Abstract:Masseteric abscesses are usually drained through the external or trans-oral approach. Both choices have their own risks and benefits. We included in our case series 3 patients whom presented with painful facial swelling and were diagnosed as masseteric abscess. We performed the sublabial approach to drain the collection. Post-operatively, they recovered well and there were no recurrences. This technique and outcome of surgery are described.

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Tracheo-innominate artery fistula (TIF) is a very rare complication related to tracheostomy and has been reported in 0.7% of patients, but certainly is one of the most life-threatening conditions. It is of paramount importance to maintain a high index of suspicion in evaluating patients with TIF and to anticipate occurrence of massive haemorrhage even during simple procedures related to tracheostomy such as tube change. We report 3 cases of TIF, each with a unique and unsuspecting history of the condition and review the emergency protocol in arresting the bleeding. We’ve also highlighted the potential role of permissive hypotension with sedation in improving survival outcomes of patients with TIF.

A paediatric bronchoscopy procedure for foreign body inhalation is indeed a highly challenging procedure due to multiple risk factors such as lower physiological functional residual capacity and adverse pulmonary function effects by anaesthetic agents in addition to concurrent active lungs infection. Here we elucidate a novel technique of foreign body removal located at the distal airway in a paediatric patient and in a situation where a paediatric flexible bronchoscopy with built-in working channel is not available. A 1-year 7-months-old boy presented with acute respiratory distress syndrome following a one-week history of active respiratory infection. On examination, he was tachypnoeic with audible soft inspiratory stridor and intermittent barking cough despite being supplemented with 3 liters /minute oxygen mask. Chest x-ray showed right upper lobe collapse. He was referred to the otorhinolaryngology team after a suspicious history of foreign body aspiration obtained from his mother. Bedside flexible nasopharyngolaryngoscopy showed granulation tissue at the junction of laryngeal surface of epiglottis and anterior commissure. He underwent emergency direct laryngoscopy, tracheoscopy, bronchoscopy, excision of granulation tissue and removal of foreign body under general anaesthesia. Herein, some of complicated bronchoscopy demand critical thinking of alternative or modified techniques to achieve a successful and safe surgery. Bangladesh J Otorhinolaryngol 2021; 27(2): 177-183

Inverted papilloma is a benign sinonasal epithelial tumour that mainly occurs in the fifth to sixth decades of life, with male predominance. The incidence in the young adolescent population is comparatively lower. The clinical and radiological findings may mimic other benign sinonasal tumours, so the diagnosis can only be confirmed by histopathological examination. Consequently, precise diagnostic and therapeutic planning is recommended to achieve the optimal result. We describe a case of unilateral sinonasal tumour in a young adolescent male who showed clinical and radiological features of juvenile nasopharyngeal angiofibroma, such as widening of the sphenopalatine foramen, extension of the mass posteriorly towards the nasopharynx, and presence of flow voids that suggested highly vascular nature of the mass. However, a postoperative histopathological examination showed a diagnosis of inverted papilloma.