<p><strong>Background:</strong> Deep neck space infections are usually due to excessive growth of normal flora, mostly of polymicrobial in origin. Patients present acutely with complaints of, throat and neck pain, raised body temperature. The clinical presentation depends on the deep neck space affected.<strong></strong></p><p><strong>Methods:</strong>  Current study was carried out in 25 patients who were diagnosed to have various deep neck infections</p><p><strong>Results:</strong> It was observed that the maximum number of cases were seen in the age group of 31-40 at 28%, followed by 21-30 age group at 20%, 16% each between 41-50 years and above 60 years. The male to female ratio is 1:0.78. The most common presenting complaints included fever (24 patients; 96%) and dysphagia (18 patients; 72%). 13 patients (52%) had associated systemic disease, 5 patients (20%) had history of diabetes mellitus and were on irregular treatment, 4 patients (16%) was on treatment for hypertensive. The most common infection was Ludwig’s angina seen in 13 patients (52%), followed by peritonsillar abscess 4 patients (16%). Out of 25 patients, 20 (80%) cases were treated successfully by incision and drainage. No growth was observed in 32% of the patients.</p><p><strong>Conclusions:</strong> Early diagnosis of deep neck space infection based on symptoms in susceptible patients is advisable to prevent complications and early recovery.</p>

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Tuberculosis has become a common occurrence in Otorhinolaryngology with increasing number of extra pulmonary cases. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This is a study of 27 patients who visited ENT OPD of Dr. D. Y. Patil Medical College, Pune, with variety of manifestations of tuberculosis in the ENT region.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Majority of those suffered from tuberculous cervical lymphadenopathy, other manifestations included laryngeal tuberculosis, tuberculous otitis media, lupus vulgaris and tuberculous infection of a pre auricular sinus. FNAC and histopathologic examination proved to be reliable tools of diagnosis. Five of these patients suffered from concurrent pulmonary tuberculosis. All these responded well to category 1 anti-tubercular therapy well. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Tuberculosis in Otorhinolaryngology shows a variety of manifestations so it should be kept in mind whenever dealing with unusual presentations.</span></p>

AIM: To focus on difficulties in endoscopic endonasal DCR, to improve the final outcome of endoscopic endonasal DCR. To elaborate the steps this will avoid recurrence. MATERIAL AND METHODS: This article presents retrospective study of 861 cases that underwent Endoscopic endonasal DCR between Oct 2004 and Nov 2011. The patients operated were in the age group from 5 years to 94 years. The cases of lacrimal abscesses were tackled by endo DCR which gave a substantial advantage over the conventional external approach by avoiding a scar. The stenting of the canalicular system was restricted to the situations where the patency of the lacrimal canaliculi was absent and the sac syringing done on operation table showed no fluid coming from the new stoma due to the blocked canaliculi or fibrosis of lacrimal sac. The stent used was silicon bicanalicular lacrimal intubation set. CONCLUSIONS: Local anaesthesia preferred over general anaesthesia as it has less bleeding and less morbidity. Endoscopic DCR avoids scar of external approach. Coexistent sinonasal disease can be tackled at same sitting. Adequate marsupialization of sac mucosa is key for avoiding recurrence.

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<p class="abstract"><strong>Background:</strong> Traumatic perforations are not new for ENT surgeons. The dictum for treatment is to keep the ear dry and leave the tympanic membrane to heal by itself. Most of the time it heals completely, but if it does not, a tympanoplasty is required.</p><p class="abstract"><strong>Methods:</strong> 144 patients of traumatic tympanic membrane perforation, who reported in the outdoor patient department of Otorhinolaryngology, at Dr. D. Y. Patil Medical college, DPU, Pune, were divided in two random groups; Group A was treated with standard treatment while Group B was treated with patching of perforation as an adjuvant to standard treatment. A simple paper, (from the envelop of gel foam) was used for this procedure. The standard taught and performed treatment for a tympanic membrane perforation is administering antibiotics, antihistaminic and anti-inflammatory drugs and keeping the ear dry; leaving the perforation for spontaneous healing.  </p><p class="abstract"><strong>Results:</strong> Group A 75% perforations had healed while in Group B 97.22% perforations healed completely.</p><p class="abstract"><strong>Conclusions:</strong> Paper patching supports the healing tympanic membrane and significantly improves the chances of spontaneous healing thus reducing the requirement of surgical intervention.</p>

Introduction: CSOM is the common chronic infectious disease and is considered the leading cause of acquired hearing loss. Hearing loss is a public health problem in developed and developing countries. Material and methods: A prospective cohort observational study on 100 Cases in two groups of 50 each who had safe CSOM and 50 Unsafe CSOM conducted over a period of