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Introduction: Deep Neck Space Infections (DNSI) are potentially life-threatening infections and need vigorous management in patients with or without diabetes mellitus. Worldwide, treatment comprises of early initiation of effective empirical anti-microbial treatment with surgical drainage of abscess. Hence, for optimal management one must know the etiology, presentation, anatomical space involvement as well as common microorganisms encountered in DNSI in both diabetic and non-diabetic patients. Aim: To describe the prevailing clinical and microbiological prole of DNSI in diabetic and non-diabetic patients presenting to a tertiary care hospital in Goa, India. Materials and Methods: This is a prospective, observational, descriptive (hospital based) study conducted in Goa Medical College, Goa over a duration of 18 months. Forty-one cases of DNSI with abscess, consisting of 25 non-diabetic and 16 diabetic patients were included in the study. A comparative evaluation of the clinico-microbiological prole was performed. Results: Pain and swelling in the neck (78%) was the most common presenting symptom in both the groups. Most DNSI were of odontogenic origin (44%) and preceded by upper respiratory tract infections (22%). The peritonsillar space was most frequently involved (27%). The most frequently isolated microorganism in non-diabetic patients belonged to Staphylococcus (29%) and Streptococcus spp, (12.5%) while in diabetic patients they belonged to Klebsiella (35%) and Pseudomonas spp (23.5%). Conclusion: DNSI patients with concomitant diabetes mellitus are likely to present with severe disease, should be monitored closely for development of complications and administered empirical antibiotics providing coverage of Klebsiella and Pseudomonas spp.

<p class="abstract"><strong>Background:</strong> Spreader graft being one of the best method for volumetric expansion of internal nasal angle to address the nasal valve pathologies, popularised by Sheen.</p><p class="abstract"><strong>Methods:</strong> To evaluate its functional effect on relieving nasal obstruction secondary to nasal valve pathologies, our study was conducted in 40 patients (35 male and 5 female; mean age 28 years) having both external nasal deformity and nasal obstruction. NOSE scale was used to assess functional improvement.  </p><p class="abstract"><strong>Results:</strong> Out of total 40 patients (22 patients with saddle nose deformity, 10 crooked nose and 8 nasal dorsum deformity), 35 patients (87.5%) were fully satisfied with functional outcome as assessed by NOSE score.</p><p><strong>Conclusions:</strong> Spreader graft is good way to handle nasal obstruction secondary to narrow internal nasal angle. </p>

<p class="abstract"><strong>Background:</strong> Various foreign bodies of respiratory and food passage are enlisted. Nature of foreign bodies their presentation, management and complications are discussed.</p><p class="abstract"><strong>Methods:</strong> 200 consecutive cases of foreign bodies in the oesophagus which were admitted in a tertiary care hospital are included in the study.  </p><p class="abstract"><strong>Results:</strong> Most of the ingested foreign bodies managed with oesophagoscopy except three cases of denture.</p><p><strong>Conclusions:</strong> Children below 10 years of age are the commonest candidates prone to ingest foreign bodies. The coins are the most frequently ingested foreign bodies. Though most of the foreign bodies can be managed safely with oesophagoscopy, yet one has to be careful while removing sharp foreign bodies like dentures etc. </p>