Primitive tuberculosis of the nasopharynx is rare. Clinical symptoms and paraclinical examinations are often confusing. Pseudotumour forms are frequent, which poses a problem of differential diagnosis with cavum cancer. We reported two cases of nasopharyngeal tuberculosis, followed up in the ear, nose and throat department of the Arrazi Hospital of the Mohammed VI University Hospital in Marrakesh. The first case concerned a 22-year-old female patient admitted to hospital for an etiological assessment of a right spinal adenopathy evolving in a context of altered general condition with weight loss, anorexia, and night sweats. The second case was a 14-year-old patient with a fistulised right spinal adenopathy with nasal obstruction and homolateral deafness. Nasofibroscopy in both patients showed a burgeoning tumour on the right posterolateral wall. A biopsy of the cavum was indicated. The histological study of the biopsies revealed an epithelial-giganto-cellular granuloma with caseous necrosis. This allowed to make the diagnosis of nasopharyngeal tuberculosis, and an antibacillary treatment was instituted. The evolution was favorable.

Papillary microcarcinoma of the thyroid is defined as cancers having a diameter equal or inferior to 10 mm in the anatomopathological examination; The problematic of this pathology lies in its latent character, it is, thus, much more frequent than we thought or predicted. That is why, beyond specifying the epidemiological and clinical characteristics of papillary thyroid microcarcinoma, our ultimate goal was to determine the "gold standard" for the management of this entity. We carried out a descriptive retrospective study spread over 4 years including all cases of Papillary Microcarcinoma of the thyroid diagnosed within the department of ENT and Head and Neck Surgery of the medical center Mohammed VI in Marrakech; We collected 35 cases, and using their medical records we summarized their epidemiological, clinical and paraclinical data. None of our patients had a normal clinical examination, the palpation of our patients showed an isolated nodule in 20% of patients, the rest of our patients had clinically bilateral noticeable nodes. 80% of which were not clinically suspicious, and only three of our patients had palpable lymph nodes which was confirmed by the ultrasound, where the major suspicious character was their hypoechoic character ( 17 % were EU-TIRADS 5 ) With regard to surgical treatment, 28 of our patients (80%) underwent total thyroidectomy as a first step,4 patients underwent secondary totalization during the same operation after the extemporaneous examination came back positive for papillary microcarcinoma , 2 cases of remote loboisthmectomy after final histological examination showing papillary microcarcinoma , and one final case of totalization after extemporaneous examination of a superior right jugular lymph node with central necrosis. Neck dissection was performed in three cases. Postoperative outcomes were simple in all patients. Isotopic totalization by iodine 131 therapy was performed in four of our patients. Their indications were respectively: infiltrating tumor, extension to neighboring parenchyma, multifocality, lymph node metastasis. The survival rate of our series was 100%. The therapeutic protocol of papillary microcarcinoma is punctuated, to this day, with controversy, and faces a conservative attitude versus a radical one, it is the surgeon's duty to distinguish between the two attitudes.

Choanal atresia is a congenital disease that Is manifested at birth when it is bilateral. Unilateral forms can be observed later in life as they are usually well tolerated. Choanal atresia’s frequency is difficult to estimate. It is estimated to be 1 case per 5000 to 8000 births [1]-[3]. Our work is a retrospective study of the cases of choanal atresia that were managed in the ENT department of the Mohamed VI University Hospital during a period of eleven years from January 2010 to December 2020. We identified 13 cases of choanal atresia. The aim of this work is to analyze the elements of the diagnosis, the indications and the surgical techniques as well as our results of the endonasal endoscopic approach in order to identify a therapeutic strategy. The average age of our patients was 21 days, with extremes ranging from 1 day to 28 days. The maximum number of cases was observed in newborns during the first week of life, with a slight female predominance of 7/6. The sex ratio was 0,85. In our series, the delay was most often short with extremes ranging from day 1 of life to day 22. There were 9 bilateral imperforations (69.23%), and 4 unilateral imperforations (30.77%), 2 on the right side (50%) and 2 on the left side (50%). The diagnosis of choanal atresia was confirmed by computed tomography (CT) and nasal endoscopy. All our patients underwent surgical treatment by endonasal endoscopic approach with calibration with a favorable evolution. Through this study, we concluded that the frequent association with other anomalies requires a clinical and paraclinical evaluation and a long-term follow-up. Nasal endoscopy and CT scan have completely revolutionized the diagnostic and therapeutic approaches of choanal atresia, and the endoscopic endonasal approach remains the best therapeutic choice.

Objective: we report our series of late hydroma after cochlear implantation, this complication has not been widely reported in the literature. Method: retrospective study. Results: four children who had undergone a cochlear implantation aged between 3.2 and 5.3 years (median 4.5 years) were studied. The hydroma episode occurred 4 months to 3 years after cochlear implantation. Two patients had two recurrent episodes. No obvious etiological factors were found, including trauma or infection. No patient benefited from a fine needle aspiration or drainage, all the patients were treated with a broad-spectrum antibiotic with corticosteroid and a slightly compressive bandage with good results in all cases. Conclusion: Late-onset hydroma is a minor complication with no obvious etiology and good evolution and risk of recurrence, its management remains no codified due to the limited number of cases reported in the literature.

Introduction: Cystic lymphangioma or cystic hygroma is a congenital malformation of the lymphatic system that manifests as a soft, benign, and painless mass. It originates from remnants of embryonic lymphatic tissue that retains the potential for proliferation. Material and methods: Our retrospective study involved 16 cases of cystic lymphangioma managed between 2017 and 2020. Results: This study included 9 girls and 7 boys with a mean age of 4.2 years. Cystic lymphangioma was visible in 7 cases at birth and in 6 cases before the age of 2 years, and beyond 2 years in 3 cases. The tumor was cervical in 11 cases, including one case of parotid extension, and 02 cases of sub maxillary extension, jugal in one and one case of parotid localization, and one case of lingual localization. Surgical indication was based on clinical examination and imaging in all cases. Excision was considered complete in 12 cases and incomplete in four cases. In three cases, excision was difficult due to adhesion to the internal jugular vein and the carotid bifurcation, base of the tongue in one case and facial nerve in one case. Early complications were, hematoma [one case], lymphorrhea [one case], jugal recurrence [one case] nine months after surgical excision. Conclusion: Cervico-facial cystic lymphangioma is a particular pathology whose management is challenging, complex and multidisciplinary.