Background
: The facial nerve is unique among motor nerves in that it has the longest course through a narrow bone canal of any nerve in the body and because of this is paralyzed more often than any other nerve. The disability resulting from facial palsy is especially distressing because of the grotesque disfigurement accenturated by those emotions that lend beauty to normal countenace, that is smilling and laughter.
The family physician who often first sees the patient must be reminded of the dictum of the celebrated neurologist Gowers that a complete unilateral palsy of the face without other symptome must mean disease of the nerve as it passes through the temporal bone.

Methods : the study was carried out in 59 cases, in the view of age, sex and etiologic distributions, the results of nerve excitability test, topographic diagnosis, and treatment for 5 years.

Results : The highest age incidence showed in 5th decade, and sex distribution was more in male (2:1). The causes were idiopathic, traumatic and infectious in order. Electric excitability test revealed signs of nerve degeneration at the initial visit in 4 cases. Topographically, the most comon site of lesions was intratemporal between geniculate ganglion and chorda tympani(34 case). 44 Cases were treated with conservation therapy and 15 cases with surgical therapy most of our cases with conservation therapy was idiopathic.
In result of follow-up 50 cases of normal recovery and 5 cases of mild dysfunction in the nondegeneration 55 cases. 12 cases of normal recovery and 3 cases of mild dysfunction in the operated cases.

Conclusion : The most frequent type of facial paralysis is the idiopathic(Bell's palsy). In majority of our cases, we selected conservative treatment. But surgical management consisted of nerve decompression, nerve graft and repair is neessary for the traumatic and some infectious ongin(Chronic otitis media). The aggressive treatment will prevent the degeneration and gain good result.

Background
: Acute epiglottitis is an emergency condition developing primarily in children which cause acute upper airway obstruction but rarely in adults. Numerous reports in the literature reveal that a majority of cases occur mainly in young children under six years of age, however, the recent reports about acute epiglottitis in adults are increasing.

Methods : We represent 32 cases of acute epiglottitis in adults with review of literatures in terms of clinical feature, diagnosis and management. We also discuss the differences between acute epiglottitis in adults and in children.

Results : The results are as follows. The age of patients were ranging from 17 to 72 with highest incidence at 5th decade and mean age was 43 years old and the ratio of M:F is 6:1. Dysphasia (66%) is more frequent symptom than respiratory difficulty (53%). For the diagnosis, clinical symptoms, indirect laryngoscopy and soft tissue X-ray of neck, CT or MRI were used. In pharyngeal smears and cultures, 3 cases of Staphylococcus and 2 cases of Pseudomonas aeruginosa were detected and in blood cultures, no pathogenic organism was detected. The main treatment was conservative treatment except 4 cases.

Conclusion : There was significant difference in acute epiglottitis between children and adults. Early diagnosis and rapid conservative treatment is very important in clinical practice without unnecessary tracheotomy.