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The aim of this article is to highlight the varied presentation and management of vallecular cysts. Three children with diagnosis of vallecular cyst presented in our department were reviewed retrospectively for clinical presentation, diagnostic tools and treatment options. All three cases presented with respiratory and feeding difficulty. Diagnosis in all the three cases was made with laryngoscopy (flexible/direct) and imaging. All three patients were treated by transoral approach aimed for excision of cyst using cold instruments. Postoperative period was uneventful and no recurrences were observed on the long-term follow up. Vallecular cysts should be considered as one of the differentials in children with respiratory distress and dysphagia in spite of being a rare anomaly. Direct transoral approach for excision of the vallecular cyst is recommended as a safe and reliable method with no recurrences till date.    Keywords: Vallecular Cyst; Respiratory Distress; Dysphagia; Laryngoscopy

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Background: India announced nationwide lockdown on March 24, 2020, to control the COVID crisis. Due to lockdown, the health care system, that is, delivery and utilization of the health facilities were adversely affected. Clinical Setting: Presentation and management of nasal foreign body cases over 3 months post COVID lockdown has been discussed. Factors for delayed diagnosis and management are assessed and compared with pre-COVID era. Result/Outcome: Due to lockdown and COVID phobia, more complicated cases of nasal foreign body are presented in post lockdown period. Conclusion: We need to formulate and standardize the management strategies to avoid such unfortunate circumstances so that even non-COVID cases are managed more appropriately and in a timely manner.

Branchial cleft anomalies are congenital, arising from the first to the fourth pharyngeal clefts. The most common is a second arch anomaly. As it is congenital, it presents at birth though may become symptomatic later. The spectrum of anomalies includes sinus, cyst, or fistula formation or a combination of these. Here we present a case series based on first cleft anomalies. The principles of management include early diagnosis, excision of any fistulous tract, and prevention of injury to the facial nerve.