Background and Aims: Baska Mask, a newly designed third-generation supraglottic device, has a sump where the pharyngeal secretions can collect and be suctioned out continuously. We aimed to study the effectiveness of Baska Mask in preventing airway contamination during nasal surgeries. Our primary objective was to assess airway soiling using fibreoptic bronchoscopy. Total airway manipulation time, haemodynamic parameters during device insertion and post-operative oro-pharyngeal morbidities were the secondary objectives. Methods: Eighty-four participants undergoing nasal surgeries were randomised to either have their airway maintained with Baska Mask (Group-BM) or Endotracheal tube (Group-TT). Fibreoptic bronchoscopy was performed at the end of the surgery and the airway was inspected for signs of contamination. Total airway manipulation time, haemodynamic parameters during device insertion and post-operative oro-pharyngeal morbidities were also assessed. Unpaired Student's t test was used for parametric data and Chi-square test for nonparametric data. One-way analysis of variance (ANOVA) was used for the intra-group analysis of haemodynamic data. Results: Tracheal contamination was not observed in any patient in either group. Time taken for device insertion (Group TT: 24.24 ± 6.86 s vs. Group BM: 24.22 ± 7.3 s; P = 0.97) was similar in both the groups. The total airway manipulation time was 2 min longer in Group-TT ( P = 0.000) due to additional time taken for insertion of throat pack. Haemodynamic parameters during device insertion were stable and post-operative oro-pharyngeal morbidities were fewer with Baska Mask when compared to Tracheal tube. Conclusions: Baska Mask is non-inferior to tracheal tube in preventing tracheal contamination in patients undergoing nasal surgeries.

Introduction: Temporo-mandibular joint (TMJ) arthritis is one of the distressing features of many polyarthritic disorders because of interference with mastication. Usually bilateral joint affection may be a part a larger profile of multiple joint involvements. Yet, it can present as an isolated entity. Establishing analgesia and improving mouth opening are the key features in the management of the case. Case report: A 23 year old male with no co-morbidities presented with restricted and painful mouth opening and difficulty in mastication for the past two months. He was diagnosed as bilateral temporo-mandibular joint arthritis and referred to us for pain control. Routine investigations were normal. Ultrasound guided intra-articular temporo-mandibular joint injection was administered with a combination of bupivacaine and methylprednisolone bilaterally. There was a significant improvement in mouth opening and pain score VAS < 3 and on a three month follow up, there was no side effects and no requirement for further analgesics. Conclusion: We present such a unique case since there is very little literature on effectiveness of ultrasound guided intraarticular steroid injection on a case of isolated TMJ arthritis in Indian population.

: The main objective of the study is to estimate determine the patient demographics, comorbidities, and medications used to treat COVID-19, presenting symptoms and signs, and the outcome of management of COVID-19-associated rhino-orbital-cerebral mucormycosis (ROCM).: A descriptive cross-sectional study was conducted among 50 patients admitted and suspected with Mucormycosis in 3 months duration from May 21 to July 21 Covid pandemic at a tertiary hospital in Villupuram. Written informed consentwas taken from patients or nearest of kin. This study was approved by Institutional Ethical Committee of Villupuram.: 84% patients among suspected mucormycosis were found to be diabetic, with 70% being males and 61.9% had covid history either covid positive or post covid status. About 60% of suspected mucor cases had h/o oxygen treatment and almost 44% had h/o steroid treatment for their covid treatment. Clinically 40% had extraocular muscle involvement in the form of restricted eye movement to total ophthalmoplegia and mortality was ranging from 37.5-57.14%. Those with proper glycemic control and initiation of treatment at appropriate time with endoscopic sinus debridement and antifungal therapy showed better recovery.: The study reveals that COVID-19 associated Mucormycosis has risen dramatically due to interplay of uncontrolled diabetes and in-appropriate corticosteroid use leading to pathogenic invasion and adverse outcomes. The infection has caused high morbidity and mortality among covid positive than post covid patients. It could be minimized by strict diabetic control under appropriate insulin dosage, wise use of steroids/oxygen and timely intervention based on clinical evaluation rather than waiting for investigations could minimize the complications from the infection and shorten the hospital stay.

Introduction: Chest computed tomography (CT) scans have a significant role in the identification and treatment of COVID-19 disease. In earlier studies, the introduction of chest CT has been a highly sensitive method in testing COVID-19 pneumonia. With a radiation dose comparable to a chest X-ray, ultra-low-dose CT has been promised to be a successful method for lowering radiation dose and motion artifact. Materials and Methods: The research was carried out at a tertiary care facility’s radiology department between August 1 and August 31, 2020. A sum of 109 individuals aged over 18 years old and been called for a noncontrast CT scan chest and received were included. Results: The minimum age was 18 and the maximum was 87, where 14.67% of them are between 21 and 40 years, 40.37% of them are between 41 and 60 years and 44.96% of them are between 61 and 87 years. Male’s mean age is 55.89 years and female’s mean age is 60.14 years. The overall mean age is 57.02 years and standard deviation is 13.49 years. The average body mass index was 26.51 ± 3.5 kg/m2. In the standard dose and ultra-low-dose groups, the mean effective dose values were 6.70 ± 0.85 and 0.33 ± 0.09 mSv, respectively (P < 0.001). Conclusion: When identifying lung infiltrations among the patients admitted for elective or moderately urgent surgical or medical operations at the time of the COVID-19 pandemic, ultra-low-dose chest CT is an effective method that exposes patients to less radiation than standard dose CT.