Endoscopic removal of unusual foreign bodies from maxillary sinus

Maxillary antrum is a site for unusual and unexpected foreign bodies [FB]. Among them, the dental originated foreign bodies are the most commonly seen. We came across two foreign bodies of non dental origin in maxillary sinus, which were removed endoscopically. These cases presented in the ENT department of Dayanand Medical College and Hospital, Ludhiana, India. One of the foreign bodies was a silastic sheet lying in the floor of maxillary sinus causing subperiosteal abscess. The other one was a bullet lodged in maxillary sinus following firearm injury. X-rays and CT scan are essential for making diagnosis in such cases

Audiological profile in alcoholics

Regular alcohol consumption is known to have a deleterious effect on all organ systems of the body, including the nervous system. Chronic alcoholics have previously been reported to have a baseline mixed hearing loss. A prospective, r and omized study was carried out to evaluate the ototoxic effects of alcohol. For the purpose of the study, 25 alcoholic subjects were taken, their audiological profile was assessed by performing pure tone audiometry [PTA] and brainstem evoked response audiometry [BERA]. The results were compared with that of 25 age matched controls. Hearing loss was assessed according to the age of the subject, quantity of drinking, duration of drinking and the bilirubin levels. Definite hearing loss was found on PTA at higher frequencies amongst alcoholics in younger age groups. A delay in absolute wave latencies of wave I, III and Vas well as inter peak latencies of I-II and I-V was also found. The changes were more marked in alcoholics who had longer duration of alcohol intake and raised bilirubin levels. It was concluded that there was a definite degrading effect of alcohol on the hearing ability of the changefont subjects

Primary tuberculosis of the nose and paranasal sinuses

Tuberculosis is a chronic bacterial infection caused by Mycobacterium tuberculae and is characterized by the formation of caseating granulomas in infected tissues by cell mediated hypersensitivity, though primary tuberculosis of the sinonasal tract is considered infrequent, it is practical to keep the disease in mind in any case of undiagnosed clinical infection or inflammatory disease. Any undiagnosed pathology of the sinonasal tract should be suspected to be a case of tuberculosis until proved otherwise. Key Words: Tuberculosis, Sinonasal, Pathology