Middle nasal valve collapse is a partial or complete collapsing of soft structures of nasal pyramid, due to negative intranasal pressures resulting in complete anterior nasal obstruction of air-flow. Even though is relatively common, it is often misdiagnosed or neglected in diagnosis. There are too many suggestions of surgical resolution of the problem, giving an idea that all of them are actually only partially or insufficiently resolving the problem.In this paper a possible solution of middle nasal vault collapse was presented. A triangle cartilage grafting with respecting of anatomical and functional principles was suggested. An open rhinoplasty approach by its large exposure was, in our hands, the election method for resolving the problem.

In elderly patients, with high risk of morbidity and mortality, a surgical procedure should not be the first option in treatment of chronic ear infection with polyposis. An alternative conservative attitude is offered, by use of low-dose of immunomodulation therapy.

Nasolabial cyst, a relatively rare lesion, is lately treated by endoscopic endonasal access. In specific cases, intraoral enucleation or even more recommendable combined access is suggested.