ABSTRACT: Background: Functional endoscopic sinus surgery (FESS) is the standard treatment for inflammatory nasal polypi and sinusitis as it targets the common drainage pathway or the osteomeatal complex in the middle meatus. New techniques tailored according to regional patient needs and available on ground situations are constantly being mentioned in research articles.Aim: to present our experience in practicing a hybrid technique of performing middle meatal antrostomies without endoscope.Materials and Methods: This is an observational clinical study. This study was performed on 50 patients who underwent middle meatal antrostomies without endoscope from April 2017 till Aril 2019 in the department of ENT at Islam Medical College Pasrur Road Sialkot.Results: In our study all the 50 patients were found to be having patent middle meatal antrostomies at 6 weeks times after surgery, assessed by flexible fiber optic nasal endoscopy.Conclusion: middle meatal antrostomy without endoscope is a safe and effective method in treating maxillary sinus disease and should be practiced instead of the traditional inferior meatal antrostomies, at centers where an environment conducive to FESS is not available. Studies with larger sample size will further establish the efficacy, cost effectiveness and time conservation with this technique.

Objective: To assess the effectiveness of partial inferior turbinectomy in relieving the symptoms of nasal obstruction in casesof inferior turbinate hypertrophy and to compare the results in terms of relief from nasal obstruction in response to total inferior turbinectomy.Design: Comparative Study. Setting: Department of Otorhinolaryngology and Head and neck surgery, CMH Rawalpindi. Period: From January2004 to November 2004. Patients and Methods: A total of 60 patients with inferior turbinate hypertrophy were selected by convenientsampling. 30 patients were treated by partial inferior turbinectomy and 30 by total inferior turbinectomy and result in terms of relief of nasalobstruction based on VAS (Visual Analogue Score) was observed with follow up carried out at interval of one week and then two months.Results: All cases of both the groups showed complete relief of nasal obstruction after 02 months, showing 100% results. Out of 30 casesmanaged by total inferior turbinectomy 4 cases (13%) developed atrophic rhinitis. Conclusion: Partial inferior turbinectomy is as good as totalinferior turbinectomy in relieving nasal obstruction with an edge of avoiding complications like atrophic rhinitis

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