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Background:To study the frequency of postoperative complications after thyroid surgery indicated for various benign and malignant lesions and to corroborate the results in relation to the extent of surgery and a clinical overview of evolution of thyroid surgery. Materials and methods:An analytical study was carried out at a tertiary care center over a period of 3 years from January 2011 to December 2013. Data were collected from 80 patients who underwent thyroidectomies for various thyroid diseases at this center.Results: Hemithyroidectomy, isthmusectomy, subtotal, neartotal, and total thyroidectomies were performed in 36 (45%), 6 (7.5%), 8 (10%), 10 (12.5%), and 20 (25%) cases respectively. The overall postoperative complication rate was 20%. Postoperative hypocalcemia and recurrent laryngeal nerve injury were the most common complications. Permanent hypocalcemia and permanent recurrent laryngeal nerve injury were observed in 3.75 and 2.5% of all operated cases respectively. The less common complications were wound hematoma, seroma formation, and superior laryngeal nerve injury. There was no mortality observed in our series. Conclusion:The overall complication rate can be minimized by operating in a bloodless field, doing a meticulous dissection, and correctly identifying and preserving recurrent and superior laryngeal nerves along with parathyroid glands, if feasible.

Background: Mutational falsetto is the most common muta tional voice disorder, found in all ages. Clinicians often miss this diagnosis due to unfamiliarity with the condition. The voice of a person with mutational falsetto is high pitched, weak, thin, breathy, hoarse and monopitched.

Objectives To evaluate the predictability of aditus patency in mucosal chronic otitis media (COM) with sclerosed mastoid using clinical and radiological tests. Study design Prospective study. Materials and methods Thirty-five cases of mucosal COM with sclerosed mastoid were taken for antrotomy with tympanoplasty. The preoperative evaluation of aditus patency was done using clinical examination, inflation deflation test for Eustachian tube function and high-resolution computed tomography (HRCT) temporal bone. The intraoperative patency was tested by water test. Results This study shows that there is statistically insignificant correlation between duration of discharge, tympanosclerosis and Eustachian tube function with aditus patency. There is statistically significant relationship between HRCT temporal bone and aditus patency (p < 0.0001). Conclusion High-resolution computed tomography temporal bone is a reliable predictor for aditus patency and we recommend routine use in sclerosed mastoid before all tympanoplasties for best results. How to cite this article Varma A, Maithani T, Agrahari AK, Pandey AK, Singh VP. Clinical and Radiological Predictability of Aditus Patency in Mucosal COM with Sclerosed Mastoid: An Analytical Study. Int J Otorhinolaryngol Clin 2015;7(3):121-124.

A unique case of a 5 cm long impacted broken toothbrush in naso pharynx of a 3-year-old male child is being reported. The foreign body remained impacted for a long period of 8 months. The toothbrush was visualized transnasally by endoscopy and removed per oral under general anesthesia.