Nasopharyngeal angiofibroma with cavernous sinus involvement - An unusual presentation.

Juvenile nasopharyngeal angiofibrama (JNA) is a benign vascular tumour which is locally aggressive and occasionally extends intracranially. It occurs mainly in adolescent males. We report an interesting case of a targe JNA with intracranial extention encroaching on the cavernous sinus which we treated surgically by the conventional lateral rhinotomy and transpalatal approach.

Management of saddle nose deformity in atrophic rhinitis.

Correction of a saddle nose deformity due to atrophic rhinitis is a formidable task. The thick and puckered skin secondary to long standing disease makes the creation of a dorsal subdermal pocket difficult. On the one hand, these patients tolerate synthetic implants poorly and on the other they show an unusually high rate of absorption of autologous bone graft. Our experience of treating 15 patients with saddle nose deformity secondary to atrophic rhinitis is presented.

Transtympanic neurectomies for control of drooling.

Twenty patients of drooling were studied. Of the 20 patients studied, 8 patients underwent bilateral chorda tympani nerve section, and 12 patients underwent bilateral chorda tympani nerve along with bilateral tympanic nerve sections. Bilateral chorda tympani nerve section in combination with bilateral tympanic nerve section is a better and more effective procedure for control of drooling than bilateral tympanic nerve section alone. In both these methods there is immediate stoppage of drooling i.e. on 2nd postoperative day but chances of recurrence of drooling are less in chorda tympani nerve section in combination with tympanic nerve section (17%) than chorda tympani nerve section alone (38%).