This article attempts to analyze all cases of odontogenic cysts involving upper jaw who presented at Stanley Medical college during 2007 – 2012. This article analyzes the incidence of these cysts during the above said period, age of occurence, sex prediliction if any, clinical presentations and optimal treatment modality. Common complaints with which patients presented to our Institution was swelling over jaw, next was loosening of dentition, paresthesia. 30 patients had presented with cysts involving upper jaw out of which 29 were females and one was male. All these patients underwent surgical removal of the cystic lesion.

We report a case of primary laryngeal amyloidosis in a 35 year old adult patient who presented with hoarseness of voice for 6 months duration with no other symptoms. Patient was treated successfully with endoscopic excision using a microdebrider with a laryngeal blade and review of literature.

Objectives: To study the correlation between Neural Response Telemetry (NRT) measurement level and behavioral (Threshold level and Comfort level) in pre lingual cochlear implant patients age between 2 -10 years old at one and three months post implant. Methods: A cross sectional study conducted at University Kebangsaan Malaysia Medical Center from September 2010 to January 2012. Total numbers of hundred patients were involved in this study. All recipients implanted with Nucleus 24 cochlear implant and had full insertion and normal activation of the electrode array. Comparison between intra-operative NRT measurement level and behavioral (T-level and C-level) in cochlear implant patients at one month and three months post implantation were obtained respectively. Results: This study showed the intra-operative NRT levels were seen to fall between the T and C levels in one and three months respectively. There was also a positive correlation between NRT value measurements and both T and C value measurements in both one and three months (p value 0.01). There is a fair strength of the linear relationship between NRT and behavioral level in both one and three month post implant as shown by the r value (0.4 at one month, 0.2 at three months) Conclusion: It is useful to use the NRT values to predict the behavioral T and C values in prelingual children and an additional tool for the mapping.

Objective: To study the efficacy and advantage in using autologus platelet rich plasma during myringoplasty in closure of tympanic membrane perforation preventing the graft displacement, promoting quicker healing & improving overall outcome. Methods : Platelet rich plasma(PRP) is an autologus platelet rich concentrate prepared from patients own blood with growth factors up to 8 times that of normal serum and its efficacy when used during myringoplasty is studied.50 patients with chronic otitis media inactive mucosal disease were randomly chosen and 25 of them was the study group and other 25 were the control group. Both group patients underwent myringoplasty and PRP was used in the study group and the results were evaluated. Results: In our study among 25 cases that underwent myringoplasty with use of platelet rich fibrin, 24 had complete tympanic membrane closure and only one failure has been noticed. In controls 5 out of 25 cases had failure. The graft take up rate in our study is comparable with the reference studies. Use of PRP accelerates graft uptake. Conclusion: Platelet rich plasma is a cheap and cost effective platelet concentrate with enriched growth factors. It accelerates the tympanic membrane closure following myringoplasty.

Background/Objectives: Crouzon’s syndrome is characterized by premature closure of the cranial sutures, midface hypoplasia, orbital deformities & other associated abnormalities. Children with Crouzon syndrome frequently have obstructive sleep apnea due to the underdevelopment of the midface. Case report: A 12 year old boy of Crouzon’s syndrome with chronic adeno-tonsillitis was managed by adeno-tonsillectomy under general anaesthesia by scalpel cautery method. The boy responded well to surgery & the mild sleep disorder disappeared within a week uveventfully. Conclusion: Sleep disorders in this condition can be treated by improving the airway by selective procedures like midface advancement, mandibular expansion , adeno-tonsillectomy, uvulo-palatopharyngoplasty, anterior tongue reduction & endoscopic tracheal granuloma excision.

This article is about the cases of neck space infections presented to the department of E.N.T and HEAD & NECK surgery of Govt.stanley medical college, during a two month period of 15th November 2011to 15th January 2012. Out of the 8 cases presented to the department, 2 cases were of tuberculous cold abscess. Five cases treated with I&D; of which two cases needed preliminary tracheostomy.

Aims and background The aim of our research was to use lymphoscintigraphy as a main method to confirm and detect lymph nodes in the neck, in patients with squamos cell carcinoma of lower lip which were clinically T1, T2 and N0, and to justify the use of selective neck dissection in those patients. Methods From April 2010 to January 2011, 31 patients with T1, T2 and N0 SCC of the lower lip were admitted to our center. To detect sentinel lymph nodes, we performed lymphoscintigraphy (LSG). LSG was performed on the day of surgery after intradermal injection of 37 Mbq of Tc99m-Sn-colloid/ml at four peritumoral sites. The sentinel lymph nodes were then extirpated and sent for biopsy. Results Among the 31 patients, three (9.7%) were female and 28 (90.3%) were male. LSG detected sentinel nodes in the neck in 21 (67.7%) of the patients. Of these, 10 (47.6%) had a positive sentinel node biopsy. Of all 31 patients enrolled in the study, occult metastases were found in 10 (32.3%). Conclusions Our results indicate that, of the methods used to detect positive lymph nodes, the most accurate is LSG. The results also suggest that further study is needed to optimize the treatment protocol in patients with SCC of the lower lip, especially in those with T2 lesions.