We present a case report of a 45-year-old lady with history of swelling on right side of the nose since two years. On clinical examination, there was a firm swelling, 3 × 2 cm in size, just above the right nasoalar crease, nontender and mobile. Computed tomography revealed fibrous tissue over anterior surface of the right maxilla and nasal bone with mild sclerosis of the right nasal bone. Excision was done through lateral rhinotomy incision. Histopathological examination of the excised specimen revealed spindle cell lipoma which is very rare. Very few cases have been reported in the literature so far.

<p>A thorough evaluation of nasal masses along with early management of the disease can prevent complications and further deterioration of the disease to a larger extent.<strong> </strong>Nasal mass occurring in the nose with symptoms of epistaxis is a sign of suspicion of malignancy. Patients can have variable presentations according to the site and extent of the infection. This article comprises of study done on 3 patients who presented to the ear, nose, and throat (ENT) out patient department with nasal mass with bleed. All three of the patients were subjected to clinical examination, diagnostic nasal endoscopy, radiological evaluation, surgical intervention and histopathological assessment. Thorough evaluation helps the operating surgeon to come to a specific diagnosis so that the chances of diagnosing rare cases does not get ruled out and helps the further deterioration of the disease.</p>

PURPOSE:To compare success rates of endoscopic dacryocystorhinostomy (DCR) and external DCR for acquired nasolacrimal duct obstruction (NLDO). MATERIALS AND METHODS: A prospective comparative non randomized study of 64 patients who presented with acquired NLD obstruction to a tertiary hospital. They were fully evaluated to ascertain the site of obstruction and patients with distal obstruction were included in the study. 34 patients underwent endoscopic DCR and 30 patients underwent external DCR RESULTS: 64 patients were included in the study and 72 procedures carried out. Success was achieved in 65 cases and failure in 7. Of the 7 failed cases, anatomical obstruction at the fistula site was found in 3, whereas functional failure was found in 4. In our patients, endoscopic DCR had a significantly higher success rate than external DCR, 95.23% versus 83.33% (P = 0.03). CONCLUSIONS: The success rate of Endoscopic DCR for acquired NLDO in our group of patients was 95.23%, with endoscopic surgery showing better results.

INTRODUCTION: Ectopic cervical thymoma is often misdiagnosed as thyroid mass due to its anatomical location. Ectopic thymic tissue can be found along the entire thymic descent path during embryogenesis. Thymoma arising from the cervical region is extremely rare and has always been a diagnostic challenge. Herein we report a case of cervical thymoma masquerading as thyroid mass by radiological and cytological evaluation as it was associated with Hashimotos's thyroiditis overlying the cervical thymoma. The mass was seen extending retrosternally by CT scan and intraoperative observation of a separate mass postero lateral to the left lobe of thyroid noted. Intraoperatively there was no complication and patient had retained original voice for 5 days postoperatively. Sudden hoarseness of voice on 5 th day of postoperative period was treated with tapering oral steroids for 21 days and then with speech therapy. Patient regained her voice after 6 months.

Swelling of the tongue usually pose a clinical dilemma, especially when presenting at an early age. Growths from all of these heterogeneous components may occur resulting in a wide variation in clinical features and behaviour, ranging from self-limiting to aggressive lesions. Here we present a case of a 9 year old female child, with complaints of swelling over the tongue and floor of mouth. She previously had a similar lesion at the age of 1 year, which was diagnosed to be a hamartoma. The aim of this study is to discuss how to proceed regarding the further management.