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Rhinophyma is a slowly progressive condition due to hypertrophy of the sebaceous glands of the tip of the nose, often seen in cases of long standing acne rosacea. There are many surgical methods which are followed. We present a case of rhinophyma which was treated by shaving with diathermy knife followed by regular postoperative dressings. No skin graft was used during the procedure and a complete healing with near normal cosmetic appearance was achieved.

<p><strong>Background:</strong> The study aims to compare the efficacy of submucosal diathermy and partial inferior turbinectomy in terms of improvement in nasal obstruction, pain, haemorrhage, crusting and wound healing.</p><p><strong>Methods: </strong>A prospective sequentially randomized comparative study involving fifty patients, divided into two groups of 25 patients each. Group A consists of patients who underwent SMD and group B consists of patients who underwent PIT. Post-operative assessment was done at day 1, 2 weeks, 1 month, 3 months and 6 months.</p><p><strong>Results: </strong>Post-operative improvement in nasal obstruction was seen in both groups. 80% showed significant improvement in SMD and 32% in PIT group at the end of second week. By sixth month, 40% in SMD group and 80% in PIT group showed significant improvement. Mild pain was observed in 12% of PIT group at 2 weeks. In SMD group, 8% developed reactionary haemorrhage. In PIT group, 24% developed minimal soakage and 12% developed moderate soakage. Severe nasal crusting was seen in 64% of the cases in PIT group and in 40% of the cases in SMD group at second week. By 1 month, 44% in PIT group and 12% in SMD group showed severe crusting.</p><p><strong>Conclusions: </strong>Short term complications like pain, obstruction and haemorrhage was noted to be higher with PIT. On long term evaluation, PIT showed better results in terms of improvement in nasal obstruction scores.</p>

<p class="abstract">Hemangiomas are benign accumulations of blood vessels which occur in any tissue that includes vascular components like skin, mucosa, muscles, glands and bones. Hemangiomas arising in the nose are rare and account for less than 20% of all benign tumors of nose. They usually arise from inferior turbinate, middle turbinate and vomer. We present a case of cavernous hemangioma of left nasal cavity arising from mucosa of left middle meatus mimicking an antrochoanal polyp. Hemangiomas arising from middle meatus are extremely rare and to our knowledge this is the second case reported in literature.</p><p> </p>