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Study included 40 patients treated for CSOM with central perforation. Only type 1 tympanoplasty was done in 30 patients with dry central perforation and simple mastoidectomy with type 1 tympanoplasty was performed in 10 patients with moist or discharging perforation. Type 1 tympanoplasty utilizing an underlay technique with TFG shows high probability of success (85%). Presence of bilateral perforations lowers the success rate (66.66%). Status of non-operated ear is a significant factor for success rate. An overall hearing gain of about 10db was achieved. Poor pre-operative hearing status of elderly adversely influences post-operative improvement of hearing. Type1 tympanoplasty with simple mastoidectomy results excellent surgical success rate (100%) but gives less improvement of hearing (closure of A-B gap= 3.3db). In type 1 tympanoplasty alone surgical success rate drops to 80-75% but is offers more improvement of hearing (closure of A-B gap = 6.708 db) [ABSTRACT FROM AUTHOR]

Foreign body oesophagus, specially, coin is not very uncommon in children. But an undiagnosed old foreign body (coin) presented with growth retardation and swallowing in a peculiar posture, which has to be removed by thoracotomy - a case report. [ABSTRACT FROM AUTHOR]

Foign body larynx is a rare condition in adults - inhalation of coin and impaction of the coin in the glottic chink is more rare finding. But this patient presented with difficulty in swallowing and speech, without any respiratory trouble - Hence the case is reported. [ABSTRACT FROM AUTHOR]