Introduction:The success of rhinoplasty is dependent on  quality of life(QOL) as well as functional outcome. Limited  QOL studies are available and their utility are yet to be published successfully. In this prospective study  we aimed to measure the objective result of rhinoplasty patients using Rhinoplasty outcome Evaluation a simple questionnaire. Methods-:31 patients were selected from AIIMS New Delhi in ENT department between 2012  to 2013 and ROE was applied along with pre operative photographs to compare the changes post operatively. Results: By analyzing the raw data there was significant changes in the quality of life outcome which was supplemented subjectively by Photographic changes Conclusion:ROE scale and photodocumentation are essential tools for rhinoplasty surgeons to objectify the surgical results .

Septoplasty in children is controversials due to concerns over an adverse effect on nasal and facial growth. Recent evidence has confirmed that septoplasty can be safely performed without affecting  nasofacial development in properly selected pediatric patient. The purpose of this article is to establish the impact of pediatric septoplasty on nasal and facial growth and review the clinical indications and evidence for timing of surgery according to the most recent literature. A structured review of the PubMed, Ovid Medline and Cochrane Collaboration databases (Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews) was undertaken, using the terms: pediatric, childhood, septoplasty, nasal septum, indications, nasal growth and facial growth. A further similar study concluded that external septoplasty does not affect most aspects of nasal and facial growth, but may negatively influence growth of the nasal dorsum. Furthermore, one study demonstrated that a group of children with symptomatic uncorrected deviated nasal septum had a statistically significant increased occurrence of facial and dental anomalies compared with age and sex matched controls, therefore supporting a role for septoplasty. Conclusions: Evidence exists to support that pediatric septoplasty can be performed without affecting most aspects of nasal and facial growth.

Background: Pemphigus vulgaris (PV), one common type of pemphigus, that affects the skin and mucous membranes, produce keratinocyte acantholysis by desmoglein-3 autoantibodies. Many medical conditions, including autoimmune illnesses, have been linked to vitamin D deficiency. Aim of study: To measure vitamin D level of Pemphigus Vulgaris patients and compare that with healthy controls& severity of disease.  Material and Methods: Newly diagnosed PV patients (44) were compared to 50 healthy controls in this case-control study on vitamin D levels. At S.C.B. Medical College & Hospital, Odisha, the dermatology department chose all patients over a two-year period (2017-2019). Pemphigus vulgaris lesion severity ratings were used to measure the disease severity. The 25(OH) D levels in the blood were determined using the ECLIA method (Electro chemiluminescence immunoassay) in Cobas e411 analyzer. Analyses of the data included independent t-tests and pearson correlations. Results: Gender, age, and other characteristics of both groups were virtually identical. The study comprised 44 patients (27 females and 17 males) and 50 controls (including 19 men and 31 women). Eighty-six percent of patients had moderate to severe involvement, whereas 11% had minor lesions. Patients had Vitamin D levels of 14.44±9.03, compared to 32.88±15.66 for controls (p<0.05).