The perforations of the tympanic membrane maybe of traumatic origin or due to chronic suppurative otitis media. If the perforations fail to heal conservatively, they require surgical closure. Autologous graft materials have stood the test of time in repairing tympanic membrane perforations. In our tertiary care institution we conducted a prospective randomized control trial on 50 subjects to evaluate the comparative efficacy of temporalis fascia and tragal perichondrium as grafting material in underlay tympanoplasty. In this study surgical success was evaluated in terms of intact drum membrane during the follow up period and closure of A-B gap within 10 dB. Temporalis fascia achieved a graft uptake of 84% and a satisfactory hearing improvement in 76% of the patients. Tragal perichondrium achieved a success rate of 80% graft uptake and 75% hearing gain. The rates are comparable with no statistical significance of the difference between them.

A variety of swellings located on or near the gums is clinically included under the heading of epulis. There are various types of epulis. In today's era of super specialization gum swellings more commonly present to the dental surgeon than to the practicing otolaryngologist. We present an interesting case of a fibrous epulis managed in our institute along with a brief review of literature.

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Benign neoplasms of the laryngopharynx are extremely rare. Hereby we present 3 such interesting cases managed at our institute. While one was managed by conventional endoscopic route the other two required external approach. Even in the present era of endoscopic surgery sometimes these lesions necessitates external approach owing to anatomical distortion causing difficulty in intubation and/or inadequate exposure of the lesion. All these cases highlights the need of a competent surgeon to treat benign laryngopharyngeal lesions.

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