Otomycosis is a common clinical problem in Hyderabad Karnataka region because of the hot, humid climate of this region. The infection can be diagnosed clinically on the basis of symptoms like itching, otalgia, discharge, blockage, hearing loss and presence of debris resembling wet blotting paper appearance in the external auditory meatus. It is common in males and occurs more in the 21-30 year age range. The most common symptoms in our review were itching followed by hearing loss, otorrhoea and blockage. Otomycosis was predominantly unilateral with left ear affected more. The species of fungus causing the disease in our center is Aspergillus Niger. Drugs like clotrimazole/ lidocaine, acetic acid hydrochloride (eardrops) or Gentian violet are indispensible topical agents in the management of otomycosis. Gentian violet should only be used as treatment of last resort because it discolors the external auditory canal giving a poor cosmetic appearance during treatment.

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Deglutition is the process by which fluid or food is passed from mouth to stomach and this term is used interchangeably with swallowing. The range of divergent causes of dysphagia necessitates careful investigation not only of structures readily involved in swallowing but also many systemic and far remote processes, thus resulting in early diagnosis and cure. This study was undertaken to identify the prevalence and various etiological conditions causing dysphagia in Hyderabad Karnataka region.

The vast majority of all branchial disorders are thought to be associated with the second branchial cleft apparatus. Lateral cervical fistula results due to incomplete obliteration of second branchial cleft and pouch. Classically these fistulae have a well-defined pathway through the neck. Most common opening in the oropharynx is the tonsillar fossa. An incomplete branchial fistula is a common anomaly but complete branchial fistula is rare. Here we report a case of a left glossocervical fistula with external opening over anterior border of sternomastoid muscle passing deep to platysma with internal opening at lateral part of base tongue at the level of circumvallate papillae which is very rare.