<p class="abstract">Lymphangiomatous polyps are rare tumours present in head and neck. Squamous papilloma accounts for majority of benign lesions, whereas vascular tumours are rarely reported. Tonsillar lymphangiomatous polyp is an uncommon hamartomatous lesion that generally arise from tonsillar surface. We present a case of young adolescent female with right tonsillar mass, tonsillectomy performed and post operatively found to be lymphangiomatous polyp, which has been rarely reported.</p>

<p class="abstract"><strong>Background:</strong> Oral lesions are the earliest and most important indicators of HIV infection. These lesions may be present in up to 50% of people with HIV infection. The lesions parallel the decline in number of CD4+ cells and an increase in viral load, and are also independent indicators of disease progression. Pseudomembranous candidiasis and hairy leukoplakia are considered as the most common lesion associated with HIV infection.</p><p class="abstract"><strong>Methods:</strong> This cross sectional descriptive study was done in our ENT op during the period of 3 years. All HIV reactive patients who came to our OPD were included in the study. Oral examination was carried out using Bull’s eye lamp.  </p><p class="abstract"><strong>Results:</strong> Totally 123 patients of HIV came to ENT OPD during the period of 3 years. Among them 52 patients (42.5%) showed one or many oral lesions. The presence of oral lesions has a significant impact on health related quality of life. The commonest oral lesion noted in our study is oral candidiasis (50%).</p><p class="abstract"><strong>Conclusions:</strong> Early detection of oral lesions must be emphasized in the diagnosis and early management of HIV patients.</p>

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Background: Despite advances in surgical technique, postoperative hemorrhage remains a common cause of morbidity and mortality for patients following tonsillectomy. Attempts to reduce the morbidity of tonsillectomy have included changes to the surgical techniques and perioperative medications to reduce the risk of bleeding. Here, we did a decade study about ligature technique in tonsillectomy for the achievement of hemostasis and its effectiveness in controlling morbidity. Aim: The aim of this study was to analyze the posttonsillectomy hemorrhage rate when we use ligature technique in tonsillectomy procedure. Materials and Methods: We retrospectively reviewed data of all patients who underwent tonsillectomy by dissection and snare method in the ENT Department, Chengalpattu Medical College and Hospital, Tamil Nadu, between March 1, 2010, and February 29, 2020. The rate of postoperative hemorrhage after using ligature technique was measured and compared with other methods used in other studies. Results: Totally 12,536 patients who underwent tonsillectomy were analyzed in this study. Posttonsillectomy hemorrhage occurred only in 62 patients (0.494%). Only 14 (0.001)) patients required re-intubation and correction procedure. The hemorrhage rate was very minimal when compared with other techniques in other studies. Conclusion: We conclude that the ligature technique used in tonsillectomy for hemostasis remains one of the best methods even though it is an ancient method.

Abstract:Obstructive jaundice mostly occur secondary to stone or malignancies. Malignancyis important cause and may often be unresectable at diagnosis. However, establishing a correct diagnosis before proceeding to treatment is of paramount importance. We present here a case of 40 year old female with a history of palliative triple bypass for periampullary carcinoma diagnosed after an episode of obstructive jaundice. After 3 years of being asymptomatic, she now presented to us with complaints of pain abdomen for past 6 months along with fever. Ultrasound, CT & MRI revealed calculi in dilated common bile duct (CBD) with no evidence of malignancy. The purpose of this report is to emphasize the fact that preoperative diagnosis must be made with certainty before embarking on any treatment and that a relatively common diagnosis of CBD stone when not done correctly can lead to unfortunate results.