Otolaryngologists in India often encounter patients with various insects presenting as foreign bodies in the ear and nose. However they overlook the possibility of the clinical entity that has come to be known as delusional parasitosis. Three patients presented in our OPD with this condition and their case reports are discussed.

Rhinosporidiosis is a chronic granulomatous disease of the mucocutaneous tissue, which clinically presents as polypoidal growths. Cutaneous lesions are infrequent and are generally associated with mucosal lesions. We present a case of cutaneous rhinosporidiosis in association with recurrent nasopharyngeal rhinosporidiosis in a 65-year-old male patient. He presented with dysphagia for solid foods and skin growth on the left side of jaw of 2 years duration. Histopathology of cutaneous and nasopharyngeal lesions revealed numerous thick walled sporangia in a vascular connective tissue along with a granulomatous inflammation confirming the diagnosis of cutaneous and nasopharyngeal rhinosporidiosis. Endoscopic removal of nasopharyngeal polyp was done and he was started on dapsone therapy.

Squamous cell carcinoma ofthe larynx in children is rare. The management of laryngeal malignancy is more difficult in children than adults for several reasons: the aggressive nature ofa tumor that is often diagnosed late in children; the delicacy of pediatric anatomic stru ctures; intraoperative blo od loss ; long-term post-treatment complications; and psychological factors pa rticular to children. A trach eostomized 13-year-old boy came to us with a 4-month history ofhoarsen ess, breathing diffi culty, and swelling in the neck. A detailed examination rev ealed that a transglottic tumor had infiltrated the thyroid and cricoid cartilage, the upper two tra cheal rings, and the thyroid gland. Such an infiltration has not been previously repo rted. The lesion proved to be a well-differentiated squamous cell carcinoma. We performed a widefield total laryngectomy, whi ch was f ollowed by radiotherapy. Unfortunately, the child survived only 3 years postoperatively.

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