Introduction  Tuberculosis can involve any organ or site. Otorhinolaryngologist may encounter tuberculosis affecting lymph nodes, ear, larynx, deep neck spaces, salivary glands etc. which can mimic other chronic granulomatous conditions or malignancy. To ensure early diagnosis, it is important to recognize its cardinal signs and symptoms and to be aware of potential pitfalls in diagnosis. This study was done to learn the clinical presentation of tuberculosis in ear, nose, throat and head and neck region, and to assess the effectiveness of various investigations and treatment done for the same. Materials and Methods  A retrospective study done in our institution involving 120 patients suffering from tuberculosis in ear, nose, throat and head and neck region who attended pulmonary medicine or ENT OPD or ward between January 2008 to December 2017 that is, 10 years. Study period for data collection and analysis was 1 month. Results Total 120 patients-69 males and 51 females. Most common site was cervical lymph nodes(77.5% patients), followed by larynx(8.3%),middle ear(7.5%),deep neck spaces(2.5%) and salivary glands and nose(1.7% each). Histopathology was highly sensitive(99. 1%).All except one patient responded to first-line antitubercular drugs, the other patient was given treatment for MDR-TB to which he responded. Conclusion Tuberculosis can involve any site in the head and neck region, most common being cervical lymph nodes mainly presenting as neck swelling. Variable nature of manifestations of tuberculosis makes it essential to have high degree of suspicion for early diagnosis.

Schwannoma is a rare benign solitary, slowly growing, encapsulated neural tumor arising from the nerve sheath of Schwann cells of the nerves. 1 They can occur throughout the body with only a handful reported originating in the nasopharynx. These lesions are quiet asymptomatic and malignant transformation rate is negligible. Their clinical presentations are varied and depend on the nerve of origin. Its diagnosis is quite difficult as fine needle aspiration cytology, computerized tomography, and magnetic resonance imaging are of little use. The nasopharynx is, however, a notoriously difficult area to access surgically due to its central location, surrounding facial skeleton and skull base, great vessels, and cranial nerves. Complete surgical excision is treatment of choice and postoperative histopathological examination establishes the final diagnosis.Here we present a rare case of a 25-year-old male with nasopharyngeal mass whose postoperative histopathological and immunohistochemistry of excised lesion showed a nasopharyngeal schwannoma and discuss the treatment and differential diagnosis for the same.

<p class="abstract">The fibrous dysplasia is a benign bone disease, of slow growth and unknown etiology. The involvement of the craniofacial skeleton is not uncommon and generally produces facial asymmetries. Presenting case series with fibrous dysplasia occupying the entire maxillary sinus confirmed with the radiological investigations. The patients were clinically examined and with proper explained consent patients were worked up for excision of the involved lesion. Coronal sections of paranasal sinuses was done and diagnosis was confirmed. Patients were posted for recontouring of fibrous dysplasia and achieved cosmetic refigurement. The surgical treatment remains as the main therapeutic approach and the postoperative follow-up is necessary due to this condition recurrent nature.</p>

<p class="abstract">Presenting a case series on the benign nasal masses with epistaxis and their mode of management of cases during the year 2016-2019. The patients coming to OPD with complaints of nasal mass with nasal bleeding were included in this series. Complete blood count, s. electrolytes, renal function tests, liver function tests, chest X-ray, ECG, CECT neck +thorax and biopsy was done. Excision biopsy was done and specimen sent for HPE. This series showed benign nasal mass of which hemangioma was the most common lesion causing epistaxis managed with complete excision of the tumor with less recurrence rate. Epistaxis is a common symptom and recurrent nasal bleeding requires precise clarification of the cause and exclusion diagnostics prior to therapy planning. It is important here to distinguish between locally induced bland epistaxis and symptomatic epistaxis of benign lesions of nose.</p>