<p class="abstract"><strong>Background:</strong> Chronic rhino-sinusitis (CRS) is diagnosed in cases when symptoms are present for more than 12 weeks. Rhino-sinusitis manifests itself with a sudden onset of two or more symptoms, one of which is either nasal blockage or nasal discharge (anterior or posterior nasal drip). Position of maxillary ostia is high on their supero-medial walls, which may be suboptimal for natural drainage. Human maxillary sinuses exhibit better passive drainage through their ostia when tilted anteriorly to mimic a quadrupedal head position. Objective of this study is to evaluate the result and advantage of both quadrupedal and non-quadrupedal head position on recovery on CRS.</p><p class="abstract"><strong>Methods:</strong> This study consists of 100 patients which consists of group 1 (quadrupedal) and group 2 (non-quadrupedal head position), of CMS in whom assess the result based on the overall Quality of Life and CT scan findings after 6 weeks treatment with medical treatment.  </p><p class="abstract"><strong>Results:</strong> The significant difference between the two groups was the group 1, had more males as compared with group 2.The scoring form used for CT scans reflected the Lund-Mackay staging system. Each maxillary sinus was scored separately and total scores were determined for right and left sides. No statistically significant differences in the scores were noted between the 2 groups at baseline and there were significant differences after 6 weeks of treatment.</p><p><strong>Conclusions:</strong> CRS significantly impacts patients quality of life. From an analysis of quality of life and CT score, this study confirmed that quadrupedal head position significantly improved recovery from CMS. This study thus indicated that quadrupedal head position can be valuable adjuvant therapy for patients with CMS. </p>

<p class="abstract"><strong>Background:</strong> Ear, nose and throat (ENT) diseases are very common in general population. Internal living environment can act an important risk factor for these diseases. In rural areas, patients do not consult ENT experts. So, free health camps can bring treatment facilities at their doorsteps. The objective of this study was to determine the pattern and prevalence of ENT diseases in rural areas of Sasaram, Rohats district, Bihar and to find out the effect of living environment on these diseases.</p><p class="abstract"><strong>Methods:</strong> The study<strong> </strong>was conducted using camp approach in rural areas of Sasaram, Rohtas, Bihar. ENT and Community Medicine experts, interns along with audiologists, medico social workers, nurses and paramedical staff were voluntarily involved.<strong> </strong>The patients were screened and referred to ENT experts. A logistic regression analysis was conducted to determine the internal environment factors associated with ENT diseases.  </p><p class="abstract"><strong>Results:</strong> Out of 832 patients, 61.9% were suffering from ENT disorders. Most common age group affected was of 31-40 years. 54.8% of patients were suffering from ear diseases while nasal and throat problem was seen in 14.9% and 30.3% respectively.<strong> </strong>Multiple logistic regression analysis of living environment conditions propounds that non-availability of cross ventilation in houses and overcrowding are most important factor influencing ENT diseases.</p><p class="abstract"><strong>Conclusions:</strong> Free health camps conducted by medical experts act as an opportunity to screen people with various diseases of ENT in a community. Bad internal environment can act as a vital determinant for these diseases.</p><p class="abstract"> </p>