ABSTRACT:Patients with safe CSOM may have associated disease process in the mastoids. It is a good practice to explore mastoids along with type-I tympanoplasty. MATERIAL AND METHODS: It is a prospective study conducted in the department of ENT, Tripura Medical College, Agartala during the period of July 2013 to December 2014. Forty two patients with safe CSOM were selected in the study. These patients were evaluated and prepared for surgery. Cortical mastoidectomy with type-I tympanoplasty was done and the patients were followed up for 6 months. RESULTS AND OBSERVATIONS: Graft uptake was successful in 85.7% cases. The complications were graft rejection (14.3%), disturbance in taste (11.9%), vertigo (14.3%), wound infection (9.5%) and sensorineural hearing loss (4.8%). CONCLUSION: Exploration of mastoid in conjunction with type-I tympanoplasty gives good result with few complications.

BACKGROUNDCa oesophagus is one of the most serious tumours owing to its rapid development and fatal prognosis in most cases. Worldwide, oesophageal cancer ranks eighth in cancer incidence and sixth in cancer mortality.The objective was to study the patterns of involvement of Ca oesophagus. MATERIALS AND METHODSThis study has been conducted in the Department of ENT in Tripura Medical College. Details of all the patients with Ca oesophagus who were admitted in the Department of ENT from June 2011 to May 2016 were collected from medical records department and analysed. RESULTSAll the patients presented with progressive dysphagia and weight loss (100%). Of all the patients, 63.2%, 34.5% and 24.1% patients presented with regurgitation, retrosternal pain and odynophagia respectively. The middle third of oesophagus was most frequently involved (59.8%), followed by lower third (27.6%) and upper third (12.6%). HPE revealed squamous cell carcinoma in 88.5% and adenocarcinoma in 11.5% patients. CONCLUSIONOesophageal cancer is quite common in NE India. The peak age of presentation is in the sixth decade of life, and majority of patients present at advanced stage. KEYWORDSCa Oesophagus, Squamous Cell Ca (SCC), Middle Third of Oesophagus. HOW TO CITE THIS ARTICLE:Singha V, Roy S. Clinicopathological characteristics of Ca oesophagus -Experience from a tertiary care centre in North-East India.

ABSTRACT:Complications of sinusitis are rare nowadays because of higher and broad spectrum antibiotics. Preseptal abscess may rarely present as a complication of sinusitis. Our patient presented with a preseptal abscess with underlying ethmoidal sinusitis. The patient was treated with antibiotics; Incision and drainage of the preseptal abscess were done and infection in the ethmoidal sinuses was eradicated by endoscopic sinus surgery.