One-Lung Ventilation (OLV) is achieved in thoracic surgeries to facilitate collapse of one lung for better surgical visualisation. Double-lumen tubes and bronchial blockers are two commonly used devices for OLV. Patients with ‘difficult airway’ pose significant challenges for insertion of Double Lumen Endotracheal Tube (DLT). Dual malignancy such as carcinoma of lung and head and neck is extremely rare to present with. Patients presenting with restricted mouth opening due to previous surgeries and requiring lung isolation techniques may pose significant challenges to anaesthesiologist. The difficult airway scenario may arise in such patients owing to their previous surgery to the tongue, larynx, neck, mandible or previous radiation. The present case was of 47-year-old of lung isolation achieved in a patient with restricted mouth opening with an orotracheal tube, bougie, endobronchial blocker and a flexible Fibre Optic Bronchoscope (FOB). Left upper lobectomy was successfully performed after passing endobronchial blocker through a conventional orotracheal tube under the guidance of FOB.

The article acts to focus and aid in the localization of sound. Its shape is aesthetically important as it shows considerable inter-individual variability which reflects its multicomponent and is quite challenging for the surgeons during the planning of reconstruction as it is complex and equally important. It’s complex undulating structure and topography includes fibro elastic cartilage, perichondrium and the skin. The ear lobule is an important reference point for symmetry of the face and its loss causes an obvious aesthetic abnormality. Excessive healing can be as significant as delayed or non-healing. Recurrent earlobe keloids are among the most challenging conditions and may have significant psycho-social impact for the patient. Their aesthetic considerations are serious and despite a variety of treatment options, they often proved to be recurrent. It is likely that more operative interventions are required for excessive healing. Type II A defects are characterized by loss of the ear lobule without presence of a nubbin of tissue attached to the cheek. The goal of surgery should be an aesthetically pleasing reconstruction that maintains symmetry with the opposite ear lobule. The Limberg‑flap technique using a doubled‑over skin flap allows a one stage reconstruction of the ear lobule. The aesthetic results are generally well acceptable and hence here we present a case where we combine this technique with the excision for better results of long-term refractory cases.

Mucoceles are chronic, expanding, mucosa lined pathology of the paranasal sinuses. Frontal mucocele usually presents with the visual complaints such as diplopia, diminution of vision, visual field defect, ptosis, orbital swelling, retro-orbital pain, displacement of eye globe, and proptosis. Very rarely, it can be present as a subcutaneous swelling. This case report presents a 62-year-old male patient presenting with intermittent headache and blood stained nasal discharge of 6months duration. Surgical excision was done and the sample was sent for histopathological examination which confirmed the diagnosis of a poorly differentiated tumour. Postoperatively, the patient was asymptomatic and was referred to the department of oncology for further management. A subcutaneous soft-tissue mass may be the presenting complaint of a frontal mucocele. Careful examination of the surrounding skin may suggest the diagnosis of sinus-related disease and thus direct appropriate investigations and treatment measures.

Amongst the various cystic lesions of oral cavity, Lymphoepithelial cyst (LEC) is a rare cystic lesion that presents as an asymptomatic submucosal mass and is usually discovered during routine oral examinations. Most common site of occurence is the floor of the mouth but tonsillar involvement seems to be very rare. Pathogenesis involves the excessive accumulation of desquamated epithelial lining in the tonsillar crypt. This results in a dilated obstructed crypt of the palatine tonsil region which presents as a cystic lesion. Here we are reporting a case of 17 year old female with lymphoepithelial cyst of tonsil.

Adenoid cystic carcinoma is a slow growing and relentless salivary gland malignancy composed of epithelial and myoepithelial neoplastic cells that form various patterns, including tubular, cribriform, and solid forms. It is a rare tumor constitutes for less than 1% of head and neck malignancies and 10% of all salivary gland tumors. Palate is the most common site to be involved in the oral cavity followed by parotid gland and submandibular gland. They are usually asymptomatic, characteristically shows infiltrative growth and perineural invasion. In this paper a case of adenoid cystic carcinoma of soft palate in 52 year old male is presented.