Puncture and lavage of the maxillary sinuses is a common procedure in ENT practice. Repeated irrigations are required in chronic sinusitis refractory to treatment. In our department we use a No. 14 gauge Braunula® for such cases. Over 100 patients have been treated over the past two years with no significant complications. This device is inexpensive, sterile, safe and easy to use and we recommend its use for patients with chronic maxillary sinusitis requiring repeated irrigations.

Mycobacterial cervical lymphadenitis, or scrofula, is a disease dating back thousands of years.

In spite of modern treatment and public health measures, scrofula persists but is infrequently seen.

Five patients with cervical tuberculous lymphadenitis as a sole presentation have been seen in our department in the last 10 years.

The clinical presentation and current methods of diagnosis and treatment are described.

A short historical review is given.

An extremely rare case of a cutaneous fistula of the submandibular salivary gland is presented. The etiology of the fistula was a foreign body in Wharton's duct.

We describe the clinical course, management and histo-pathological findings.