Tracheobronchial foreign body aspiration is a common emergency in childhood constituting major cause of mortality. Although ample studies regarding airway foreign bodies are present in western literature, studies in Indian context are however lacking. The aim of the study is to present an epidemiological data regarding airway foreign bodies in Indian context thereby helping to analyze the situation with regard to our socio-economic condition. Retrospective file review of all case (n = 82) that underwent rigid bronchoscopy for suspected tracheo-bronchial foreign body over a period of 7 years (2001-2008) in the department of otolaryngology of a tertiary care centre of eastern India. Patient characteristics, history, clinical, radiographic and bronchoscopic findings were noted in an attempt to define the epidemiology, clinical presentation, management and associated morbidity. Most common age of presentation was between 1 and 3 years (56.4%). Most common symptom in our study was Cough, wheezing and respiratory distress (63.4%). Most common clinical signs at presentation were diminished breath sound in unilateral lung field seen in 36.6% cases. Most common radiological finding on chest radiograph was collapse seen in 41.65% cases. Most common type of foreign body below 3 years of age was food material (seeds, beans) removed in 48.78%. Complications were encountered in 14.6% cases of which most common complication was bronchospasm and acute respiratory distress seen in 41.6% cases.

The aim of the study is to give an idea about true incidence and most common location of fallopian canal dehiscence and to identify predictive factors associated with fallopian canal dehiscence based on preoperative and peroperative clinical correlates so as to facilitate preemptive prediction of the condition. The study design pertains to a prospective study. The setting of the study was tertiary referral hospital and a total of 146 patients underwent radical and modifi ed radical mastoidectomy as primary procedure between Jan. 2003 to Dec. 2004. The site of dehiscence and associated pre-operative and per-operative fi ndings were noted. Our results showed the incidence of fallopian canal dehiscence among cases undergoing radical and modifi ed radical mastoidectomy was 82/1000 per year. Around 66.6% dehiscence was located in tympanic segment. The preoperative factors signifi cantly associated with the fallopian canal dehiscence (p< 0.05) were Aural polyp, Extra-cranial complications, Cholesteatoma and Facial palsy. Per-operative fi ndings were Cholesteatoma, All ossicles necrosed except stapes footplate and Lateral semicircular canal fi stula.

The aim of this randomized control trial, performed at a tertiary referral hospital, was to compare the therapeutic effectiveness of two novel treatment modalities, oral rifampicin and submucosal placentrex injection, in randomly selected patients of primary atrophic rhinitis regarding objective, subjective and histopathological improvement. Patients treated with oral rifampicin showed most promising results regarding objective, subjective and histopathological improvement with maximum disease-free interval on regular follow-up as compared to submucosal placentrex injections.

Odontogenic myxoma of maxilla is a very rare occurrence. It is a slow growing benign, locally malignant tumor notorious for recurrence. Hereby we present a case of recurrent odontogenic myxoma of the maxilla in a 32-year-old male managed surgically by partial maxillectomy. The diagnostic and operative dilemmas encountered while managing the case are discussed in detail.

Chondrosarcoma, the most malignant cartilageneous tumor, constitute only 4% of non-epithelial tumours of the nasal cavity, paranasal sinuses and nasopharynx, making it one of the rarest malignancies. 1,3 Here we present a case of Grade 1 chondrosarcoma involving nose, maxillary sinus, ethmoids and sphenoid sinus managed surgically by wide excision. 12 months follow-up reveled no recurrence or complication.

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Chronic osteomyelitis of frontal sinus is a rare complication of recurrent sinusitis. The pent-up secretions in the sinus may result in pressure necrosis of the containing wall of frontal sinus resulting in persistently discharging fi stula. Here we present a case of chronic osteomyelitis of frontal sinus with persistent midline fi stula over forehead in a 30 year old male managed surgically by osteoplastic fl ap procedure and frontal sinus obliteration with abdominal fat.

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