BACKGROUND Benign laryngeal lesions are a spectrum of laryngeal diseases where symptoms vary from discomfort in throat, pain in throat, change of voice to stridor. Prompt diagnosis, intervention and speech therapy will reverse the conditions in certain laryngeal lesions. Aims and Objectives-A clinical study was undertaken to analyse the age, sex distribution and symptomatology, sites of involvement and the prognosis of the common types of benign lesions of larynx. MATERIALS AND METHODS A total of 40 patients with benign laryngeal lesions were included based on symptomatology such as hoarseness of voice, foreign body sensation, throat pain, neck mass and cough with positive clinical findings on indirect laryngoscopy and neck examination. The patients ranged from 5-65 years. All non-operative cases and malignant cases were excluded. Diagnostic haematological and radiological investigations and therapeutic microlaryngoscopic procedures were employed. Study Design-A two years descriptive type of study from November 2013 to November 2015. Setting-A tertiary referral hospital. RESULTS A male preponderance with M: F ratio of 3: 2 was observed. Majority of the patients were in the 31-40 years' age group. Vocal polyps were the commonest type of lesion. In our study, hoarseness of voice, cough, foreign body sensation and throat pain proved to be the commonest symptoms. CONCLUSION Microlaryngeal surgery and voice rest offer a cost effective, useful and safe method.

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Head neck cancer constitute significant cancer burden and among it carcinoma of oral cavity involving buccal mucosa is most common entity in India. Very often it involves lip commisure. Radical surgery along with radiotherapy still remains treatment of choice. Reconstruction of composite defect of oral cavity fallowing ablative surgery remains difficult task. Reconstruction of lip commisure defect after primary tumor excision is still a big challenge. Micro vascular technique primary repair is main modality of treatment which needs great surgical expertise in plastic surgery which is not possible in every institution. We propose a novel surgical reconstructive technique of use of combine pectoralis major myocutaneous flap (PMMC) with nasolabial flap for full thickness cheek defect involving large lip commisure. Both flaps having distinct advantage of relative ease in elevating flap and robust vascularity with acceptable aesthetic and functional outcome.

Tracheostomy is a common airway procedure for life support. Fractured/detached and hence aspiration of a tracheostomy tube in the tracheobronchial tree is a rare late complication which can be life threatening sometimes. Published reports of a fractured metallic tracheostomy tube presenting as a foreign body in the tracheobronchial tree are rare and detached portex tracheostomy tube are even rarer. Hereby we are reporting a rare case of detached part of portex tracheostomy tube presenting as a foreign body in the right bronchus. Therapeutic rigid bronchoscopic removal is the mainstay of treatment. A periodic review of the techniques of tracheostomy care including timely checkups for signs of wear and tear can possibly eliminate such avoidable late complications.