Aim:The present study is a prospective study that looks into the prevalence of chorda tympani nerve injury and related symptoms following varying degrees of trauma to the nerve during four common types of middle-ear operations; namely, Tympanomastoid operations, myringoplasty, Tympanoplasty and Exploratory tympanotomy. Materials and Methods: 178 patients who underwent middle ear cleft surgery were included in this prospective study. Childrens below 20 years and patients with other potential cause of taste disturbance were excluded. Patients were given a single questionnaire, so as to assess their post-operative taste disturbance. Patient name, Age, Sex, Type of middle ear surgery, side of surgery were recorded. Any change in sense of taste immediately (after 2-4 weeks) or delayed (2-3 years)were recorded. Results: The number of patients with Chorda tympani nerve-related symptoms varied widely between these four groups. Increased occurrence of the nerve related symptoms were observed in Tympanomastoid and Myringoplasty, and a prolonged recovery time were observed in the tympanomastoid group. Stretching of the nerve produced more symptomatic cases than thermal injury or drying. Conclusion: It is important to inform patients about the possibility of Chorda Tympani Nerve injury during middle-ear operations, and it should also be emphasized that symptoms related to Chorda Tympani Nerve injury can occur irrespective of the type of damage to the nerve.

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The current availability of randomized clinical trials have assessed the efficacy of the most common presumed indications for tonsillectomy, but the controversery still exists So, the present study was conducted to assess (1) Whether tonsillectomy leads to any significant benefits as compared to watchful waiting (2) evaluating the two most commonly used techniques for tonsillectomy i.e; cold dissection & diathermy. 170 patients were included,104 were assigned to the surgical group (Group A) & 66 patients acted as control (Group B).The surgical group underwent tonsillectomy.The efficacy of tonsillectomy viz-a-viz chronic tonsillitis related morbidity, school absenteeism, & work absenteeism, Group A beta hemolytic streptococcal pharyngitis, otitis media, Rhinosinusitis, obstructive sleep apnea & psoriasis was studied.The results of our study were as; Majority among children (7-15 years)& the mean age of adult population was 23.02 years.Tonsillectomy definitely provided benefit in case of chronic tonsillitis, mild to moderate obstructive sleep apnea on polysomnographic findings where as the Patients who had been included in this study to redefine otitis media & rhinosinusitis as an indication for tonsillectomy did not benefit much when compared to the watchful waiting groupThe three most commonly used techniques of tonsillectomy i.e; cold steel using ties & packs, cold steel using monopolar diathermy for hemostasis & using monopolar diathermy exclusively were evaluated.The operating time was least for the diathermy alone method. The intraoperative blood loss was minimal for the monopolar diathermy method. The primary hemorrhage rate was maximum in technique of cold steel with ties & packs as hemostasis.The secondary hemorrhage rate was maximum in monopolar diathermy method. The postoperative pain measured by using the verbal rating scale was considerable after using monopolar diathermy alone with 33% complaining of severe pain & 67% complaining of moderate pain. [Int J Res Med Sci 2013; 1(4.000): 501-514

Most studies show that objective measures to quantify and determine surgical success in the treatment of External nasal deformity with /without nasal obstruction do not correlate with subjective improvement as reported by patients. Aim: To evaluate the subjective& objective improvement in patients undergoing septorhinoplasty or rhinoplasty Materials and Methods: It is a prospective study in which we evaluate 100 patients who had to undergone septorhinoplasty /rhinoplasty; various angles of nose & face were evaluated both preoperatively & postoperatively. In cases selected for Septorhinoplasty, the patients answered a questionnaire preoperatively and 2 months after surgery with questions about the main symptoms of nasal obstruction (nasal obstruction, coryza, pruritus, sneezing, facial pain, snoring, sleep disorders, daytime drowsiness), and a score of each. The intensity of symptoms was scored from 1 to 4, as follows: 1-absence of symptoms; 2-mild symptoms; 3-moderate symptoms; 4-severe symptoms. Results: An improvement of all symptoms was observed after surgery, where there was nasal obstruction associated with external nasal deformity i.e; NOSE (Nasal obstructive symptom evaluation were 45.0±10.2 (preoperatively) &10. 0±4.23 (post-operatively) with p-value < 0.005 whereas NASE (Nasal appearance surgical evaluation) were 41.8±11.25 (pre-operatively) &7. 8±5.29 (postoperatively) with p-value < 0.005 Conclusions: The external nasal appearance as well as symptoms of nasal obstruction (in c/o =septorhinoplasty) improved.