Background: Phimosis is the inability to completely retract the prepuce, a common cause of anxiety to parents of young boys. It is usually physiological and gradually improves with age. Phimosis is considered a problem when there is fibrotic foreskin and its adherence to the glans making it impossible to expose the glans.Methods: Study was conducted on 82 patients that presented to the surgical Outpatient Department (OPD) at Smt. SCL Hospital, NHL Medical College, Ahmedabad for a period of 2 years between September 2011 to September 2013. Case selection was done by detailed history, clinical examination and followed up regularly at 1 week, 2 week and 1 month in necessary individuals. The treatment consisted of applying a topical steroid (betamethasone 0.05% cream) three times a day.Results: 85% of patients had physiologic phimosis and along with Frenulum Breve the count rose to 91%. Only 9% presented with pathological or acquired phimosis. 51 out of 53 patients who completed the course (96%) achieved success with conservative line of treatment. Only 2 failures were seen (4%). 72.5% of patients responded successfully within 2 weeks of treatment. 27.5% of patients took 1 month of therapy to be successful.Conclusions: The study has shown that a majority (96%) of boys with phimosis can be successfully treated conservatively. Hence, topical steroids might be used as a first-line therapy for phimosis, as a feasible pre-surgery alternative. Surgical interventions should be reserved for recalcitrant phimosis that do not respond to medical administration.

Head and neck cancers usually arise in the squamous cells that line the moist mucosal surfaces of the head and neck. They can present in the salivary glands, palate, below the tongue and other areas of mouth. They are further classified by the area from which they originate. These represent approximately 3% of all cancers. Early diagnosis is important to save the patient's life. This study was done to correlate the cancers with the tumour size, histology and site of origin. A total of 60 patients were selected for the study. All the patients' demographic and clinical data were recorded. It was observed that a majority of patients had tumour size of 2.1-4cms. Buccal mucosa, Alveolus, Hard Palate, ant. 2/3 of tongue, floor of mouth, Maxillary antrum had more cancers as compared to other areas. 28 patients had well defined cancer with correlation to cervical mode metastasis. These correlations are useful in the diagnosis of type of cancer with area. It was concluded that knowledge of the site and size of the tumour with histological grading helps formulate a treatment plan for the patient.

No abstract