BACKGROUNDThe inferior turbinate plays a pivotal role in normal nasal physiology. The inferior turbinate hypertrophy can cause decreased nasal airflow and sensation of nasal obstruction. Many methods (Conservative and surgical) have been tried to deal with this hypertrophy, but the most ideal method is still to arrive. Conservative management is temporary and recurrence is common. About 13 types of surgical procedures have been described over the past century in correcting inferior turbinate hypertrophy.

OBJECTIVESThe aims are 1. To study the surgical results of myringoplasty using temporalis fascia as a graft material. 2. To study the surgical results of myringoplasty using periosteum as a graft material. 3. To study the comparative outcome in myringoplasty with temporalis fascia versus periosteum as graft materials in terms of graft uptake and hearing improvement. MATERIALS AND METHODSThe study was conducted in Government ENT Hospital, Andhra Medical College, Visakhapatnam during the period of July 2012 to July 2014. It's a prospective study where myringoplasty was performed on 100 patients after complete examination and investigations. All patients were found to have CSOM with inactive mucosal disease with central perforation. Patients were divided into equal groups. Group 1 underwent repair of tympanic membrane by using temporalis fascia and Group 2 by using of periosteum. Post auricular approach was chosen in all the cases. CONCLUSIONMyringoplasty is the method of choice of treatment for CSOM with inactive mucosal disease. CSOM is more common in females in this study. Out of the 100 cases 54 were females and 46 males. It is common in the age group of 15-24 years (44%) particularly among the low socio-economic group because of lack of hygiene, ignorance and unavailability of advanced medical care. Around 90% of cases of CSOM that presented to the OPD were of safe type and required surgery. These patients were undergone reconstructive surgery using either temporalis fascia or periosteum as graft material. Good results were noted both with temporalis fascia and periosteum in terms of graft uptake and hearing restoration. Graft uptake was better with periosteum when compared to temporalis fascia. Hearing improvement better with temporalis fascia than periosteum. KEYWORDSTemporalis Fascia, Periosteum, Myringoplasty, CSOM. HOW TO CITE THIS ARTICLE:Rao SSP, Prasad TVSSNL, Veeraswamy N, et al. Comparative study on usage of temporalis fascia vs. periosteum in myringoplasty.

Spinal cord provides the support to withstand the weight of the human body. The lumbar and thoracic curves mostly represent the spine curvature of human. They are also used to determine the normality of the human spine. If the normality doesn’t exist these data are helpful in treating the human. Low back ache arises even if any of the curves shows abnormality. This study revolves around the available techniques or instruments in measuring of those mentioned curvatures and the standard of the instruments. Around the world, many countries have started collecting spine curvature data for more than five decades; however, India lacks in this field. Every instrument faces its own difficulties and providing its own advantages. Construction of one new machine which will be providing only the advantages is a hectic task. For collection of spine curvature data countries have developed various instruments such as (X-ray), Inclinometer, Arcometer, Goniometer, Flexicurve, Laser scanner, Fibre optic sensor, electromagnetic sensors, spinal mouse, etc.; some might not be accessible to Indian markets. Today, there is a die-hard need in developing of machine or instrument or technique which will overcome all the limitations that were provided by the above mentioned instruments.

AIM AND OBJECTIVE:The main aim of this study was to estimate the prevalence of common and rare ear, nose, throat and head and neck disorders which were undertaken for surgery in our hospital during 2013-2014. MATERIALS AND METHODS: During the period of 2013-2014, around 20, 000 patients attended to the outpatient department, of which 1400 patients were found to be suffering from ENT diseases which required surgery. Out of the total patients, 657 patients (46.9%) had ear problems, 295 patients (21.1 %) were suffering with nose diseases, while 255 patients (18.2%) had throat symptoms and 193 patients (13.8%) with head and neck disorders. Chronic suppurative otitis media was the most common diagnosis in patients with ear symptoms. Among the nasal problems, sinusitis and allergic nasal polyposis was the most common diagnosis, while tonsillitis is the dominant diagnosis made in patients with throat disorders seen in this study. In the malignant disorders of the throat, carcinoma of larynx and hypopharynx was occupying the highest place. In thyroid disorders, benign tumours were observed to be most common.

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