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Through the year 1993 to 1996 a total of 132 cases of chronic otitis media were taken up for tympanoplasty with or without mastoidectomy, out of which 30 cases were found to have tympanosclerosis; 11 cases (37%) out of this were found to be significant and were subjected to tympanosclerotic plaque extraction. Clinically significant tympanosclorsis has been defined as that affecting the surgical procedure by requiring removal to effect a hearing improvement. Success in hearing restoration so achieved in such ears is approximately as good as in non-tympanosclerotic cars. MJAFI 2000, 56 : 198-200

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Choanal atresia is the most common congenital cause for nasal obstruction in the neonatal period. Obstruction may be bony (90%) or membranous (10%) [4]. Bilateral atresia presents soon after birth with dyspnoea and cyanosis. It is managed on emergency basis. Unilateral atresia usually pre