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<p class="abstract"><strong>Background:</strong> The intention of this study was to evaluate angles of nasal septal deviation by measuring angle of nasal septal deviation on computerized tomography of the para nasal sinuses (CT PNS) and to study the effect of increasing septal angle on chronic sinusitis. No other study in the literature has measured exact angle of septal deviation in terms of degrees.</p><p class="abstract"><strong>Methods:</strong> A prospective cross-sectional observational study was carried out from September 2015 to August 2017 and 57 patients with diagnosis of having chronic sinusitis, were evaluated with CT PNS (coronal and axial views).  </p><p class="abstract"><strong>Results:</strong> Most patients of chronic rhinosinusitis had septal deviation in grade III, followed by grade II, then grade I.</p><p class="abstract"><strong>Conclusions:</strong> This study concludes that higher the angle of septal deviation, higher the incidence of CRS and vice versa.</p><p> </p>

Verrucous carcinoma is an uncommon variant of well-differentiated squamous cell carcinoma and is frequently seen in the oral cavity and larynx having some relation with tobacco chewing, whereas, its presentation over the ear is a rare entity. Here, we report the case of a 70-year-old female patient with complaints of cauliflower-like mass over her left pinna which was managed by doing an excisional biopsy and diagnosed as verrucous carcinoma on histopathology.

<p><strong>Background:</strong>  Pain is the most common complaint in the immediate post-tonsillectomy period. Inadequate post-tonsillectomy pain management has many drawbacks. Ropivacaine is a new long acting local anaesthetic, structurally closely related to bupivacaine.</p><p><strong>Methods: </strong>It was a prospective double blinded randomized control trial on a total of 50 patients who were posted for tonsillectomy. Randomization of each patient was done into two groups one of which had received 4 ml of 0.5% ropivacaine hydrochloride solution and other 4 ml normal saline. Data entry and analysis was done with (SPSS IBM) version 21.0. Both univariate and bivariate analysis done. Proportions were calculated for qualitative variables and mean with standard deviation was done for quantitative variables. Required tests of significance such as Chi square test and independent test were applied. Significance of p value is taken as p&lt;0.05. Postoperative pain, first post op oral intake, duration of post-operative hospital stay, and postoperative haemorrhage was assessed. The intensity of postoperative pain was assessed on behavioural observational pain Scale and Wong baker faces pain rating scale.</p><p><strong>Results:</strong> Pre-incisional infiltration of 0.5% Ropivacaine was an effective method to reduce post-operative pain in patients undergoing tonsillectomy under GA. Effect of  Ropivacaine was statistically significant (p&lt;0.05).</p><p><strong>Conclusions:</strong> We recommend the use of 0.5% ropivacaine pre-incisional infiltration in patients undergoing tonsillectomy.</p>