The endoscopic dacryocystorhinostomy (DCR) has distinct advantage over external DCR. There is no ugly scar on the face, less intraoperative bleeding, it is a daycare procedure and patient is discharged on the same day evening. Endoscopic DCR is considered to be a superior alternative technique to the conventional external DCR. Patients diagnosed with nasolacrimal duct obstruction between Jan 2009 and Jan 2011 were included in the study. One hundred and twenty endo DCR were performed with conventional 'cold steel' instruments. The technique involved complete exposure and marsupialization of the lacrimal sac. The surgical technique involved the creation of nasal mucosal and large posterior lacrimal flaps at the medial lacrimal sac wall and the two flaps were placed in close apposition. Success was defined as complete resolution of epiphora and a patent lacrimal system, evaluated by lacrimal irrigation and endoscopy, 1 year postoperatively.

Though haemangioma of cheek is not a very uncommon entity, here we are presenting a case series of four such cases of haemangioma cheek of completely different presentation. One of which is classical maxillary haemangioma and the rest of the others have different and unusual presentations. They all have different radiological features and were managed successfully by different surgical approaches without any recurrence.

Reconstruction of nose is a very challenging task. It has been practiced since ancient ages. Since, then various techniques have evolved. We have used forehead and nasolabial advancement flap for reconstruction of skin defect over iliac crest bone or conchal cartilage grafts. In small gap we used composite graft from pinna. In this article we share our experience with various grafts and flaps, their success and failures and methods to avoid or treat them.

IntroductionEpistaxis is one of the commonest emergencies in Otorhinolaryngology. The management of intractable posterior epistaxis sometime becomes challenging to ENT surgeons. Over the last decade endoscopic cauterization of sphenopalatine artery has emerged as a viable and minimally invasive alternative. Materials and MethodsThirty four patients with intractable posterior epistaxis were treated by endoscopic sphenopalatine artery cauterization between March 2010 & February 2013. ResultsThere was no recurrence of epistaxis with an average follow-up of 12 months in 30 out of 34 patients. Only 4 patients had anterior epistaxis in follow up period, which were managed with anterior nasal packing. The success rate of endoscopic sphenopalatine artery cauterization, in this study was 88%. ConclusionEndoscopic sphenopalatine artery cauterization is a safe & efficient method of controlling persistent posterior epistaxis with minimal complication.

Congenital choanal atresia has been recognized for over 200 years, first described by Roederer in 1775. Choanal atresia is an uncommon congenital anomaly. Choanal atresia is strongly suspected on the clinical sign and symptoms and confirmed with radiographs. CA repair in teenagers is not as common as it is in babies, but it still takes place and with good result. Transnasal endoscopic repair of CA is a safe and successful technique.