Objective: Traditional surgeries of the nasal septum improve the nasal airway but recent developments of endoscopic techniques have brought focus over several aspects of possible advantages over traditional techniques. These are due to better visualization and illumination, better accessibility and evaluation of exact pathology, lesser need of unnecessary manipulation, resection and overexposure of the septal framework and improving the scope for a revision surgery if required later. Materials and methods:Sixty cases of deviated nasal septum (DNS) refractory to conservative medical treatment were divided into two groups of 30 patients and underwent correction surgery for nasal septal deformity using both endoscopic and conventional techniques. Results:The postoperative follow-up was done at 1, 2, 4 weeks and 3 months. The clinical results of endoscopic septoplasty were found better as compared to conventional techniques with lesser complications and lesser period of hospitalization. However, the statistical analysis did not show a difference between the two groups. Conclusion:The use of endoscopic techniques offers lesser complications and lesser period of hospitalization. However, this study of limited series needs further extensive evaluation to statistically establish the proposed results in future.

Ectopic eruption of teeth into a region other than the oral cavity is rare although there have been reports of teeth in the nasal septum, mandibular condyle, coronoid process, palate, chin and maxillary sinus. Eruption of ectopic teeth in maxillary sinus usually is found incidentally on routine radiological investigations. We present a case of an ectopic maxillary third molar tooth with dentigerous cyst that caused chronic purulent sinusitis in left maxillary sinus.

Objective: Endoscopic dacryocystorhinostomy (DCR) has known advantages over external DCR as a less invasive method without the need of any skin incision. Mitomycin C (MMC), a wound healing inhibitor, was used intraoperatively with the objective of reducing incidence of adhesion and synechiae formation as a postoperative complication leading to failure of the procedure. Materials and methods:Endoscopic DCR was performed in 60 patients. MMC (0.5 mg/dl for 5 minutes) was applied to the ostium in 30 patients in comparison with control group. Results:The postoperative follow-up was done at 1, 3 weeks and 3 months. The success rate of endoscopic DCR with intraoperative MMC was 90%whereas it was found to be 83.33% in control group. The statistical analysis did not show a difference between the two groups according to success rates. Conclusion:Adjunctive use of a wound healing inhibitor may be considered to increase the success rate of endoscopic DCR. Its intraoperative use seems to be easy and safe. This study of limited series needs further extensive evaluation to establish the adjunctive use of MMC in endoscopic DCR in future.