In recent years, several articles have published data about the safety and feasibility of endoscopy-assisted resection of benign neoplasms. CASE REPORTA 10-year-old boy presented to us with a mass over the tongue for 2 years gradually progressed to the present size associated with difficulty in swallowing. ABSTRACTSurgery for the base of the tongue lesions can be challenging since this area is difficult to access and contains important neurovascular structures. External incision in the neck via an approach that varies from a transoral midline glossotomy approach to a lip-split mandibulotomy, which inevitably results in obvious scarring of the face and neck. Transoral robotic surgery can be considered for removal of these difficult neoplasms. But limitations of robotic surgery include the size and cost of the device, a learning curve, and safety concerns. Hence, alternative surgical approaches that allow for good exposure, complete tumour excision, low complication rates, low recurrence rates, and no postoperative neck scarring are preferred.

Epiglottic cyst is a not an unusual disease in the larynx. Although the lesion is benign, airway obstruction may occur due to a large cyst both in children and adults. Therefore it should to be kept in mind in the differential diagnosis of stridor or difficulty in breathing. Common treatment modalities in dealing with these epiglottic cysts are endoscopic excision, marsupialization and even external approaches through neck in cases of very large cysts, complete Excision is usually the treatment of choice, with low recurrence. We report a case of a 38 years old man who presented with progressive difficulty in breathing, foreign body sensation and difficulty to swallow and the cyst was completely excised by s new micro flap technique, using both endoscope and microscope. The new method of excision of cyst after elevating the micro flaps and redraping on the raw surface causes faster healing process, less post operative edema and less post operative symptoms. The patient was discharged third day after the surgery without any complications.