Background: Considerably large nasal septum plays a critical role in the obstruction of the nasal cavity, leading to snoring, and other symptoms, aesthetic appearance of the nose, and increased nasal resistance. This study was performed with an aim to investigate the prevalence of nasal septum deviation in our geographical area. Methods: 446 patients who attended the ENT department in the study period were evaluated for the nasal septum deviation. General demographic details were obtained from all of them. Detailed physical exam was performed on all the patients. Disposable nasal speculum and otoscope was used to observe the interior of the nasal cavity. Results: Out of 446 patients visiting the ENT department of our hospital, 138 (30.9%) of them had DNS. The C shaped NSD was the most common type to be encountered in our study, with 57 patients showing this disorder. Nasal obstruction was the predominant symptom observed in 119 (86.2%) of the patients, followed by rhinitis and nasal discharge (34.8%). Conclusions: Deviated nasal septum is a very prevalent condition in our area, with severe symptoms such as nasal obstruction and rhinitis. Most of the patients had C shaped deviated septum.

<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media condition is characterized by an ear discharge and a perforation in the tympanic membrane. Tympanoplasty and tympanoplasty with mastoidectomy are the two common surgeries performed to manage this condition.</p><p class="abstract"><strong>Methods:</strong> 50 patients were divided into two groups of 25 each. On Group I, tympanoplasty alone was done and on Group II tympanoplasty along with mastoidectomy was performed and outcome was noted.  </p><p class="abstract"><strong>Results:</strong> The most common age group to be affected was 21-30 years. Discharge of 1-3 years was observed in 32% in Group I and 36% in Group II. 84% in Group I and 72% in Group II had mild hearing loss, and in both the groups, moderate perforations were more common. 84% of the patients in Group I and 88% in group II showed acceptance to the surgeries and the hearing gain in both the groups was around 10.</p><p class="abstract"><strong>Conclusions:</strong> This study shows that tympanoplasty with mastoidectomy has no added advantage over tympanoplasty alone in the patients with chronic suppurative otitis media.</p>

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Increased safety in the anesthesia and its techniques as well as the improved newer techniques, better outcome of this surgery have prompted many to undergo cosmetic surgeries such as rhinoplasty. The side effects observed are nasal obstruction, edema of the face, periorbital swelling and ecchymosis, which are of a great concern, and said to be aggravated with the anterior nasal packing. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">100 patients between 18-45 years of age, with nasal trauma were included in the study. Bilateral lateral osteotomies was performed in all patients, with anterior nasal packing done for control group and only external immobilization was done for the study group.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">No statistical difference was found between the two groups with regards to age and sex. However, there was a significant difference in severity and duration of periorbital ecchymosis in the different groups. On the 3rd day after the operation, more than one half of the unpacked study group (58.0%) showed ecchymosis of grade 1 or less compared with only 14.0%. in the control group. On the 7th post-operative day however, both sides showed improvement to grade 1 or less in 98.0% and 40.0% of unpacked and packed sides, respectively. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Anterior nasal packing post rhinoplasty with lateral osteotomies plays a significant role in the resultant ecchymosis and it should be only used when necessary.</span></p>

<p class="abstract"><strong>Background:</strong> Chronic rhinosinusitis is associated with morbidity and affects the quality of life of the affected persons and increases their treatment costs. Diagnosis is mainly by nasal endoscopy or by computed tomography which is considered to be the gold standard.</p><p class="abstract"><strong>Methods:</strong> Nasal endoscopy was done for all the patients under local anaesthesia. All the patients also underwent computed tomography and paranasal sinuses and the findings were scored according to Lund Mackay scoring system.  </p><p class="abstract"><strong>Results:</strong> The most common age group was 31-40 years and nasal discharge was the most common symptom seen in 82% of the patients. The paranasal sinuses that were involved were predominantly maxillary sinus in a total of 88% of the patients. 22% of the patients have sinusitis in the anterior ethmoid of the left nose and 20% on the right nose. Bilateral was seen in 22% of the cases. The sensitivity of nasal endoscopy over computed tomography was 95.6% while the specificity was 80%. The positive predictive value was 97.7% and the negative predictive value was 66.7%. The accuracy of the test was 94%.</p><p class="abstract"><strong>Conclusions:</strong> Nasal endoscopy is found to be as good as the computed tomography for the diagnosis of chronic rhinosinusitis and can be used on a regular basis for its detection among the patients. It not only lacks radiation but is also economically viable.</p>