Jain A, Singhal P, Sharma MP, Singh SN, Grover M. Transnasal Endoscopic Cerebrospinal Fluid Rhinorrhea Repair: Our Experience of 35 Cases. Clin Rhinol An Int J 2014;7(2):47-51.

Sonkhya N, Sharma K. Functional Endoscopic Sinus Surgery in Patients with Chronic Rhinosinusitis and Polyposis and Asthma. Clin Rhinol An Int J 2014;7(2):52-57.

To evaluate mode of injury and different management options reliant on types of nasal bone fractures.

Prospective analytical study.

Seventy-five patients with nasal bone fractured were clinically and radiologically evaluated and divided into different types according to Lee's classification. They were provided conservative, closed reduction and/or osteotomy according to the type of fracture and outcome noted.

Lee's classification is found to be valid in real patient scenarios and using good radiological evaluation better post operative outcome can be achieved. For type 1 and 3 fractures, closed reduction and osteotomy are the treatment of choice.

We confirm that systematic approach on Lee's classification for nasal bone fracture can be used to select appropriate management strategy.

Sarma N, Bhattacharjee A. Understanding Nasal Bone Fractures and Its Effects on Management: A Prospective Study. Clin Rhinol An Int J 2014;7(2):58-60.

To compare the results in patients of nasal polyposis undergoing endoscopic sinus surgery with or without the use of microdebrider.

The study was conducted on 40 patients of either sex in age group 15 to 60 years with nasal polyposis. They were divided into two groups (20 each), in group A microdebrider was used and in group B it was not used. Symptom scoring of each patient was done on the basis of nasal blockage, headache, olfactory disturbance, nasal discharge and trigeminal pressure pain. Similar scoring was followed for diagnostic endoscopy in which the scoring was done on the basis of extent of polyps, edema of middle turbinate and secretions in middle meatus. Both the left and right sides were examined and scored separately.

The symptom and endoscopy scores were significantly higher (p < 0.02 and < 0.0001 respectively) in group B post-operatively on 14th day and after 3 months as compared to group A.

Microdebrider assisted endoscopic sinus surgery gives better results.

Kakkar V, Sharma C, Singla P, Gulati A, Singh S, Malik P. To Compare the Results of Endoscopic Sinus Surgery with and without Microdebrider in Patients of Nasal Polyposis. Clin Rhinol An Int J 2014;7(2):61-63.

Gupta R, Gupta B, Bal A, Gupta AK. Sinonasal Mucormycosis with Fungal Ball: A Rare Case Report. Clin Rhinol An Int J 2014;7(2):64-66.

Joshi S, Bhuie HS, Mathur N, Verma H. Pleomorphic Adenoma of Nasal Cavity: A Rare Case Report. Clin Rhinol An Int J 2014;7(2):67-69.

To analyze the age, gender and the most frequent causes of nasal fractures evaluated in the otorhinolaryngology service of a tertiary hospital and interpreting the result of closed reduction of nasal bone fracture under local anesthesia and need for revision surgery.

Prospective case study.

The prospective analysis of 60 patients diagnosed as simple nasal bone fracture over a period of 6 months (between Jan 1st 2011 and July 1st 2011) who presented in department of ENT and HNS at Government Medical College, Srinagar. All the patient underwent closed fracture reduction under local anesthesia after proper assess ment and documentation. The patients were analyzed in groups and followed up to period of 6 months.

Total of 60 patients (group A) with nasal bones fracture were included in the study, including 48 men and 12 women. The most common age was between 25 and 65 years. Violence was the most frequent cause seen (48%), followed by traffic accidents (35%), 12% of cases were due to sports injury other causes about 5% (fall from their own height and work related injury). After performing closed reduction under local anesthesia, the immediate results were analyzed using linear analog scale. The followup period ranged from 1 week to 6 months. The functional and esthetic outcome of procedure were seen in followup period. Patients in group A1 (80%) were pleased with their results and did not require a secondary surgery 20%. Patients developed a posttraumatic nasal deformity requiring a posttraumatic septorhinoplasty (group A2).

Yousuf A, Pampori RA, Beigh Z. Analysis of Simple Nasal Bone Fracture and Interpreting Results of Closed Reduction under Local Anesthesia. Clin Rhinol An Int J 2014;7(2):7072.

Nayak C, Swain SK. Use of Temporalis Myofascial Flap in Maxillary Reconstruction. Clin Rhinol An Int J 2014;7(2):73-75.

To highlight an interesting and a rare case of two rhinoliths in a single nasal cavity of an elderly male patient, mimicking fungal sinusitis or malignancy.

To emphasize that rhinolith has to be considered in the differential diagnosis of unilateral nasal mass even in the elderly.

A 55-year-old man presented with a right-sided nasal obstruction, foul-smelling nasal discharge and a mass in the right nasal cavity of 6 months duration. Endoscopic examination revealed a gritty, blackish brown mass filling the entire right nasal cavity. A clinical differential diagnosis of malignancy or fungal sinusitis was made. CT scan of paranasal sinus was suggestive of fungal sinusitis following which patient was posted for biopsy. Intraoperatively, patient was found to have two separate masses in the right nasal cavity which were removed. We found a septal perforation adjoining the area where the rhinolith was impacted, with septum pushed laterally and adherent to middle turbinate. However, there were no features suggestive of malignancy. Histopathological examination also ruled out malignancy and confirmed a vegetable foreign body with calcification around an acellular material.

Rhinolith, though rare should be considered in the differential diagnosis of unilateral nasal mass in the elderly.

Prasad V, Srinivas C, Krishnappa S, Rao STN, Rajanna HT. Two Rhinoliths in a single nasal Cavity in an Elderly Patient Mimicking fungal sinusitis. Clin Rhinol An Int J 2014;7(2):76-79.

Dutta A. Endonasal Endoscopic Excision of a Large Keratinizing Odontogenic Tumor of Maxillary Sinus. Clin Rhinol An Int J 2014;7(2):80-82.

Kakkar V, Sharma C, Malik P, Ghanghas B, Bishnoi S, Gulati A. Proboscis Lateralis: A Rare Case. Clin Rhinol An Int J 2014;7(2):83-86.

Arora V, Verma P, Singh PP, Wadhwa N, Bhatia K. Sinonasal Paraganglioma: A Case Report and Review of Literature. Clin Rhinol An Int J 2014;7(2):87-89.