Snoring and OSA is very commonly seen among the pediatric population, most commonly due to adenoid and tonsil hypertrophy which requires adenotonsillectomy. The effect of this surgery on the immunity is controversial. This study was planned to see any alternative therapy which can delay or avoid the surgery by providing symptomatic relief to the patient.

To see the effect of intranasal mometasone on nasal obstruction due to adenoids, hence relieving the OSA and snoring.

Prospective and observational study.

Fifty-five children having snoring and or OSA due to adenoids were given intranasal mometasone. The symptoms before and after treatment were compared using OSA 18 questionnaire.

There was significant improvement in all the domains of OSA 18. The average total score showed improvement from 56.33 to 51.51 which is significant (p < 0.001).

The use of intranasal steroids is easy and effective method to improve nasal obstruction, snoring and OSA among children having adenoid hypertrophy.

Gupta V, Gupta M, Matreja PS, Singh S. Efficacy of Mometasone Nasal Spray in Children with Snoring due to Adenoids. Clin Rhinol An Int J 2014;7(1):1-4.

Pediatric idiopathic intracranial hypertension is an underdiagnosed entity with catastrophic presentations. High index of suspicion with early diagnosis and prompt treatment is the key to successful management. Trans-nasal trans-sphenoid Endoscopic Optic Nerve Fenestration is an effective surgical modality for the reversal of vision loss in pediatric idiopathic intracranial hypertension (IIH).

This is a single center observational prospective case series. Five diagnosed pediatric patients of IIH satisfying the modified Dandy criteria and reported to the out-patient services of otolaryngology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India in the year 2012 were included in this study. All children underwent thorough clinical examination, complete Neuro-ophthalmological work-up including Visual acuity (V/A), Visual field charting (V/F), Fundus venogram and Radiological work-up with MRI for special optic nerve sections in sagittal reconstruction. Cerebro-Spinal Fluid pressure (CSF) measured preoperatively for all children. Standard endoscopic optic nerve Sheath Fenestration was performed on all children. visual improvement was assessed by comparing preoperative ophthalmological findings.

Improvement in vision was taken as a positive outcome. Vision improved in all except one child, who had pre-existing optic nerve atrophy.

Endoscopic optic nerve fenestration is an effective minimally invasive procedure to revert visual loss in pediatric idiopathic intracranial hypertension.

Gupta AK, Gupta K, Modi M, Gupta A. Pediatric Idiopathic Intracranial Hypertension: A not so Rare and Benign Condition. Clin Rhinol An Int J 2014;7(1):5-9.

Endoscopic sinus surgery has developed significantly in the past decade. The indications and the frequency of the surgery have increased tremendously. Performing this surgery in an awake patient under local anesthesia has numerous additional inherent problems as opposed to surgery under general anesthesia.

Our ‘Continuous Suction Assembly’ is a simple yet effective answer to these problems. It helps in providing a clear field during surgery. It also prevents aspiration and fogging and aids in accurate analysis of intraoperative blood loss.

Continuous suction technique is a cost-effective, simple technique to prevent many problems inherent to endoscopic sinus surgery under both local and general anesthesia. With proper preoperative counseling, the patient discomfort and cooperation can be improved drastically.

Chappity P. Nasal Suction System for Endoscopic Sinus Surgery. Clin Rhinol An Int J 2014;7(1):10-12.

To discuss our experience with choanal atresia and factors affecting the results.

A multicentric prospective study of patients diagnosed with choanal atresia from April 2008 to January 2014 at SMS Medical College, Jaipur and SP Medical College, Bikaner was conducted. All patients were evaluated by CT PNS and then operated by transnasal endoscopic route. Stents were placed in all patients. Patients were followed up for an average of 3.5 years (range 9 months to 5.5 years).

Nineteen cases were included: 24 sides were operated. No intraoperative complications were there. A restenosis rate of 29.1% (7 out of 24) was found in our series requiring revision surgery.

Endoscopic transnasal approach is a safe and efficacious option for treatment of choanal atresia. Use of stent in our series was not associated with high rate of restenosis.

Grover M, Gupta G, Bhargava S, Singh SN, Hada MS, Prasad B, Sharma MP. Pediatric Choanal Atresia: Our Experience. Clin Rhinol An Int J 2014;7(1):13-15.

Bansal S, Gupta AK. Endoscopic Management of Pediatric Nasolacrimal Anomalies. Clin Rhinol An Int J 2014;7(1):16-19.

Nagpal T. A Subcranial Approach for Anterior Skull Base Pathology (Nasal Encephalocele). Clin Rhinol An Int J 2014;7(1):20-22.

Gupta RR, Aiyer RG, Jagtap PJ, Patel J. NK/T-Cell Lymphoma: A Nasal Nightmare. Clin Rhinol An Int J 2014;7(1):23-25.

Kairo AK, Madan R, Singh CA, Singh S. Nasal Vestibular Stenosis as a Nasogastric Tube Related Complication. Clin Rhinol An Int J 2014;7(1):26-27.

Gupta G, Devra V, Grover M, Varshney V. Burkitt's Lymphoma of Anterior Skull Base associated with Acute Loss of Vision: A Rare Case Report. Clin Rhinol An Int J 2014;7(1):28-30.

Soni A, Singh VP, Choudhary SK. Meningoencephalocele Presenting as CSF Rhinorrhea in a 7-month-old Child. Clin Rhinol An Int J 2014;7(1):31-33.

Devra V, Gupta G, Jain T. Sinonasal Hemangiopericytoma of Inferior Turbinate presenting as Chronic Dacryocystitis: A Rare Presentation. Clin Rhinol An Int J 2014;7(1):34-35.

Bist SS, Mishra S, Bharti B, Agrawal V, Kala H. Massive Juvenile Ossifying Fibroma of the Frontal Bone. Clin Rhinol An Int J 2014;7(1):36-39.

Mohindra S, Mohindra S, Gupta AK. Silent Sinus Syndrome in a Female Child with Enophthalmos and Diplopia. Clin Rhinol An Int J 2014;7(1):40-42.

Nasofrontal dermoid sinus cysts (NDSC) are rare congenital malformations. NDSCs are distinct from other facial dermoids in their potential for involving deeper contiguous structures and intracranial extension. The development of this congenital midline sinus of dorsum of nose has opened a new horizon in current concepts of embryology.

To study the embryological origin, presentation, treatment, and genetic associations of three cases of these sinus cysts.

This paper presents our experiences with managing three patients who presented with opening on nasal dorsum with recurrent swelling and purulent discharge from it. Imaging studies in these patients indicated a midline anterior nasal sinus tract with cranial dilatation but no intracranial connection. They were successfully managed surgically.

Nasofrontal dermoid sinus cysts have a unique embryological origin. A midline basal frontal dermoid associated with a dimple or sinus opening on the nasal dorsum with or without protruding hair and sebaceous discharge is the classical presentation. The purpose of this report is to emphasize that, though rare nasofrontal dermoid sinus cysts do occur in our practice and their clinical importance from rhinology point of view is their potential for intracranial communication.

Maru Y, Gupta Y. Our Experiences with Congenital Midline Nasal Dermoid Sinus Cyst. Clin Rhinol An Int J 2014;7(1):43-46.