<p class="abstract"><strong>Background:</strong> Chronic suppurative otitis media (CSOM) is a very common disease that should be carefully treated, as severe complications can develop. Despite the significantly decrease incidence of CSOM-related complications since the introduction of antibiotics, this clinical problem has not been eliminated.</p><p class="abstract"><strong>Methods:</strong> This was an observational study conducted including 60 cases of attico-antral type of CSOM and its complications. Detailed study of determinants of attico-antral type of CSOM and its complications were studied. The various options in the management of disease and its complications with their outcomes were studied.  </p><p class="abstract"><strong>Results:</strong> Majority of study participants belonged to lower socio-economic group. intra-temporal complications were most common complications and most of the patients required canal wall down surgery. Majority patients had complete recovery of the disease without recurrence during 3 months of follow-up.</p><p class="abstract"><strong>Conclusions:</strong> Our study concluded majority of the patients belonged to the low socioeconomic status. It was also clear from the study that timely intervention in the form of early diagnosis and administration of proper treatment resulted in complete recovery of majority of patients.</p>

<p><strong>Background: </strong>Nasal masses are finding in an ENT (Ear, nose, throat) outpatient department. Most patient present with complaints of nasal obstruction.Other symptoms are nasal discharge, epistaxis and disturbances of smell. Sinonasal mass may be neoplastic (benign or malignant) or non-neoplastic (congenital, inflammatory) in nature. It is difficult to determine actual pathology underneath every nasal masses so, histopathological evaluation is mandatory for definitive diagnosis.</p><p><strong>Methods: </strong>The present study is prospective observational study of symptomatology, demographic profile and histopathological correlation of sinonasal masses in samplw size 80, these are the total number of patients presenting at tertiary health care centre from 1^stJan 2019 to 30^thJune 2020 (18 months) the study include, patients of any age and sex presenting with nasal symptoms</p><p><strong>Results: </strong>Majority of patients with sinonasal masses where in the age group 2^nd decade. Male female ratio was 1.28:1. Nasal obstruction was the most common presentation. Most common non neoplastic lesion was ethmoidal polyposis and most common benign lesion was hemangioma. Most common malignant lesion was squamous cell carcinoma.</p><p><strong>Conclusions: </strong>Presenting features of all sinonasal masses may be indistinguishable and post diagnostic dilemma. Correlation of clinical and histo-pathological modalities is of utmost importance for accurate diagnosis.</p>

The study was carried out in Dr. Shankarrao Chavan Government medical college, Nanded at the department of Otorhinolaryngology for a period of 18 months from Jan 2020 to June 2021, was a prospective evaluation of 65 patients of all ages and both gender presenting in the emergency ward or Intensive Care Unit (ICU) or in ENT Out Patient Department for whom tracheostomy was done for various indications. The study aimed to nd out the different indications for tracheostomy, the microbiological study of secretions of tracheostomy stoma or tracheal secretions, and intra and postoperative complications in patients undergoing tracheostomy. The study shows the most common indication for tracheostomy was patients admitted to ICU for prolonged ventilatory support 43% followed by stridor patients presented in the emergency ward about 28% patients. Similarly, the most common complication was haemorrhage followed by stoma infection. This study shows most common organism cultured from tracheal secretion was pseudomonas aeruginosa followed by Acinetobacili barmanni, staphylococcus aureus, Klebsiella pneumoniae, Escherichia coli.

The study was conducted in the Department of Otorhinolaryngology, Dr Shankarrao Chavan Government Medical College, Nanded. It was a Prospective type of Descriptive study, carried out from 1st January 2020 to 21st June 2021. 60 Patients who attended the ENT OPD with signs and symptoms of Atticoantral type of chronic suppurative otitis media were included in the study. The main aims of the study were to study the Radiological ndings of Temporal Bone in Atticoantral type of chronic suppurative otitits media; and to correlate the ndings of HRCT temporal bone showing Atticoantral type of chronic suppurative otitits media; with intra-operative ndings in Tympanomastoid surgeries.

<p><strong>Background:</strong> Dacryocystorhinostomy is a surgical procedure by which the lacrimal flow is diverted into the nasal cavity by making an opening in the lacrimal sac when the nasolacrimal duct gets blocked. The operation can be carried out using either an external or endonasal surgical approach.</p><p><strong>Methods:</strong> This is a clinical observational study done on 50 patients with chronic dacryocystitis with obstruction at the level of sac or nasolacrimal duct. This study was conducted at Dr. Shankarrao Chavan government medical college, Nanded, during the period of 2 years (2018-2020). Patients were evaluated and operated for endoscopic endonasal dacryocystorhinostomy.</p><p class="Default"><strong>Results:</strong> The mean age of studied cases was 33.92±12.13 years. The M:F ratio was 0.78. Epiphora was the predominant complaint in all cases 100%. Swelling of lacrimal sac was present in 24% cases and Pain on affected side was present in 18% cases. 6% patients had fistula on the side of block. 12% patients had mucocele and 14% patients had pyocele on the affected side. Left and right side was involved in 54% and 40% cases respectively. The disease presented bilaterally in 06% cases. 80% patients had no complications after endonasal endoscopic dacryocystorhinostomy (EEDCR) surgery. Rate of surgical success was 92%.</p><p class="Default"><strong>Conclusions:</strong> Nasolacrimal duct obstruction is more common among females and in middle aged persons. EEDCR is treatment which provides patients relief from the symptoms without any scar and also preserves nasolacrimal pump system with high success rate. It may prove better surgical technique in chronic dacryocystitis.</p>