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Objective The aim of this study was to determine the effect of endoscopic partial epiglottectomy on airway obstruction. Patients and Methods A prospective study was conducted in the ENT Department, Al-Thawra Teaching Hospital, Sana’a, Yemen. A total of 58 patients underwent partial epiglottectomy using standard laryngeal instruments and monopolar microdissection scissors and hook diathermy, during the period January 2005–July 2011. Results A total of 58 patients were included in this study, 47 male and 11 female. Their ages ranged from 21–60 years, with a mean age of 32.39 years. A total of 58 (100%) patients presented with change of voice, 58 (100%) patients presented with difficulty in breathing on exertion, 20 (34.5%) patients presented with foreign body sensation, 58 (100%) with stridor on exertion, 20 (34.5%) with stridor at rest, 20 (34.5%) with dysphagia, and four cases with tracheostomy in situ. Postsurgical results All (100%) patients showed improvement in voice, breathing, and disappearance of stridor. An overall 90% (18/20) of patients had disappearance of foreign body sensation. Recurrence occurred in 25.9% of patients. Postoperative aspiration occurred in 11 (19%) patients for short time. Conclusion Using diathermy to perform endoscopic partial epiglottectomy is simple, effective, and safe in the treatment of hypertrophic epiglottis using laryngeal instruments and diathermy. It did not need special preparation and could be performed in hospitals that have no laser facilities.

Background: Subglottic stenosis is one of the most complex and challenging issues in the field of otolaryngology. The management involves a multidisciplinary approach with multiple procedures. The main aim of the management is to keep the airway patent and preserve voice production. The aim of the study was to evaluate the results of treatment methods of subglottic stenosis. Methods: The prospective study was conducted on 40 patients between January 2012 and March 2018 at Otorhinolaryngology Department, Al Thawra Teaching Hospital, Sana’a, Yemen. Results: Of the subglottic stenosis patients studied, 30 (75%) were male and 10 (25%) were female. The mean age was 18.6 years. High incidence of 60% was found in the age group (15-24 years) while less was found in the age group >34 years (7.5%). Grade III stenosis represented (50%) and grade IV (25%). Endoscopic dilation was successful in grade I (100%) and grade II (80%). The external approach was successful in 18/31 (58.1%), while the success rate in all grades was (67.5%). About 50% of the patients were presented with tracheostomy in place. Conclusion: Acquired subglottic stenosis causes airway compromise and significant morbidity to the patients. The management involves a multidisciplinary approach with multiple procedures. A large number of endoscopic and open procedures are currently in use for the treatment of this condition. There is no single method of treatment that is universally successful. Results of treatment are not very satisfactory due to multiple factors.