A double-blind randomized prospective case-control pilot study was performed to assess tissue distortion caused by the infiltration of local anaesthetic to the dorsum of the nose and to see if this was altered by the addition of hyaluronidase. Forty patients undergoing nasal manipulation for fractured nasal bones were randomized to receive either 4 ml of two per cent lignocaine and adrenaline 1:200000 or 4 ml of two per cent lignocaine and adrenaline 1:200000 with 1500 IU hyaluronidase, which was infiltrated subcutaneously over the nasal dorsum. One surgeon using a standardized technique performed the nasal infiltration. Other outcome measures were ease of manipulation, adequacy of the reduction, patient satisfaction with cosmesis and patient analgesia requirements. There were trends for decreased tissue distortion and improved ease of manipulation in the hyaluronidase group. Larger trials are required to confirm these results.

<p class="abstract"><strong>Background:</strong> The objective of the study was to evaluate the prevalence of sensorineural hearing loss in type 2 diabetes mellitus and to figure out a relation between age, sex, duration of diabetes and diabetic control.</p><p class="abstract"><strong>Methods:</strong> A cross-sectional study was conducted at Geetanjali Medical College and Hospital for 1.5 years. Patients were known case of diabetes mellitus type 2 without any other systemic illness included in the study. A total of 115 patients were involved in the study and the informed consent was taken. A detailed examination and history related to hearing loss and diabetes status with treatment was elicited. All basic blood investigations were performed on all the patients. All the patients were subjected to pure tone audiometry and impedance audiometry in a sound proof room.  </p><p class="abstract"><strong>Results:</strong> The total prevalence of sensorineural hearing loss in the study subjects was found to be 80% with most of them having mild degree of sensorineural deafness. Increase in age, longer duration and uncontrolled diabetes are the factors which had higher risk of developing sensorineural hearing loss in the study subjects.</p><p class="abstract"><strong>Conclusions:</strong> There is a strong association between sensorineural hearing loss and duration of diabetes mellitus-2. The threshold of hearing loss is increased mainly at the higher frequencies with diabetes.</p>

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<p class="abstract"><strong>Background:</strong> The objective of this study is to evaluate the diagnostic accuracy of FNAC in parotid gland lesions and it’s correlation with HPE, for better management of patient.</p><p class="abstract"><strong>Methods:</strong> A total of 46 FNAC were done of parotid gland lesion in Pathology department of GMCH from 2016 to 2018. Out of 46 patients of parotid gland lesions 44 were surgically resected by ENT Dept GMCH and formalin fixed specimen were sent to Pathology department and slides were prepared. The cytology and HPE stained slides were studied and correlated clinically.  </p><p class="abstract"><strong>Results:</strong> The cytology features of 44 cases are correlated with HPE. In cytology study: pleomorphic adenoma in 31, benign cystic lesion in 07, basal cell adenoma in 01, mucoepidermoid carcinoma in 04 and adenocystic carcinoma in 01. In HPE study: pleomorphic adenoma in 28, benign cystic lesion in 04, basal cell adenoma in 02 and warthin’s tumor in 02, adenocystic carcinoma in 02, mucoepidermoid carcinoma in 03, acinic cell carcinoma in 01, carcinoma of EX pleomorphic adenoma in 01 and cystadeno carcinoma in 02. The sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy are respectively 55.55%, 100%, 100%, 89.74% and 90.90%.</p><p class="abstract"><strong>Conclusions:</strong> FNAC of the parotid gland is safe and reliable technique in the primary diagnosis of salivary gland lesion. Although, sensitivity of this test has some limitation and to differentiate specific malignant lesion. This study has shown that FNAC has low sensitivity, high specificity, diagnostic accuracy, simple and cost effective for the patients of parotid gland lesion.</p>

<p class="abstract"><strong>Background:</strong> The objective of this study is to compare operative time, intraoperative bleeding, postoperative pain between coblation and dissection tonsillectomy.</p><p class="abstract"><strong>Methods:</strong> A total of 62 patients who met the inclusion criteria were divided into two groups according to the surgical procedure they went through. Surgical time intraoperative blood loss, postoperative pain, postoperative regaining of activity and any episode of postoperative bleeding were noted in both the groups and compared.  </p><p class="abstract"><strong>Results:</strong> Coblation tonsillectomy fared better than dissection tonsillectomy in terms of having less intraoperative blood loss, less postoperative pain. Patients who underwent coblation assisted tonsillectomy also had earlier return to normal activities. Though the time required for coblation tonsillectomy was more than dissection tonsillectomy there were no episodes of postoperative bleeding in subjects who underwent coblation tonsillectomy.</p><p class="abstract"><strong>Conclusions:</strong> Coblation assisted tonsillectomy is a promising new technique for tonsillectomy as patients had less postoperative morbidity mainly pain. The surgical time required could be reduced further with experience.</p>