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Introduction: Functional Endoscopic Sinus Surgery has opened up a new horizon in the management of chronic sinonasal (allergic & non allergic) diseases & nasal polyposis. Functional Endoscopic sinus surgery (FESS) is now a days a common and excellent method for the treatment of most of the diseases in the area of nose and paranasal sinuses, like chronic rhinosinusitis with and without nasal polyposis. Materials and Method: In this study we have selected 80 patients of chronic sinonasal (allergic & non allergic) diseases & nasal polyposis attending the department of otorhinolaryngology. All the patients were pre-operatively evaluated clinically, radiologically as well as endoscopically. Diagnostic nasal endoscopy revealed various pathological abnormalities in the middle meatus and anterior ethmoid region. Even after complete pre-operative evaluation, initially patients were managed medically according to their symptoms and were observed for 6 weeks. All 80 patients underwent for functional endoscopic sinus surgery, using the Messerklinger’s approach. Result: The overall result reveal that 85.49% patients considered themselves asymptomatic or improved following surgery. No major complication directly related to FESS occurred in this series. The important finding were, osteomeatal complex obstruction seen in 88.75%, polyp in nose in 46.25% of cases. Radiological evaluation done by coronal section (axial & sagital if needed) CT scanning revealed the maxillary sinus most common site of mucosal involvement 76.25%% followed by anterior ethmoid sinus in 53.75% cases. Frontal and sphenoid sinuses were involved in 26.25% and 15% cases respectively. Conclusion: FESS is highly effective in controlling symptoms of chronic sinonasal diseases with or without polyposis.

Introduction: Auricular pseudocyst also known as auricular seroma is an asymptomatic condition of unknown etiology affecting the pinna, commonly encountered in middle aged men. The aim of the study was to compare various modalities of treatment involved i.e. wide-bore needle aspiration and splint suturing Vs incision drainage and glove drain insertion. Materials and method: 30 patients with clinical diagnosis as auricular seroma were selected and were compared with different treatment modalities as stated and were followed for 3 months. No recurrence for at least 3 months was taken as the main outcome of treatment. Result: Ten patients out of thirty underwent wide-bore needle aspiration and splint suturing (group A) and twenty patients underwent incision drainage and glove drain insertion (group B) were followed for 3 months. None of the patients had recurrence of the disease in group B but four patients presented with recurrence in group A. Out of the two, incision and glove drain insertion was found to be successful in all cases with no recurrence. Conclusion: Incision drainage and glove drain insertion though requiring frequent visits to the hospital, was found to be more promising treatment modality in terms of recurrence.

Introduction: Oral submucous fibrosis (OSMF) is a common premalignant condition found in Indian subcontinent caused by chewing arecanut, betel quid and gutkha with tobacco. A standard treatment to manage this condition is not yet available. The various modalities of treatment are nutritional oral antioxidants, intralesional injections, and surgical removal of bands. We compared the efficacy of intraoral administration of vitamin B combined with lycopene with intralesional triamcinolone acetonide combined with hyaluronidase and oral vitamin B complex with lycopene. Methods: 80 patients suffering from OSMF diagnosed clinically were treated in Bundlekhand Medical College Sagar for 4 months. The patients were divided into two groups randomly. Group A patients received oral administration of vitamin B complex, lycopene and topical triamcinolone for 4 months. Group B received weekly intralesional injections of triamcinolone combined with hyaluronidase for 8 weeks along with vitamin B complex, lycopene and topical triamcinolone for 4 months. Treatment outcome was evaluated on the basis of improvement in mouth opening, decrease in burning sensation and healing of ulceration. Result: Group B patients receiving intralesional injections of triamcinolone and hyaluronidase along with nutritional supplements showed improvement in degree of trismus as well as burning sensation and ulceration as compared to Group A receiving only nutritional supplements. Conclusion: Intralesional injection of triamcinolone combined with hyaluronidase with oral antioxidants is more effective in treating the patients with OSMF than antioxidants alone. No side effects were seen in both the groups though some patients complained of pain during administration of injection.

Rhinosporidiosis is a benign chronic inflammatory infection which manifests as a granulomatous polyp predominantly in the nose and nasopharynx. The extranasal sites of involvement include the lacrimal sac, tongue, palate, larynx, external genitalia, skin and bones. Few cases of disseminated rhinosporidiosis have been reported. Literature regarding various bizarre presentations and the mode of dissemination from primary site to non-mucosal sites has been reviewed.

Syringoma is a benign adenexal neoplasm formed by well differentiated ductal elements. They are tumors of eccrine origin commonly found over upper part of cheek, lower eyelid, axilla, chest, abdomen, penis and vulva. A 40 year male reported in the OPD with an asymptomatic swelling over the hard palate for the past 15 year. The tumor was excised and sent for histopathological examination. Histological examination showed clusters of eccrine ducts lined by doubled layer epithelial cells. Lumen showed keratinous accellular eosinophillic material suggestive of Syringoma. The case of Syringoma is being reported for its unusual presentation over the palate suggesting it should be considered in the differential diagnosis of various swelling of the palate