Role of proximal Tube Enterostomy in fire management of typhoid enteric perforation

Typhoid perforation continues to have significant morbidity and mortality. A variety of surgical procedures like primary repair, wedge resection, intestinal resection, ileostomy and hemicolectomy reflect lack of consensus among surgeons. Complications like wound dehiscence, burst abdomen, intra-abdominal abscesses and fecal fistula continue to be unacceptably high. Currently for solitary perforation primary repair is the most acceptable technique whereas for multiple perforations ileostomy is used. Tube enterostomy as an adjunct to primary repair in both solitary and multiple perforations is presented in an attempt to reduce above mentioned postop complications

Malignant tumors of nose and paranasal sinuses

It is a study of 20 cases of sinonasal malignancies seen over a period of 5 years. The commonest age affected was fifth [35%] and sixth [30%] decades. The disease was more frequently seen amongst males compared to females with a ratio of 3:1. The commonest histological variant was squamous cell carcinoma [70%] followed by adenocarcinoma [15%], adenoid cystic carcinoma [5%], non-Hodgkin's lymphoma [5%] and haemangiopericytoma [5%]