<p class="abstract"><strong>Background:</strong> Adenoidectomy is the surgical procedure to remove the adenoids. It is conventionally performed using the curettage method. The aim is to compare between adenoid curette adenoidectomy and microdebrider assisted adenoidectomy.</p><p class="abstract"><strong>Methods:</strong> From April 2016 to March 2017, 50 patients (34 males and 16 females), requiring adenoidectomy were randomized into two groups each of twenty five. Group A underwent microdebrider assisted adenoidectomy. Group B underwent conventional adenoidectomy using the curettage method. The parameters studied were intra-operative time, blood loss, residual tissue, associated trauma, and post-operative symptomatic relief and complications. </p><p class="abstract"><strong>Results:</strong> Microdebrider assisted adenoidectomy was significantly better in terms of residual tissue left behind as compared to adenoid curette adenoidectomy (p<0.001), similar operative blood loss and operative time with no difference in complications.</p><p class="abstract"><strong>Conclusions:</strong> Microdebrider-assisted adenoidectomy is a safe and effective alternative to curettage method as it allows complete removal of adenoid tissue under direct vision.</p>
<p class="abstract"><span lang="EN-IN">Fungus is a rare cause of rhinosinusitis in children. Its incidence has been reported as ranging between 13.5 and 28%. Fungus balls are extramucosal tangled masses of fungal hyphae. It commonly involves just one paranasal sinus. Most commonly maxillary sinus is involved and occasionally sphenoid sinus. Concha bullosa is one of the most common anatomical variations in the nasal cavity, with a frequency of reporting ranging from 14-53.6%. There are very few case reports in which Concha bullosa was affected with fungus ball. In this case report 13 years female child presented with complaints of swelling right cheek. The patient underwent endoscopic sinus surgery and there was involvement of concha bullosa and sphenoid sinus with fungus ball. Fungus was confirmed on microscopic examination and culture. Fungus ball is a rare presentation of fungal rhinosinusitis. It should be considered in enlarged middle turbinate with heterogenous opacity on CT. The diagnosis should be confirmed by microscopy or culture.</span></p>
<p class="abstract"><strong>Background:</strong> Epistaxis is one of the common emergencies in otorhinolaryngology. The aims and objectives of present work were to study incidence of epistaxis, etiological factors responsible for epistaxis and management of epistaxis.</p><p class="abstract"><strong>Methods:</strong> A retrospective study (February 2019 to March 2020) of patients admitted in department of otorhinolaryngology with complaint of nasal bleeding was done. The study was conducted on 96 patients for the incidence, age and sex relation, etiological factors, clinical findings and treatment methods for epistaxis.</p><p class="abstract"><strong>Results:</strong> Out of the total 96 cases of epistaxis, 58.3% were males and 41.6% were females. Most of the patients were over 40 years of age. The maximum, 19 (19.79%) were in the age group of 51-60 years and minimum, 2 (2.08%) were in the age group of 90-100 years. In the study of 96 cases, common group in this series was of cardiovascular causes (hypertension, arteriosclerosis, on antiplatelet drugs), 59 cases (61.45%), out of 59 cases, 9 patients were on antiplatelet drugs followed by idiopathic cases 13 (13.54%), trauma 12 (12.5%), 7 cases (7.29%) blood dyscrasias, spur with DNS 3 (3.12%), infection 1 (1.04%), alcoholic liver disease 1 (1.04%). Out of 96 cases, 92 cases (95.8%) responded to nonsurgical methods.</p><p class="abstract"><strong>Conclusions:</strong> Epistaxis can be seen in any age. Hypertension, trauma and coagulopathy were the most common etiological factors. Anterior nasal packing was the most common treatment method applied to these patients.</p>
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