]
		Objective assessment of nasal displacement Alex Toh, J. Mathews
	11:00	RHINOPLASTY - UNUSUAL ASPECTS Gender Benders Hesham Saleh, Consultant ENT Surgeon, Charing Cross Hospital Body Dysmorphia Disorder and the nose Dr David Veale, Consultant Psychiatrist in Cognitive Behaviour Therapy South London & Maudsley Trust
	12:00	Quiz - Miss Kate Evans
	12:30	Lunch - posters & exhibitors
	14:00	KARL STORZ GUEST LECTURE Novel concepts in the management of nasal polyps Jan Gosepath MD, Wiesbaden, Germany
	15:10	BRS Fellowship report - Mr Carl Philpott
	15:30	Tea/coffee - posters & exhibitors
	16:00	Interesting cases discussion
		Cavernous sinus thrombosis secondary to contra-lateral sphenoid sinusitis: a diagnostic challenge Ahmed Eweiss, H. Khalil
		Pterygo-palatine lesion J. Hobson, Dr Sam Sanghera, C. Lobo
		Balloon Sinuplasty in Acute Frontal Sinusitis C. Hopkins, Edward Noon, D. Roberts
		Frontal sinus C. Langton Hewer, Stephen McDonald, S. Nair, A. Sama
		Petrous apex cholesterol granuloma – transmastoid or trans-sphenoidal? Carl Philpott, M. Clark, B. Westerberg, A.R. Javer [Canada]
		An unusual presentation of inverted papilloma: case report V. Visvanathan, H. Wallace, P. Chumas, Z. Makura
	16:30	Annual general meeting
	17:00	Close

	Title	Authors
1st	Spontaneous silent sinus syndrome - series of 16 cases.	H. Kayhanian, H. Babar-Craig, G. Rose, V.J. Lund
3rd	Patient perceptions of appropriate first aid measures in epistaxis management and the effect of brief intervention	Fishman JM, Brooks A, Banfield G