Objective:Waldeyer's lymphatic ring consists of group of tonsils located over the posterior oropharyngeal wall. The palatine tonsils are largest tonsil. The present study was aimed to evaluate the significance of lymphoid hyperplasia, lymphocyte infiltration with and without defect in the surface epithelium in chronic tonsillitis (CT) and chronic adenotonsillar hypertrophy (CAH) in resected tonsillectomy and adenotonsillectomy specimens.Materials and Methods:A total of 85 patients were included in the study. Fifty-one cases underwent bilateral tonsillectomy and 34 cases underwent adenotonsillectomy.Results:The lymphoid hyperplasia was higher in CAH (30/34; 88.24%) as compared to CT (26/50; 52%). Lymphocyte infiltration with or without defect in the surface epithelium was common in CT. The histopathologic criteria of lymphoid hyperplasia and lymphocyte infiltration with or without defect in the surface epithelium showed a statistically significant difference between CT and CAH.Conclusion:CT and CAH may be differentiated on the basis of reliable histopathological criteria. Punch biopsy can be performed to avoid CT complication if the clinical diagnosis is true. Choristomas can be clinically confused with true neoplasms, if large in size.

ABSTRACT:Patients with safe CSOM may have associated disease process in the mastoids. It is a good practice to explore mastoids along with type-I tympanoplasty. MATERIAL AND METHODS: It is a prospective study conducted in the department of ENT, Tripura Medical College, Agartala during the period of July 2013 to December 2014. Forty two patients with safe CSOM were selected in the study. These patients were evaluated and prepared for surgery. Cortical mastoidectomy with type-I tympanoplasty was done and the patients were followed up for 6 months. RESULTS AND OBSERVATIONS: Graft uptake was successful in 85.7% cases. The complications were graft rejection (14.3%), disturbance in taste (11.9%), vertigo (14.3%), wound infection (9.5%) and sensorineural hearing loss (4.8%). CONCLUSION: Exploration of mastoid in conjunction with type-I tympanoplasty gives good result with few complications.