Aim: To identifying type B tympanogramme in hearing impaired children which may be the cause of backwardness in school and to advice the school administration to screen all children. Material and Methods: Five hundred and seventy children aged 6-12 years were investigated. Medical history was obtained and otoscopic examination was carried out. Pure tone audiometry and tympanometry were used to detect hearing loss greater than 20 dB HL in the frequency 500Hz, 1000Hz 2000Hz and 4000Hz. Results: Tympanometry ear examination showed 39 (6.84%) of children suffering from middle ear disease and 12 (2.11) of children with conductive hearing loss. Conclusion: Our findings are consistent with several studies of the prevalence of type B tympanogramme maximum at the age of one, and then decreasing until the age of seven and up. Hearing screening and retest- ing children remains necessary due to high prevalence of hearing loss found in this population and the fluctuating nature of the problem.

Objective: To study and review the management of the peritonsillar abscesses in the Salmaniya Medical Complex, Kingdom of Bahrain. Design: Retrospective study. Patients & Methods: All patients diagnosed as quinsy from January 2000 till January 2005 were included in this study .Patients’ demographic data, clinical history, steps of management, laboratory data and clinical outcomes were recorded from the patients’ files. Results: Total of 102 patients were studied. Of the total 53 (52%) were males and 49 (48%) were females. The mean age was of 25 years (range between 6-58 years). Sore throat (100%), odynophagia (93%) and fever (88%) were the main symptoms. All admitted to hospital after needle aspiration or incision and drainage and intravenous antibiotic therapy. The mean duration of stay was 2.96 days. Culture and sensitivity report was not a significant factor in the choice of antibiotic. Ail patients recovered without complications. Conclusion: The management of peritonsillar abscesses in the Salmaniya Medical Complex is mainly incision and drainage with admission to hospital for intravenous antibiotic therapy. Choosing the best combination of antibiotic depends on the clinical experience of the ENT surgeon.

This is a case report of a 48 year old Saudi patient who presented with an episodic left nasal bleeding of eighteen months duration. On examination he was found to have a left nasal mass for which excisional biopsy was done. Histopathological examination confirmed it to be a haemangiopericytoma from the left ethmoid region. Subsequently complete surgical excision was performed. No residual or recurrent disease was seen after six month follow up. Haemangiopericytoma is a rare vascular tumor originating from the pericytes of Zimmerman. It can occur any where in the body but has a high predilection for the musculoskeletal system. Sinonasal affliction is a rare entity with only fourteen reported cases in the past ten years.