<p>A thorough evaluation of nasal masses along with early management of the disease can prevent complications and further deterioration of the disease to a larger extent.<strong> </strong>Nasal mass occurring in the nose with symptoms of epistaxis is a sign of suspicion of malignancy. Patients can have variable presentations according to the site and extent of the infection. This article comprises of study done on 3 patients who presented to the ear, nose, and throat (ENT) out patient department with nasal mass with bleed. All three of the patients were subjected to clinical examination, diagnostic nasal endoscopy, radiological evaluation, surgical intervention and histopathological assessment. Thorough evaluation helps the operating surgeon to come to a specific diagnosis so that the chances of diagnosing rare cases does not get ruled out and helps the further deterioration of the disease.</p>
<p class="abstract">Angiosarcoma of the nasal cavity is extremely uncommon accounting for less than 0.1% of all sinonasal malignancies. Here we report a case of angiosarcoma of nasal cavity. A 45 year old male patient with c/o right sided nasal bleeding since 20days, on examination showed mass in nasal cavity. Patient underwent septoplasty with right inferior turbinectomy with submucosal diathermy. The histological examination showed features of angiosarcoma epitheloid variation of nasal cavity, diagnosis was confirmed by immunohistological stain with factor CD 31 and cytokeratin.</p>
<p>Extra capsular dissection (ECD) differs markedly from classic surgical approaches to the parotid neoplasm because facial nerve dissection is not performed. Factors noted to favor this approach include mobility of the tumor within the gland, a thin covering of capsule and glandular tissue, and a tumor large enough to allow digital manipulation during dissection. Imaging, fine needle aspiration cytology, and neuron-monitoring play a heightened role in ECD. The aim of this article is to report case series on surgical management of few types of parotid tumors by extra capsular dissection and to assess long-term results after the treatment of parotid tumors using surgical technique ECD.This case series includes five different parotid tumors such as Warthin’s tumor, Pleomorphic adenoma, Sialadenoma papilliferum of parotid, chronic sialoadenitis, parotid cystadenoma, out of 30 cases operated in our hospital. All the patients in this study received appropriate surgical treatment (ECD)<strong> </strong>and done a follow up evaluation every month.</p>
<p class="abstract">Facial trauma occurs in significant proportion of trauma patients requiring prompt diagnosis of fractures and soft tissue injuries with possible emergency intervention. The epidemiology of facial fractures varies with regards to Injury type, severity, and cause depending upon the population studied. The aim of the study was to understand the cause, severity and temporal distribution of facial trauma and aims in focusing on clinical and research priorities for effective treatment and prevention. It was done in the department of otorhinolaryngology at a tertiary health care centre. 100 patients between the age group of 20-60 years of both the sexes were included in the study. Patients were evaluated thoroughly with prime focus on the radiological intervention I.e., Computed tomography and X-ray. Open or closed reduction was carried out depending on the type and site of fracture. Facial fractures were found more commonly in third decade of life. Most of them had a period of hospital stay of an average of 9 days. Open reduction and internal fixation was done in cases of zygoma fractures and closed reduction was done in nasal fractures. Road traffic accidents were reported as commonest cause for facial fractures followed by assault and fall respectively. Males were the common victims. Nasal bones were the foremost fractures followed by zygomatic fractures. Closed reduction was done in nasal bone fractures. Open reduction and internal fixation was done in all cases of zygoma fractures.</p>
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