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An acute onset of giant laryngeal hematoma is rare and life-threatening condition. It occurs usually in patients with coagulo - pathies, often in those receiving warfarin. Various sites of bleeding have been reported in the literature, most commonly being the gastrointestinal tract, genitourinary tract and central nervous system. A large acute onset spontaneous hematoma is rarely reported in larynx. We report a case of an unusually large hematoma compromising the glottic airway in an over warfarinised patient. We highlight the need for a thorough evaluation of upper aerodigestive tract in patients on anticoagulant therapy. Detailed airway evaluation and monitoring with flexible laryngoscopy, and timely needful intervention are essential in above type of patients for preventing life-threatening consequences. How to cite this article Swain SK, Mohanty S, Singh N, Samal R. An Unusually Giant Hematoma threatening to the Laryngeal Airway. Int J Otorhinolaryngol Clin 2014;6(3):92-94.

To describe the experience of anterior cricotracheal split with insertion of conchal cartilage graft in the treatment of subglottic and tracheal stenosis at a tertiary care hospital of eastern India. Six patients were included in the study, in the age group of 20-48 years. Out of which five patients were successfully decannulated after 3 months of laryngotracheal reconstruction with help of conchal cartilage. One case was undergone resection anastomosis after failure of the above technique. Successful restoration of the airway with decannulation in five cases and failure in one case. The subglottic and upper tracheal stenosis are successfully treated with anterior cricotracheal split and augmentation of the airway with conchal cartilage. It is a new technique of using conchal cartilage in the literature of laryngotracheal reconstruction.

Nasal gliomas are rare congenital lesions arising from defective embryonic development, often termed as Nasal glial heterotopias. It manifests as a mass of extra-cranial cerebral tissue unconnected with the brain. Clinically, these masses are firm and incompressible. Histopathologically, they consist of neuroglial cells and astrocytes embedded in fibrous and vascular connective tissue. Radiological investigations, such as computed tomography (CT) or magnetic resonance imaging (MRI) should be done to rule out intracranial extension. The mass was completely resected endoscopically which was attached to the anterior part of the nasal septum. Endoscopic technique provides excellent visualization. We report one case of nasal glial heterotopia in a baby from southern part of Odisha which has an unusual attachment over the septum. A review of the literatures regarding nasal glioma is also presented.