A comparative clinical study was carried out that included 50 cases of otomycosis in immunocompetent patients and 50 cases of otomycosis in immunocompromised patients. Clinical presentation, predisposing factors, mycologic profile, and treatment outcomes were compared. Aspergillus spp were the most commonly isolated fungi in the immunocompetent group, and Candida albicans in the immunocompromised group. Bilateral involvement was more common in the immunocompromised group. All the patients were treated with topical clotrimazole ear drops. Four patients in the immunocompromised group did not respond to treatment with clotrimazole but were treated successfully with fluconazole ear drops. Three patients had a small tympanic membrane perforation due to otomycosis.

Tonsillitis is inflammation of tonsils, a common clinical condition often encountered in E.N.T. practice. The management of this condition is often empirical with the choice of antibiotics not based on any culture reports. The increasing incidence of resistance in many organisms is due to β-lactamase production and resistance transfer factors that leads to unsuccessful medical therapy which results in recurrent or chronic forms of tonsillitis. The present study was conducted to identify the prevalent bacterial pathogens and their antibiotic sensitivity that would indicate the optimum line of treatment and prevent the complications of acute tonsillitis and avoids unnecessary surgical treatment.

A 12 year old female patient, who had attico antral type of ear disease on right side, was brought to tertiary care centre for the management of fever, vomiting and headache. Patient had unilateral attico antral type of ear disease with bilateral intracranial complication. Along with the right attico antral type of ear disease and right lateral sinus thrombosis, patient had brain abscess in the left occipital lobe. Brain abscess was drained first and later mastoidectomy was done to eradicate the source of infection and to prevent further complications due to ear disease. Patient recovered well and patient was free from any problem during follow up period of 6 months. Bilateral intra cranial complications occurring simultaneously in a patient with a unilateral attico antral type of ear disease is not reported in the literature.

Objective: To establish the effect of type II diabetes mellitus on the 8th cranial nerve and to analyse the association of degree of hearing loss with the factors such as duration of diabetes, age and gender of the subject and glycaemic control. Study Design: Prospective comparative type of study conducted on 100 cases and 100 age and gender matched controls. Results: Hearing loss was more prevalent and of a higher degree among the diabetics as compared to the non-diabetics. The hearing loss was significantly more among males and in those with higher post prandial blood sugar levels.