Background: Honey is a natural product which has been used since ages for curing of various ailments. Aims and Objectives: To evaluate the effect of honey for control of infection and inflammation in patients with sore throat. Materials and Methods: A total of 200 patients with sore throat were taken up for the study. 100 patients, in the study group, were given one tablespoon of honey twice a day along with anti-inflammatory drugs, antibiotics, and antiseptic gargles. Remaining 100 patients in control group were given other same medications without honey. Patients were evaluated after 5, 10 and 15 days for throat congestion, fever, pain, patient satisfaction, and other criteria. Results: There was faster relief of signs and symptoms of sore throat in the study group as compared to control group. There was greater patient satisfaction in the study group. Conclusion: Honey is effective in faster recovery of signs and symptoms of sore throat having antibacterial and anti-inflammatory properties without causing any side effects.

Background: Deviated nasal septum affects hearing and middle ear ventilation by altering eustachain tube function. It leads to ear fullness, affects middle ear ventilation and impacts hearing. Septoplasty is commonly done for deviated septum. So, this study aims to find out if Septoplasty can lead to improvement of hearing and middle ear function and reduce patients ear complaints.Methods: Patients with Deviated nasal septum requiring septoplasty surgery were assessed for ear symptoms, hearing and middle ear pressure by detailed history taking, pure tone audiometry and tympanometry. They then underwent septoplasty and were again assessed post operatively after 2days, 4weeks, 8weeks and 12weeks of surgery. The pre-and post-operative results were compared and analysed.Results: The most common symptom in patients at pre-operative visit was ear fullness and hearing loss was of conductive type. Post operatively there was worsening of symptoms, hearing and middle ear functions after 2days but marked improvement was seen in symptom of ear fullness, conductive hearing and normalisation of middle ear pressure at 8-12weeks after surgery.Conclusions: Septoplasty improves hearing and middle ear function in patients with deviated nasal septum and the improvement is seen 8 to 12weeks after surgery.

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Background: Allergic diseases are very common and are caused by allergen whose role varies according to climate changes. Not many studies are available regarding the same in our region. Skin prick test is a diagnostic procedure for allergy testing. The aim of the present study was to find out the seasonal variation of different allergies in our region.Methods: A total of 686 patients with allergic complaints were assessed for age and sex distribution, seasonal variation of number of allergy patients and seasonal variation of patient symptoms. 608 patients who gave consent and were found fit for skin prick tests underwent the tests and were analysed for allergy profile of the patients in different seasons.Results: The majority of patients were females and of younger age group. The majority of the patients had nasal symptoms and these symptoms were more in summer and rainy season during which pine mix and grass pollen were common allergens. Pulmonary symptoms were maximum in winters with dust mite and moulds being the common allergens. Dust mite was overall the most common allergen involved. Sensitization to allergens was less in winter months.Conclusions: This study focussed on seasonal variation of allergies and found pine mix and grass pollens to be major cause of nasal allergy and dust mite and mould mix to mainly cause pulmonary symptoms.

Enzymes are complex macromolecules of amino acids which biocatalyse various body processes. The aim of this study is to evaluate the effect of oral enzymes for control of infection and inflammation in post operative septoplasty cases. 40 patients planned for septoplasty under general anaesthesia were taken up for study. 20 patients were included in group E and were given a combination of oral enzymes postoperatively. Remaining 20 patients were included in group D and were given diclofenac and paracetamol combination postoperatively. Patients were evaluated post operatively after 1, 2 and 4 weeks for post operative pain , swelling , congestion , patient satisfaction and other criterias. The results showed that pain and swelling was significantly less in oral enzymes group . There was less nasal obstruction , discharge and more patient satisfaction in enzyme group. There were less complications in enzyme group. So it can be concluded that oral enzymes are more effective for control of infection and inflammation in post operative septoplasty cases.

Background: Chronic rhinosinusitis (CRS) is a major Ear, Nose and Throat disease and there are higher numbers of refractory cases poorly responding to medical and surgical treatment. Laryngopharyngeal reflux (LPR) is said to be the important cause for same. Aims and Objectives: This study aims to study the incidence of LPR in patients of refractory CRS. This study also aims to study the impact of proton pump inhibitors (PPI) (effective treatment of LPR) given as adjuvant therapy along with functional endoscopic sinus surgery (FESS) in patients with refractory CRS. Materials and Methods: A total of 40 patients of refractory CRS taken up for the study were evaluated for signs and symptoms of LPR. They were then divided into two groups of 20 each -study group and control group. All the patients in both groups were evaluated for signs and symptoms of CRS. All these patients underwent FESS. Post-surgery patients in the study group were given intranasal steroids (INS) along with PPI (tablet pantoprazole) whereas in control group were put on INS without PPI. The patients were followed monthly for 3 months for improvement in signs and symptoms of CRS and patient's relief and comfortability levels. Results: 45% of patients of refractory CRS had LPR with the posterior larynx being mainly involved. The major signs and symptoms of CRS were nasal obstruction, nasal discharge, and nasal polyps. There was more improvement in nasal obstruction, nasal discharge, and post-nasal discharge in patients of study group with PPI as compared to control group without PPI. There was better relief of symptoms in patients given PPI as compared to control group and this improvement was more marked at 3 rd post-operative visit after 3 months. Conclusion: There is a strong association between refractory CRS and LPR. PPI are an effective drug for refractory CRS when given as adjuvant therapy along with FESS.

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