Retropharyngeal abscess can be a deadly condition if not treated at the right time. Etiology could be following penetrating foreign body injury and extension of the prevertebral space infection. Retropharyngeal abscess can cause respiratory distress and mortality due to extension of infection to danger space. In this case we present an elderly male with uncontrolled diabetes who developed retropharyngeal abscess following an accidental intake of a blister pack of oral hypoglycemic drug. Blister pack is an unusual cause of retropharyngeal abscess but can be associated in elderly patient with loss of dexterity and difficulty in vision.

Objective: To evaluate the clinical outcome of scutumplasty in the treatment of limited attic cholesteatoma. Materials and Method: A prospective interventional study was performed in 30 patients with limited attic cholesteatoma who underwent scutumplasty. The status of the reconstructed scutum was assessed at postoperative 1 st , 3 rd , 6 th month. Pre operative and post operative hearing results were recorded by pure tone audiometry and compared at 3 rd and 6 th month. Results: Out of thirty patients who underwent scutumplasty, two developed retraction pocket and one developed recurrence of cholesteatoma. There was a statistically significant reduction in the Air Bone Gap in the post operative period with p<0.05. Conclusion: Attic reconstruction with cartilage prevents future retraction and recurrence of cholesteatoma. It could also improve the hearing postoperatively but it depends on the ossicular status and the type of tympanoplasty that was done. Scutumplasty can be used successfully in the treatment of limited attic cholesteatoma cases.

Ingestion of the foreign body like endodontic instrument, mouth mirror top, rubber dam clamp, during root canal treatment are rare but can result in serious complications. The present paper reports a case in which Irrigation needle was accidentally swallowed by the patient undergoing root canal therapy, which entered digestive tract and passed uneventfully within 24 hours.