Techniques for inferior turbinate reduction vary with various surgical methods, which differ in the approach of preservation of tissue from total turbinectomy to limited submucosal cauterization. Our preferred method to address hypertrophic inferior turbinate by mini turbinoplasty-tunneling technique are presented. Critical steps include creation of window in the inferior turbinate with a 4 mm microdebrider blade and removal of both inferior turbinate mucosal hypertrophy and bony component to convert a convex looking inferior turbinate to concave shape. This allows proper debulking of the entire medial aspect of the inferior turbinate and widening of the nasal valve area. Mini turbinoplasty-tunneling technique for hypertrophic inferior turbinates, is a safe method in achieving turbinate size reduction with minimal morbidity and long-term relief of nasal obstructive symptoms without added risk of complications.

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We report a case of 45-yr-old HIV positive male who presented with herpes zoster oticus at the time of diagnosis of his HIV status. The patient had vertigo, painful vesicular eruptions on the right ear and unilateral sensorineural hearing loss. The etiology, diagnosis and treatment of herpes zoster are discussed in detail in this report. We report this case to raise awareness among the general practitioners to investigate for HIV when they diagnose cases of herpes zoster.

Allergic rhinitis is a common disorder that affects several patients annually and the hallmark symptoms are nasal obstruction, rhinorrhea and sneezing which significantly impacts the quality of life. Many surgical options exist for the treatment of allergic rhinitis which is directed primarily addressing the nasal obstructive component. The purpose of this review article is to highlight newer surgical options in the management of patients with nasal allergy. Surgical modalities such as endoscopic resection of the posterior nasal nerve and senior author's own mini inferior turbinoplasty tunnelling technique for patients with nasal allergy is described here. Most of the literature has focused on medical management for patients with allergic rhinitis. Endoscopic Posterior Nasal neurectomy combined with mini inferior turbinoplasty has good overall significant improvement in nasal allergy symptom scores by 60-80%. Although no single modality has evolved as the gold standard for the surgical management of allergic rhinitis. The main stay of surgical intervention targets the inferior turbinate and posterior nasal nerve which is the parasympathetic supply to the nose causing rhinorrhea. This combined technique provides consistent, robust results with long-term relief of nasal symptoms due to allergic and vasomotor rhinitis without additional risk of complication.

Background A tympanolith is a calcified body within the middle ear cavity, arising as a result of calcification as a possible nidus (extrinsic or intrinsic). Case Report A male patient with a known history of diabetes presented with painless, non-foul smelling, chronically discharging right ear more than 20 years duration with an associated hearing loss. Routine investigations were within normal limits, pure tone audiometry findings were suggestive of profound hearing loss in the affected ear. Otoendoscopy revealed a tympanolith, which was removed, following which a moderate size central perforation with an edematous middle ear mucosa was noted. Discussion Tympanolith is a rare condition which is known to occur in a chronically discharging ear, it’s usually hard, gritty with a smooth surface. Conclusion In chronically discharging ears with a calcified mass lesion, tympanolith should be considered as differential diagnosis.