Nasopalpebral Lipoma sine Coloboma Syndrome-First Case Report.

The nasopalpebral lipoma-coloboma syndrome was described for the first time in 1982. It is an autosomal dominant syndrome with complete penetrance and is characterized by features like congenital symmetric upper eyelid and nasopalpebral lipomas, bilateral symmetric upper and lower eyelid colobomas, broad forehead, widow's peak, abnormal eyebrow pattern, telecanthus, broad nasal bridge, maxillary hypoplasia, and ophthalmological abnormalities. We report a case of a milder variant of the nasopalpebral lipoma-coloboma syndrome that we have termed "nasopalpebral lipoma sine coloboma syndrome." Such a milder variant is not reported hitherto in the literature. We also describe the surgical correction of the deformity in a case that presented in adulthood, with a satisfactory and pleasing aesthetic outcome.

Bilateral Facial Nerve Palsy, a Diagnostic Dilemma.

Facial nerve palsy has both a physical and a psychological bearing on the patient. The treating physician should therefore be aware of the milieu of differential diagnosis possible. Mindfulness of the various clinical diagnosis and their investigations is essential as not only the treatment but the prognosis also depends on the cause.

An Arduous Road to Learning Otorhinolaryngology Surgeries by a Left-Handed Surgeon.

The skilfulness required for learning ENT surgeries makes it a long learning curve, and more so in case of left-handed surgeons due to lack of specific mentoring and tailored training programme. This letter is intended to highlight the need for affording adequate instructional and teaching modules for budding left-handed ENT surgeons.