An arrow in the nasal cavity, ethmoid and nasopharynx

A penetrating foreign body (Metallic arrow) involving the ethmoidal air cells nose and nasopharynx is being reported.

Play safe with safety pins

Three cases of Safety pins in the aerodigestive tract have been presented here with a brief review of litereture.

Foreign body in ENT--general practitioner's duty

Foreign body in ENT region is an age-old problem. Introduction of foreign body in ear, nose and throat is specially seen in children. There are many types of foreign body seen in the ear, nose and throat. They can aspirate into larynx, trachea and bronchus. How to manage the removal of foreign body in ear, nose and throat had been discussed in a nutshell. General practitioners should be skilled enough to remove foreign body with their limited resources and they should know when to send the cases to an ENT specialist or to a hospital.

Rhabdomyosarcoma of nose and paranasal sinuses--a therapeutic challenge

Rhabdomyosarcoma is a highly malignant tumour of striated muscle and it is the most common soft tissue sarcoma in the paediatric age group. It is very uncommon in the nose and paranasal sinuses. Pinkish nasal mass and recurrent epistaxis are the most common presenting symptoms. Histologically embryonal rhabdomyosarcoma is the most common variant. The present series deals with seven such cases of different histopathological types including the embryonal, botryoid, and alveolar varieties in the paediatric age group. Multimodal treatment including limited surgery followed by radiotherapy and chemotherapy resulted in survival ranging from 3 days to more than 3 years, which was also influenced by the severity of the disease at presentation and its aggressiveness.

Role of grommet in otitis media with effusion: A necessity or nuisance? A comparative study

Otitis media with effusion is one of the commonest otological problems in paediatric age group. The condition occurs in childhood as overt or covert hearing loss presenting as an educational or behavioural problem. As there is widespread controversy regarding its precise aetiology, natural history and pathogenesis a treatment dilemma still persists. The main goal of this study is to compare the efficacy of different modalities of medical and surgical treatment designed for this condition and analysis of the results statistical.

Deaf child--a general practitioner's responsibility

The power of a child's speaking language never develops if he is deaf. Deafness persists if it is not detected early. Childhood deafness is either congenital or acquired. At birth, doctors or attendants can detect deafness by arousing the baby with sudden loud noise. At 4 months onwards mothers and doctors can detect deafness. The baby at this age can turn its head or eyes towards the source of the sound. By 12 months to 2 years of age it is very difficult to detect deafness. By the age of 3 years children again become co-operative and it becomes easier to detect deafness. Children should always be screened for deafness while being admitted to nursery classes. In school going age ie, 5 years onwards loss of tests can be employed to detect deafness. If a child is suspected be deaf, a general practitioner's responsibility is to refer him to an ENT specialist earlier. Any child whose mother believes her child is deaf should be given due attention. Otitis media with effusion, enlarged adenoid, chronic suppurative otitis media, recurrent otitis media are some diseases to be carefully looked into by the general practitioners. Now-a-days cochlear implantation surgery is gaining popularity to give hearing to deaf child. Moreover regular screening for deafness should be included school heath programme.

An unusual foreign body (Big Metallic Nut) in the nasopharynx of an infant

Foreign body in the nasopharynx is an extremely rare conidition; however a big metallic nut in the masopharynx of an infant of eight- months has not been previously reported in literature. We report an unusual case where an eight-month-old child introduced a big metallic nut through the mouth and was lodged in the nasopharynx, with a brief review of literature regarding the diagnosis and management of such case.

Bilateral antrochoanal polyps

An extremely rare case of bilateral antrochoanal polyp in an otherwise fit 12-year-old girl is reported. The antrochoanal polyps were removed by bilateral Caldwell-Luc operation. Histopathological examination showed them to be of benign inflammatory nature.

Large capillary haemangioma arising from the nasal columella--a case report

A 39-year-old male presented with a mass arising from the nasal columella for last 8 months. The mass was lobulated, dark red in colour, firm in consistency and approximately 3 cm in diameter. It was attached to the columella of the nose by a narrow stalk. The mass was excised completely under general anaesthesia and histopathological examination suggested it to be a case of capillary haemangioma.

Foreign bodies in the larynx

Inhalation of foreign body is a serious event. A very small proportion of foreign bodies get impacted in the larnyx. Any [foreign body in the larynx presents usually as a respiratory (emergency, when urgent recognition is required to prevent disaster. Two cases of fish bone impacted in the larynx, one in anteroposterior and another in coronal disposition are presented here along with a brief review of literature.