Thornwaldt cyst is benign, mucosal congenital cyst which is located in upper nasopharynx. It developed in nasopharyngeal bursa if opening of bursa is occluded due to infection or inflammation. It is rare congenital cyst present in nasopharyngeal bursa. Its incidence is 3% in adults [1]. The usual age of presentation is 2 nd and 3 rd decade [1]. It is usually asymptomatic and incidental finding on MRI but it can present as nasal obstruction, post nasal drip, halitosis, occipital headache, foreign body sensation in throat [1] [2]. Here we are presenting a case report of 23 years old male presented with foreign body sensation in throat since 5 months. On oral and nasal endoscopic examination cystic mass in nasopharynx seen, bulging in oropharynx. MRI shows cystic mass arising from left side of nasopharynx popping up in oropharynx. Cyst then excised with diode laser with both endonasal and transoral approach with zero degree rigid endoscope. Histopathology confirmed the cyst as thornwaldt cyst.

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Angiectatic nasal polyp (ANP) is a rare entity of inflammatory sinonasal polyps, constituting only 4-5% of all nasal polyps. Clinically, this rare entity closely simulates hemangiomas, inverted papilloma and epithelial or mesenchymal tumors. Differentiation is very important as their lines of management are significantly different. Extensive vascular proliferation, atypical stromal cells and amorphous eosinophilic material on histopathology are typical of these polyps. A 11-year-old-girl presented to us with an extensive ANP masquerading as a malignant nasal mass, both clinically and radiologically. Patient underwent complete excision with functional endoscopic sinus surgery and is asymptomatic on regular follow-up. Prognosis is good and recurrence is very rare, if treated correctly. Only a few studies have been done on this topic, the literature is scant and awareness of this pathology is important.

In India, majority of patients of laryngotracheal stenosis come with a typical history of prolonged intubation, which in many is preceded by organophosphorus poisoning. Shiann Yaan Lee's technique of T-tube insertion is one of the many tested modalities to manage even complex cases of laryngotracheal stenosis. Though it may be successful in establishing a patent airway, it does not address the possibilities of future complications and their management options in our opinion.We would like to share our experience regarding a case of life-threatening recurrent laryngotracheal stenosis following initial management by this technique, so that the readers can keep in mind the future prospects in case of recurrence of the stenosis, before attempting this technique in their patients.Revision airway surgery following Shiann Yaan Lee's technique is rightly labeled as "end of the road" according to us.