Congenital bilateral dacryocystocele with concomitant congenital nasal pyriform aperture stenosis is a very rare case we seen in the paediatric age group. We report a case referred by the paediatric department to rule out choanal stenosis. The referring department had difficulty to insert a feeding tube to the patient. Nose and throat examination showed reduce misting on cold spatula test and unable to introduce nasoendoscope into both nostrils, which indicates obstruction. Radiological investigation revealed as congenital dacryocystocele with nasal pyriform aperture stenosis. The patient was managed surgically with good recovery.

Peritonsillar abscess refers to the collection of pus in between the tonsillar capsule and the superior constrictor muscle. The majority of patients with peritonsillar abscess recover uneventfully after intraoral drainage and antibiotic therapy. However, some patients who are immunosuppressed might deteriorate as infection spreads into the deep neck spaces or upper airway mucosa. We report a case of 48-year-old immunocompetent patient with peritonsillar abscess extending primarily into the parapharyngeal and retropharyngeal spaces, followed by unusual secondary extension into the masticator space, the submandibular region, and the anterior neck region. Both intraoral and extraoral incisions were conducted. The patient fully recovered after the drainage procedure and antibiotic treatment.

No abstract