Neck swelling is a common clinical presentation in ENT practice and it carries significant morbidity and even mortality if not managed properly. Thyroid swelling being the most common type we conducted a prospective study to assess the role of FNAC in diagnosing the nature of thyroid swelling and comparing its result with histopathology finding. It was observed that FNAC is a very reliable test having high sensitivity and specificity in thyroid swelling.

Live fish in throat is a rare foreign body. Here we present two such cases. The foreign body were removed under general anaesthesia and nutrition was maintained by Nasogastric tube for few days. Patient returned to normal duty within a week.

No abstract

INTRODUCTION Sinonasal polyposis, one of the most common inflammatory mass lesions of the nose affecting up to 40% of the population. They present with nasal obstruction, anosmia, rhinorrhoea, post-nasal drip, and less commonly headache. Their aetiology remains unclear, but they are known to have associations with allergy, asthma, infection, fungus, cystic fibrosis, and aspirin sensitivity. Strong genetic factors are implicated in the pathogenesis of SNP, but genetic and molecular alterations required for its development and progression are still unclear. Management of SNP involves a combination of conservative treatment and surgical treatment. There is good evidence for the use of corticosteroids (systematic and topical), both as primary treatment and as postoperative prophylaxis against recurrence, but the prolonged course of the disease and adverse effect of systematic steroid limits their use. Surgical treatment has been refined significantly over the past 20 years with the advent of endoscopic sinus surgery and, in general, is reserved for cases refractory to medical treatment. Recurrence of the polyposis is common with severe disease recurring in up to 10% of patients. Over the last two decades, increasing insights in the pathophysiology of nasal polyposis opens prospective for new pharmacological treatment options, with eosinophilic inflammation, IgE, fungi and staphylococcus aureus as potential targets. A better understanding of the pathophysiology underlying the persistent inflammatory state in SNP is necessary to ultimately develop novel pharmacotherapeutic approaches. Here, we present the newer treatment options available for better control and possibly cure of the disease.

Background and aims - Total Hip Replacement (THR) is the most common, permanent and effective surgical procedure available for the treatment of Osteoarthritis of the hip joint. In case of THR, it is mandatory that the design and dimensions of the femoral component, match (best-fit) the anatomy of the femur more so in cement-less variety. Significant variations are noted in the proximal femoral geometry of different races and ethnic groups Studies show that genetic and environmental factors including lifestyle determine the geometry of the proximal femur. The study is aimed to provide guidelines for future design of the femoral stem for Indian population. Materials & Methods - The present study was conducted on 202 adult human femora available in Anatomy, Orthopaedic & FMT departments of V.S.S Medical College, Burla, Odisha. The head vertical diameter (HVD), head transverse diameter (HTD), and circumference of femoral head (HC) were measured at the upper end of femur. The results were analyzed using statistical package SPSS 17.0 version. Results & Conclusion- - The average HVD was 41.24 ± 3.41 mm. whereas the average HTD was nearly similar with HVD averaging 41.21± 3.44mm.