Tuberculosis is a common health care problem worldwide, though the incidence has come down in recent years due to various health care programs targeting tuberculosis and improved living conditions. Cervical lymph nodes are among the common sites for extrapulmonary tuberculosis. They usually present with painless enlargement of cervical lymph nodes with or without constitutional symptoms. Tuberculosis rarely coexists with malignancy in the geographical area where the prevalence of tuberculosis is high. The disease needs to be treated with antituberculosis treatment as per standard guidelines and the primary treatment of malignancy. We report a case of an adult male presented with a lesion on the pinna, which was diagnosed as squamous cell carcinoma of the pinna on biopsy; he was later found to have coexistent tuberculosis after undergoing surgery for carcinoma.

Aim To study the role of drug-induced sleep endoscopy (DISE) and Muller's maneuver in diagnosing obstructive sleep apnea (OSA). Materials and methods This was a comparative study done on 30 patients above the age of 18 years with OSA. All the study subjects underwent Muller's maneuver and DISE. In both endoscopic procedures, the degree and type of airway collapse noted at the retropalatal and retrolingual levels. Result Our study revealed similar findings with regard to type and degree of airway collapse at the retropalatal and retrolingual levels with both Muller's maneuver and DISE. Conclusion The type and degree of upper airway collapse at the retropalatal and retrolingual levels in DISE were similar to that of Muller's maneuver in severe OSA. Hence, DISE is not necessarily a diagnostic tool in case of severe OSA. How to cite this article Patla SDK, Koikkara R. Is it Necessary to Perform Drug-induced Sleep Endoscopy in Severe Obstructive Sleep Apnea? Clin Rhinol An Int J 2019;12(1):3–5.