Tuberculosis is one of the biggest health challenges the world is facing. In this study the clinical pattern of patients with cervical lymphadenitis, who presented to the ear, nose, and throat outpatient department of the Government Medical College Hospital, Chandigarh, India between June 1997 and May 1998 is recorded. Tuberculosis accounted for 60 out of 94 cases of cervical lymph node enlargement. The commonest age group aVected was 11-20 years. Constitutional symptoms were not present in most of the patients. Multiple matted nodes were seen in 23 patients but a single discrete node was seen in 18 patients. Upper deep jugular nodes were the most commonly aVected lymph nodes. Discharging sinus and abscess formation were uncommon. Fine needle aspiration cytology yielded a positive diagnosis in 52 out of 56 patients. Chest lesions on radiography were evident in 16% of the patients. Mantoux test was positive and was more than 15 mm in most of the patients. This study shows that the classical picture of "scrofula" is no longer seen nowadays and can probably be explained by the earlier presentation of the disease.All the patients were treated with short course daily chemotherapy for six months. Surgery was not required in the majority of patients except in four cases where excision biopsy was performed. Patients with abscess formation were managed with wide bore needle aspiration only. With a minimum six month period of follow up, no patient was found to have a recurrence of local or systemic disease.This study emphasises the role of fine needle aspiration cytology in diagnosis and confirms the eYcacy of six months short course chemotherapy.

Parathyroid cysts are rare. Most of them present in the anterior neck as cystic neck swellings. A case of cervical parathyroid cyst is presented, along with a brief review of the literature regarding the aetiology, clinical features, diagnosis and management of this condition.

A study designed to describe the anatomical features of the frontal recess area in patients suffering from chronic frontal sinusitis. A prospective study done in adult patients admitted in our hospital between July 2009 to June 2011. Tertiary level, private ENT care centre. 50 adult patients of chronic frontal sinusitis who did not have history of previous sinus surgery. The frontal recess anatomy was studied by 2 mm slice CT scans pre-operatively. CT findings were confirmed intra operatively by meticulous dissection in frontal recess area endoscopically with aid of image guided system. A chart prepared for each patient of different anatomical variations present in frontal recess on each nasal side and analyzed. Agger nasi cell was found in 94 % of cases. The superior attachment of the uncinate was to the lamina papyraceae in 82 % of cases. Type 1 frontal recess cells were found in 44 %, type 2 in 8 %, type 3 in 48 % and type 4 in 2 % of the cases. Over all 74 % of cases had frontal recess cells.