Objectives : Tuberculosis ,though a common condition in our country is still an enigma because of its varied modes of clinical presentation,characteristics and spread. Our objective is to stress the importance of an complete clinical examination and analysis of the symptomatology in arriving at the diagnosis of laryngeal lupus and provide an update on current knowledge and treatment of lupus vulgaris with laryngeal lupus. Case Report : A 23 yr old female presented with ulcerative lesion in the upper lip, extending to the nose and also lesions in naso and oropharynx and in the larynx .A provisional diagnosis of lupus vulgaris cuasing laryngeal lupus was made and histopathologically confirmed.Patient dramatically improved with anti tubercular treatment. Conclusions : A thorough clinical examination, a strong suspicion and judicious use of investigations provided the clinical diagnosis of laryngeal lupus and which showed good improvement with latest regimen of anti tubercular treatment with complete cure in six months with out any significant residual scarring or disfigurement.

The aim of this case presentation was to present the troubles and significance of a proper diagnosis of a foreign body which was retained in the orbit. A 13 years old boy, had a wound on the infraorbital margin caused by a metal foreign body, which stayed in close to the orbit. X-ray and echographic examinations of the orbit were not conclusive regarding the question whether this foreign body was situated within or outside the eyeball. Only CT imaging showed location of the foreign body. Foreign body was extracted by the same healed wound site.

This article is an audit of the thyroid surgeries performed in the Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) department of Stanley Medical College and General Hospital, Chennai-01, during the 2 year period from 2009 to 2011. 5O Thyroid surgeries have been performed during this period of which 12 were total thyroidectomies and the remaining 38, hemi-thyroidectomies. Adenoma of the thyroid was the most common benign disease encountered while papillary carcinoma was the only malignant disease of thyroid diagnosed.

This article describes a live leech inside the nasal cavity of a patient who presented with epistaxis.This case is reported in order to create awareness of this condition as well as to discuss the practicaldifficulties in removing these live foreign bodies from nasal cavities. A review of pulished materialon this subject illustrated lack of scientific model pertaining to the best removal methodology to befollowed. The methods described in literature bears testimony to the innovative skills of thesurgeon rather than evidence based practice. It should also be stressed that ill advised removalmethods could proove counterproductive.

Epistaxis defined as bleeding from the nose, one of the most common, most difficult to treat emergency in otorhinolaryngology. In this article, we dealt with management of anterior epistaxis using Rigid nasal endoscopy and Bipolar diathermy with the aid of stax mallet splint that has its added advantage.

Bilateral simultaneous facial palsy is an extremely rare clinical entity with Bell’s palsy responsible for more than 20% of cases. where facial palsy follows head injury after many days,the mechanism is not clear and there has been no detailed study on this condition. We present a representative case of post traumatic bilateral simultaneous symmetrical facial palsy and discuss the causes of the same as they relate to this particular case

Endoscopic sinus surgery which is the commonly performed nasal surgery has its own problems if not performed properly. Success of maxillay sinus antrostomy depends on including the natural ostium to the antrostomy. For this to happen the natural ostium should be identified during the surgical procedure. Common cause of failure in endoscopic sinus surgery is the failure to address the uncinate process. In all cases it should be removed completely before proceeding further.

Deaf persons worldwide constitute an invisible minority community. In India, 63 million people (6.3%) suffer from significant auditory loss.1 The National Sample Survey (NSS) 58th round (2002) surveyed disability in Indian households and found that hearing disability was the second most common cause of disability. In urban areas, hearing loss was 9% of all disabilities and in rural areas it was 10%. Overall estimates show that hearing disability was 291 per 1, 00,000 persons. The Constitution of India, is equally applicable to all citizens of India, whether normal or disabled2. The term “disability” has not been defined in the Constitution of India. However, under the Constitution the disabled have been guaranteed fundamental rights.

A case of bilateral peri orbital ecchymosis without any identifiable pathology,which subsided on its own, in due course.

Unilateral vocal fold paralysis classically presents with voice change, aspiration of ingested materials and cough. Medialization thyroplasty has become treatment of choice for un recovering vocal fold palsy. Still the ideal implant has not been defined in the surgical medialization of vocal folds. We present our experience of gore tex as the implant material.

A case report of secondary tuberculosis of tonsil is being discussed along with review of published literature. This report attempts to draw attention to the fact that Tuberculosis is resurgent despite excellent chemotherapeutic drugs available. This could be probably due to wide spread drug resistance, Immune deficiency states like Diabetes and HIV. Diagnosis of this condition needs a high index of suspicion. Biopsy should be performed in all these patients to rule out coexistant malignancy. Even though oral cavity is highly resistant to tuberculous infection due to the inherent bactericidal effect of saliva still cases of tuberculosis tonsil continue to be reported in developing countries like India.