<p class="abstract"><strong>Background:</strong> Nasal packing is used primarily to control bleeding, for internal stabilization and to prevent postoperative complications in endonasal surgeries. Nasal septal clip is one of the alternatives, whose effectiveness in surgical practice is less studied upon.<strong> </strong>To compare the effectiveness between nasal septal clip and anterior nasal packing following septoplasty/submucous resection.</p><p class="abstract"><strong>Methods:</strong> Prospective Randomised Controlled Study was conducted in Department of Otolaryngology at Vijayanagara Institution of Medical Sciences, Bellary, between November 2014 to May 2016. Study involved 100 patients fulfilling inclusion and exclusion criteria. Adopting sealed envelope technique, patients were allotted into two equal groups for anterior nasal pack and nasal septal clip following septoplasty or submucosal resection. Interventions were done following standard procedures and data was collected by using pre-tested proforma.  </p><p class="abstract"><strong>Results:</strong> Mean age of anterior nasal pack group and nasal septal clip group was 27.86 and 25.24 years respectively. Intra-operatively, packing with nasal septal clip was easier with significantly less trauma to mucous membrane (X²= 6.353, P= 0.011), consuming significantly less time (t= 9.329, P&lt;0.0001) and support provided to septum could be assessed visually when compared to anterior nasal packing. During immediate post-operative period and while pack removal, nasal septal clip had significantly less complications (P &lt; 0.001). Follow-up complications like septal haematoma, synaechiae &amp; septal perforations were lesser in nasal septal clip group</p><p><strong>Conclusions:</strong> During intra-operative period, immediate post-operative period, during nasal pack removal and during follow-up period nasal septal clip provided technical superiority, smooth post-operative experience and lesser complications compared to anterior nasal packing proving nasal septal clip to be a better choice for nasal packing. Limitations of NSC are its availability and cost. </p>

BACKGROUNDDengue fever is one of the major tropical diseases caused by the dengue virus. Dengue is generally found in tropical and subtropical climates worldwide, often in urban and semi-urban areas. Dengue haemorrhagic fever is one of the leading causes of severe illness and death among children.

The solitary fibrous tumor (SFT) is a potentially malignant spindle cell neoplasm of the mesenchymal origin that was originally described as a thoracic lesion originating from the pleural tissue. Recently, numerous extrapleural sites of origin have been described, also affecting the head and neck region. SFTs are benign in most cases, but 10%–15% of extrapleural SFTs show malignant behavior in the form of recurrent or metastatic disease. We present the case of a 25-year-old female who presented with an asymptomatic left-sided facial swelling of over three years. She had a diffuse swelling in the left preauricular region, extending to the temporal region deep to the zygomatic arch. On magnetic resonance imaging, the vascular lobulated mass occupied the masticator space, infratemporal fossa, and parapharyngeal space, eroding the mandible. An ultrasound-guided fine-needle aspiration cytology was suggestive of SFT, positive for signal transducer and activator of transcription 6 and negative for TLE1. After preoperative embolization, the tumor was excised through a midline lip split approach with posterior segmental mandibulectomy and reconstruction with a titanium plate. Histopathological report was consistent with SFT. Due to high-risk features, she was advised adjuvant radiation therapy. SFTs of the head and neck are exceedingly rare and those with aggressive behavior even more so. To our knowledge, this is the only case of SFT arising in the masticator space. Diagnosis is often difficult and not definitive without immunohistochemistry. In most cases, complete surgical excision is the only treatment necessary. Regardless, all patients require close clinical follow-up for several years.

<p class="abstract"><strong>Background:</strong> Nasal polyps are defined as pearly white, prolapsed, pendunculated oedematous Sino-nasal mucosa. They are unique in their position and their composition. Many hypotheses concerning its pathogenesis have been proposed. But till now there is no clear evidence for any single cause. This study was taken-up to study the clinical profile of cases with sino-nasal polyps.</p><p class="abstract"><strong>Methods:</strong> Cross-sectional descriptive study was conducted in the Department of Otolaryngology at Vijayanagara Institution of Medical Sciences, Bellary, between January 2016 to April 2016 involving 60 patients fulfilling inclusion and exclusion criteria. Pre-tested and edited proforma was used to collect the data.  </p><p class="abstract"><strong>Results:</strong> Out of 60 participants, 63.4% were males, mean age was 29.5 years. Ethmoidal polyp (63.4%) was the most common polyp followed by antrochoanal polyp (33.4%). Ethmoidal polyp was most commonly observed 31-40 years age while antrochoanal polyp was observed in 11-20 years age. Ethmoidal polyp and antrochoanal polyp were observed more commonly in males and females respectively. The most common presenting symptoms were nasal obstruction and nasal discharge.</p><p class="abstract"><strong>Conclusions:</strong> Ethmoidal polyps are the most commonly observed sino-nasal polyps followed by antrochoanal polyp. Ethmoidal polyp was more commonly observed in adult age group while antrochoanal polyp was observed in children. The most common presenting symptoms were nasal obstruction and nasal discharge.</p>