The results of our study show that FESS has a significant impact on OBV increment and olfactory threshold decrement. The olfactory bulb is a plastic structure and improvement in peripheral olfactory function results in increase in OBV. However, further studies are mandated, in order to establish this result.

Tuberculosis is a major health problem in developing countries. Tuberculosis of the infratemporal region is not common and the diagnosis could be complicated because of the similarity of the presentation to neoplasm. In our paper, we report a 49 year old male presented with a preauricular mass with extension to parotid in right side of the face. The primary histologic diagnosis was giant cell tumor with bony involvement and radical surgery was taken. After 16 months the patient was developed recurrence of the primary lesion in association with post auricular fistula. Ultimately, infratemporal tuberculosis was diagnosed according to result of the drained discharge by AFB microscopy. Therefore, tuberculosis should be considered as an important differential diagnosis of mass lesions in head and neck area, even when there is no history of significant exposure and no systemic signs or symptoms of tuberculosis.

OBJECTIVES: Obesity has reached epidemic proportions and has many cost implications. Being overweight and obese is associated with higher rates of many chronic health conditions, which in turn leads to increases in medical spending and productivity losses. Many worksites have implemented weight management programs for employees to offset the cost burden of disease. This study modeled the potential cost savings for an employer from a 2-year worksite weight management program over ten year time horizon. METHODS: We used data from a group randomized control trial of a worksite weight management program and published healthcare utilization data to model long term net costs. Using a Markov decision analytic modeling technique, we conducted a cost benefit analysis of weight management program versus usual practice. Program costs, health care utilization and prevalence of overweight and obesity in the study population were used to assess program impact. Sensitivity analyses were conducted to find a threshold at which the intervention would have a positive net benefit. RESULTS: The study population showed had a 1.44% decrease in the overweight/obesity in one year. When modeled over 10 years, this program incurred an excess cost of $206 per person compared to usual practice. The threshold at which this program would have a positive net benefit is when there is a 5.8% decrease in the overweight/obese population annually. CONCLUSIONS: Worksite weight management programs may yield cost savings with modest reduction in the percentage of overweight or obese employees. This evidence may encourage employers to implement and support weight management programs that have empirically demonstrated higher rates of weight loss in employees. More research is needed to understand why some individuals are more successful at weight reduction and to evaluate long-term effectiveness of weight management at worksites.

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