Context:Alveolar osteitis (AO) (dry socket) is a postoperative healing complication after tooth extraction. Pain is considered the most important symptom of dry socket which can vary in frequency and intensity.Aim:The aim of the present study was to evaluate the management of AO with alvogyl and zinc oxide eugenol (ZOE).Study Design:This study was designed as a single-blinded prospective study with a sample size of fifty patients included in the study after obtaining the informed consent.Materials and Methods:All the fifty patients with dry socket were randomly selected and divided into two groups as follows: (1) Group I: Patients who received alvogyl paste as an intrasocket medication and (2) Group II: Patients who received ZOE as an obtundant dressing.Statistical Analysis Used:Data were analyzed using t-test and Chi-square test.Results:The mean number of dressings required was less in Group I as compared to Group II, and thus Group I showed faster healing. In addition, the intensity of pain decreased more rapidly in Group I as compared to Group II. The mean time required for complete pain relief was less in Group I as compared to Group II, and thus Group I showed faster relief from pain.Conclusion:Alvogyl is better for the management of dry socket by virtue of shorter time required for complete pain relief, fewer visits for dressing change, and faster clinical healing of the socket.

A lingual thyroidisa massofectopic thyroidtissue located in the midline of the base of the tongue. Its estimated prevalence rangesfrom 1 in 3,000to 1 in 10,000 population. Wereport theinterestingcase ofa28-year-old woman who presented with a primary papillary carcinoma in a lingual thyroidand a histologically normalthyroidgland. To thebestofourknowledge, thiscase probably represents only the second reported case of a follicular variant of a papillarycarcinoma arising in a lingual thyroid.

Facial paralysis is a rare complication of acute suppurative otitis media which requires early detection and appropriate care. We hereby report a case which we managed conservatively with good outcome. Following our experience and review of literature on the subject, antibiotic therapy and corticosteroid therapy, with or without myringotomy were found to be the first-line procedures. Surgery should be employed in case of acute or coalescent mastoiditis, suppurative complications and lack of clinical regression. Keywords Acute suppurative otitis media (ASOM) Á Corticosteroid Á Lower motor neuron (LMN) Á Facial nerve palsy Á Electro neuro myography (ENMG)

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