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Introduction: Multiplicities in techniques are performed by the surgeon with operating improvement of deviated nasal septum. Procedure of septoplasty and resection of sub-mucous are a primary approach for the treatment of patients suffering from nasal obstruction. This study was begun to take assessment of benefits and complications, whether occurring throughoutseptoplasty andto correlate post-operative outcomes or difficulties of it related to conventional septoplasty. Materials and Methods: Criterias were made to take people in study and they were-age more than 18 years, symptomatic DNS, nasal obstruction, chronic rhinosinusitis, patients with complications like epistaxis, headache, snoring. Procedure done was rigid endoscopy. On the both sides of deviation, 2% xylocaine with adrenaline was infiltrated. Then an incision was made on the convex side of deviation and distal to the deviation. The patients in between the 18-40 years of age group were considered and proper consent was taken. Two groups were randomly formed with 40 patients in each group. Group A underwent endoscopic septoplasty, the other group underwent conventional septoplasty. Results: During post-operative chart, up of frequency of indications reassured after surgery amongst the patients. Nasal obstacle was relieved in 40% of cases of (group I) and in 80% of (group II). However, headache was relieved in 30% of cases of conventional septoplasty and 70% of cases of endoscopic septoplasty. Dorsal digression has been seen in thirteen cases of conservative septoplasty group and four cases of endoscopic group. In 9 and 7 cases that experienced conventional septoplasty spur synechia were persistedfor a long period respectively. Conclusion: It can be concluded from this study that the endoscopic Septoplasty is safer, effective and conservative approach with better results and has lesser postop complications as compared to the conventional group. It isrecommendedthat this technique be considered as the procedure of choice in these patients.

Introduction: Tympanic membrane perforations caused by chronic suppurative otitis media are very frequent. Tympanoplasty is a general surgical practice for the repair of TM perforation. The aim of the present study was to evaluate the hearing outcomes following type I tympanoplasty using temporalis fascia as a graft. Materials and Methods: This cross-sectional study was carried out in the Department of ENT. A total of n=65 patients n=35 male and n=30 female were selected. All the cases underwent tympanoplasty through post aural technique using harvested temporalis fascia as the autograft material by underlay approach. The external auditory meatus was then packed with soframycin pack. Sutures and soframycin pack was taken out on the 7 th day of operation. Steroid nasal spray for 2 months along with antibiotics and decongestants which were advise for 2 weeks. The patients were followed at the one-month interval for 3 months than at 6 months. Results: The prevailing perforations were (less than 50% of the TM) found in n=29 (44.61%) of the patients followed by medium size perforations n=21 (32.30%) and large perforations were found in n=15 (23.07%). The overall success rate of the graft was n=61 (93.84%) patients out of n=65 patients and the graft uptake was found in n=63(96.92%) of the patients. The overall improvement of hearing recorded the mean preoperative air-bone conduction in male prior to the operation was 23.5±3.2 dB and mean postoperative AB gap after 3 months was 8.61±1.7 dB and the gain was 14.89±1.50 similarly in females the mean preoperative AB conduction was 22.1±2.8 dB and mean postoperative AB conduction was 6.72±1.39 the gain was 10.60±1.41. Conclusion: Type I tympanoplasty with temporalis fascia is reasonably successful for the treatment of central perforations with dry ears. The audiological outcomes in the form of hearing improvements were noticed in almost all of the patients.

Introduction: Cervical masses have probable spectrum of nonspecific inflammation to malignancy and tuberculosis. The object of the present study was to assess a number of cervical neck mass with the role of FNAC to diagnose these lesions. Materials and Methods: The characteristics were noted on pre-outlined questionnaire as regarding local investigation findings, laboratory and history of cases and patients' personal details. Analysis of every case was depending upon cytomorphology and clinical evaluation as cytological findings. Results: Out of 520 patients there were 254 (48.84% male and 266 were female cases. Thyroid lesions were found excessive in female (85.91%) compare to male (14%). Occurrence of lymph node was found 56.12% in male cases and 43.87% in female cases, which were slightly more in male patients. The prevalence of salivary gland lesion was found more in male (55%) compare to female (45%). Conclusion: FNAC is useful investigation in diagnosis of cervical masses.

Plantar fasciitis is common condition causing severe plantar pain, and the its rst classical striking symptoms and signs are severe plantar pain tenderness of the rst few steps after awakening and causing gait difculty. The early clinical, sonography and laboratory diagnosis conrmation parameters will denitely help in preventing complex plantar fasciitis and its chronicity leading to degeneration, fasciosis and sequalae. The key nding in sonovascular imaging incudes measurement of plantar fascia thickness, echogenicity vascularity and reactive uid. plantar fascial thichkness in mean normal is 0.25 cm and mean abnormal is 0.6 cm suggesting thickness. Above 0.25 cm with associated clinical ndings is signicant and the planning of treatment depends on stage of disease proving the early diagnosis has denite important role in prognosis and follow-up . Aim: To detect and diagnose and establish the Plantar fasciitis. Objectives: Primary objective: Early detection of plantar fasciitis for early intervention in management and preventing the chronicity and its sequelae. Secondary objective: Utilising the signs and symptoms and conrming with sonography, vascular doppler imaging and laboratory data about plantar fasciitis. Site of the study: Department of internal medicine, Department of Radiology and Department of orthopaedics, Apollo Hospitals, Greams road, Chennai-600006. Study period: March 2021 to March 2022 Inclusion criteria: Patients with early morning plantar pain and-clinically suspicious plantar facial minor repitative injury with and with out history of co morbidities. Exclusion criteria: fractures, ischaemic changes, infective abscess.