Kartagener syndrome

12 year old boy presented in ENT OPD with rhinorrhoea, nasal obstruction and chronic cough since childhood. He had hypertelorism and his nose was filled with watery and mucoid secretion with extensive nasal polyps bilaterally. Otoscopy revealed secretary otitis media confirmed on tympanometery and myringotomy. Suspicion of Kartagener syndrome came from dextrocardia and was confirmed on electron microscope that revealed missing dynin arms on quantitative estimation of cilia

Modified Epley's maneuver for treatment of benign positional vertigo: an experience with over 100 cases

Treatment for Benign positional vertigo has traditionally been pharmacological. However, physical methods of treatments are gradually replacing the former. Particle repositioning maneuver as described by Epley, has gained wide acceptance over the last decade. We present our experience with more than 100 cases treated with modified Epley's maneuver [no sedation given, nor mastoid vibrator applied]. The study was conducted at CMH Rawalpindi from Jun-2002 to May-2003. All patients with features typical of benign positional vertigo, confirmed by positive Dix-Hallpike test, were included. The patients were followed-up for 3 months. The success rate in our series was around 66%. We conclude that modified Epley's maneuver is indeed an effective method for treatment of BPV, but success rate is less than generally reported