INTRODUCTIONAcute rhinosinusitis (ARS) is a significant health problem, being one of the top reasons for a visit to primary care clinics (1) . It was found that an average of 8.4 % of the Dutch population reported at least one episode of ARS per year in 1999 (2) . The incidence of visits to the general practitioner for acute rhinosinusitis in the Netherlands in 2000 was 20 per 1000 men and 33.8 per 1000 women (3) . According to data from a National Ambulatory Medical Care Survey (NAMCS) in the USA, rhinosinusitis is the fifth most common diagnosis SUMMARYBackground: Based on the 'European Position Paper on Rhinosinusitis and Nasal polyps (EP 3 OS 2007)', this study aimed to investigate general practitioners (GPs) and other specialists' understanding when managing patients with acute rhinosinusitis (ARS) in Asia.

Objective: To present a rare case of congenital macroglossia managed with radiofrequency ablation. Methods: Design:  Case report Setting:  Tertiary government hospital    Patient:   One Results: A case of a congenital macroglossia in a 4-year old female with Beckwith-Wiedemann Syndrome is presented. Neither breathing nor swallowing difficulty was associated with the enlarged tongue.  Coblation-assisted ablation of the tongue deformity was performed. There was minimal bleeding, pain and swelling postoperatively. Tongue mobility and taste sensation were unaffected. Conclusion:  A new and more conservative approach to surgery for congenital macroglossia using radiofrequency ablation (coblation) has been described. Coblation-assisted ablation of lingual tissue may be an effective therapy for patients with macroglossia providing satisfactory functional and cosmetic outcome. Key words: macroglossia, Beckwith-Wiedemann Syndrome, coblation

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Objective: To describe a 2-year old boy with true congenital macroglossia surgically managed using a modified Kole technique.  Methods: Study Design:             Surgical Innovation Setting:                        Tertiary Government Hospital Patient:                        One Results: A 2-year-old boy presented with congenital macroglossia, associated with difficulty feeding and phonating. On physical examination, the massive tongue had both increased length and width. At rest, it protruded between the upper and lower teeth, with drying and fissuring of the tip. Dribbling of saliva and mandible prognathism were also noted.  The child was surgically treated with a modified Kole technique, wherein the apex of the anterior wedge resection was extended to the posterior third midline. Final histopathology was consistent with cavernous hemangioma. Conclusion:  The modified Kole technique proved viable, as the postoperative results were considered satisfactory. Tongue volume was uniformly reduced in length and width, enabling mouth and jaw closure, while tongue sensation and mobility were preserved. Feeding, speech intelligibility and cosmesis were markedly improved.  Future application of this modification may prove its usefulness.      Keywords:  macroglossia; glossectomy; congenital macroglossia