<p class="abstract"><strong>Background:</strong> In selection of a graft tissue factors considered include its biological properties, probability of survival, its adequacy in size and ease of procurement<strong> </strong>The present study aims to preoperatively predict hearing improvement by paper patch test and compare with postoperative hearing improvement i.e. pre and post operatively hearing assessment.</p><p class="abstract"><strong>Methods:</strong> The study was conducted on 25 cases undergoing myringoplasty with Fascia lata and Temporalis fascia as a graft material among the patients fulfilling the standard criteria for myringoplasty i.e. pars tensa perforation, good cochlear reserve, dry ear and normal eustachian tube function were considered for surgery. Myringoplasty was done from post aural route for harvesting fascia temporalis graft &amp; from upper 1/3rd of thigh laterally to harvest fascia lata. Each case was followed up post operatively monthly for 3 months.  </p><p class="abstract"><strong>Results:</strong> Factors which influence graft take up are the size of perforation and lack of infection at the time of surgery and postoperative. Large perforations were difficult to repair as it took more time to heal. Surgery performed postaurally underlay technique using temporal fascia was associated with less morbidity, better uptake and lesser postoperative complications but permeatal route also serve similar purpose and does not affect the result of study significantly.</p><p class="abstract"><strong>Conclusions:</strong> This study compared both temporal fascia and fascia lata as graft materials for myringoplasty and proved that myringoplasty done by postaural underlay technique using temporal fascia holds best as per graft uptake, hearing improvement and postoperative complications when compared to fascia lata myringoplasty.</p>

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AIM - Study the prevalence, type, degree of hearing impairment among hypertensives (age group 45-64yrs). correlate duration of hypertension, and degree of hearing impairment in the hypertensives (age group 45-64yrs).Methodology:- Study was carried out in 200 patients attending medicine opd of JAH gwalior based on inclusion and exclusion criteria. All the patients undergone complete history taking, BP Measurement and complete ENT clinical and otoscopic evaluation of ear and pure tone audiometry. Results& conclusion :- Age group showing maximum propensity to hearing loss was 56-60 years of age {37 patients (56.1%)} Most common group showing patients with hearing loss is 6-10 years of hypertension{29 patients (78.4%)} Most common complaint was self- reported hearing loss {59 patients (93.7%)}, followed by Tinnitus {48 patients ( 85.7%)}. Of patients with systemic hypertension showing hearing loss at higher frequencies. Prevelnce of sensorineural hearing loss is 42.8% ie 86 patients. Patients who had uncontrolled Hypertension has more prevelnce of sensorineural hearing loss as compared to controlled hypertension patients. ( Stage 1 – 19.8 %, Stage 2 -.56.3 %, Hypertensive crisis – 87.5%)

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Introduction: Sinonasal Tract (SNT) lesions are frequently observed in the Ear, Nose and Throat (ENT) practice. These lesions have identical appearance and usually present with nasal obstruction, but have varying differential diagnosis that requires histopathological confirmation. Though a common pathology, studies correlating clinical and histopathological diagnosis of SNT lesions are scarce among patients residing in Central India. Aim: To assess the prevalence of various lesions in SNT, compare the lesion in relation to age and sex, and simultaneously relate the clinical and histopathological diagnosis. Materials and Methods: This was a cross-sectional study carried out, in the Department of ENT and Head and Neck Surgery, Gajraraja Medical College, Gwalior, Madhya Pradesh, India, between May 2019 to December 2020. A total of 109 patients with SNT lesions were evaluated and a provisional diagnosis was reached after evaluating the history, and performing the clinical examination. The SNT lesions were excised operatively and definitive diagnosis was reached after histopathologic examination. Finally, clinical diagnosis was related with histopathologic diagnosis and percentage of patients in which clinical diagnosis similar to the histopathological diagnosis was calculated. Results: A total of 109 patients with SNT lesions were evaluated and the most common age groups to be affected were 21-30 and 31-40 years (22.9% each). Majority of the patients were males (53.2%) and had the complaints for the last three months to a year (63.3%). The most common complaint was nasal obstruction (93.6%) followed by rhinorrhoea (71.6%). Most common types of lesions were non neoplastic (77.1%). Among the neoplastic lesion, majority were benign (70.8%). Among various lesions, inflammatory nasal polyp (78.8%), haemangioma (47.1%), and Squamous Cell Carcinoma (SCC) (57.1%) were the most commonly observed non neoplastic, benign, and malignant lesions, respectively. The concordance between clinical and histopathological diagnosis was 88.1%, as 96 patients out of 109 clinically diagnosed patients, were confirmed on histopathology. Conclusion: The SNTs lesions are complex and their nature varies widely. The histopathological examination is essential to confirm the diagnosis and manage the patients, especially in patients with malignant lesions.