<p class="abstract">Being a benign lesion of mesodermal origin, the fibroepithelial polyps (FEPs) are a rare clinical entity arising from tonsil. It is also known as acrochordons with an exceptionally low incidence of malignant change. We present a rare case of huge FEPs of the right tonsil in a 15 years old female of the low socioeconomic group which was a subject of magic for society unless it created a significant problem in alimentation. It is one of the largest FEPs of the oropharynx reported till now to the best of our knowledge. The tumour attained such a gigantic size within the period of 8 years of negligence. The lesion was surgically removed by right side tonsillectomy as the lesion was attached to its lower pole. The strengthening of the health care system in rural areas is required for prompt management of such lesions and to prevent any form of catastrophe.</p>

Endoscopic skull base surgery is an emerging surgical technique that recolonized the resection of skull base lesions. The present study analyzed the outcome of the endoscopic endonasal anterior skull base.A retrospective data review ofendoscopic endonasal anterior skull base surgeries performed from 2017 to 2022. Minimum follow-up was done 6 months postoperatively.: 63 cases of anterior skull base pathologies have been operated out of which 2 cases of meningioma, 3 cases of meningoencephalocele, 5 olfactory neuroblastoma, 18 angiofibroma extending till anterior skull base, 8 CSF rhinorrhea repair, 12 pituitary macroadenoma, 8 cerebral Mucormycosis and 7 sino-nasal mass with intracranial extension have been operated. Residual disease was left in 10 cases, the rest all the masses were completely removed. The overall complication rate was 28.6 percent. Three mortalities occur a few months post-operatively of which 2 were cerebral mucormycosis and one was sino-nasal malignancy with intracranial extension.Endoscopic endonasal anterior skull base surgeries are safe surgical procedure that provides a high degree of disease clearance and negligible complications.