Objective Non-Specifi c Chronic/Recurrent Pharyngitis is a diagnosis with no defi nite effective treatment. An array of drugs and therapies has been tried from local applications like Mandl's paint and throat gargles to anxiolytics. None have proved of therapeutic benefi t. This trial study is a Pilot study of its kind in to the effectiveness of nasal steroid spray in the treatment of non-specifi c chronic pharyngitis. This is a prospective randomized study.Setting Study done in medical college with ambulatory patients centre.Patients 53 patients were taken up for the study though only 42 could be followed up for a period of 1-2.5 years. Selection done on the basis of symptoms avoiding extreme age groups and subjective persistent relief was central to be considered proof of effectiveness of the treatment. Fluticasone Nasal Spray was used in the study.Results 35 patients (83.3%) reported some degree of relief in symptoms. 68% had >90% relief of symptoms with only a total of 1-2 sprays. There were 7 failures. Side effects were negligible.Conclusion Nasal steroid spray is therefore recommended as a most cost-effective, safe treatment method for well-selected cases of Chronic Non-Specifi c Pharyngitis.

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media characterized by ear discharge, membrane perforation and hearing impairment is a major cause of deafness in India. Tympanoplasty with or without mastoidectomy done by postaural, endaural or transcanal approach is the treatment. Each approach has its advantages and limitations. The transcanal approach is becoming more popular today. A detailed study on the merits and demerits of the transcanal approach to tympanoplasty could not be found in the literature. This study compares this with the postaural approach. The study is aimed to evaluate the merits and demerits of transcanal tympanoplasty.</p><p class="abstract"><strong>Methods:</strong> This study comparing transcanal versus postaural approach in tympanoplasty was carried out between April 2014 and April 2015 for 12 months. A total of 50 patients were divided into two groups (25 each in a group) and compared 11 parameters.</p><p class="abstract"><strong>Results:</strong> Out of 11 parameters, 5 showed a statistically significant difference between the two, favouring transcanal approach. However, surgical results were similar.</p><p><strong>Conclusions:</strong> Transcanal approach has more merits and fewer demerits than others for tympanoplasty, with equal hearing results.</p>