Abstract:Tophacecous gout presenting elsewhere other than its common sites may mimics malignancy or infection. It presentation at the head and neck region especially nasal area is even unusual. The nature of slowly growing and painless nasal mass mislead to malignancy and unnecessary intervention. As discuss in the report, we compare the outcome of surgically and conservatively treated nasal gouty tophi.

Myringotomy and grommet insertion is a common surgical procedure in paediatric. It is relatively simple and safe procedure but few complications has been documented. We presented here a case of migration of grommet ventilation tube into the medial ear which is a very rare complication.