Journal of ENT and Allied Sciences

Subglottic mucocele is a rare entity in the pediatric population, often associated with   intubation-related complications. We present a case of a 1.5-year-old male child with a history  of repeated hospitalizations for respiratory distress, ultimately diagnosed with subglottic mucocele. Despite being born at full term without comorbidities, the patient required  mechanical ventilation shortly after birth. Imaging revealed an ill-defined lesion in the subglottic region, confirmed histologically as a mucocele. Following initial airway compromise  during excision, emergency tracheostomy was performed, followed by successful removal of  the mass via coblation. Postoperative follow-up showed significant improvement in respiratory  symptoms, and the patient was successfully decannulated. This case highlights the importance  of considering subglottic mucocele as a differential diagnosis in pediatric airway obstruction,
necessitating prompt diagnosis and appropriate surgical management. We discuss the etiology,  differential diagnosis, and surgical techniques for managing subglottic lesions in pediatric  patients, emphasizing the significance of a multidisciplinary approach for optimal outcomes. 

Introduction: Adenoid cystic is an infrequent malignancy of the salivary glands. Some of its   unique features include slow growth, the tendency for perineural invasion, local recurrence, and the ability to metastasize. The mobile tongue's adenoid cystic carcinoma (ACC) is a rare reported case in the literature.  Report: We report a rare case of adenoid cystic carcinoma, in a 55-year-old female arising  in the dorsal and lateral aspect of tongue. Histopathology after complete excision of the mass  confirmed the diagnosis of adenoid cystic carcinoma. There has been no evidence of disease   following excision with tumour-free margins.  Discussion: The pathophysiology of ACC is an understudied area due to the condition's  rarity. Chromosomal abnormality and dysregulated MYB oncoprotein have to be thought to  play a key role in the pathophysiology and proliferation of ACC.  Conclusions: Adenoid cystic carcinoma of the tongueis exceedingly rare but should be  considered in the differential diagnosis in patients with tongue swelling. These tumours are  malignant and treatment requires surgical excision and neck dissectionfollowed by adjuvant  radiotherapy.
 

Background: The parotid gland is a major salivary gland in the human body located in both   the cheeks. It accounts for approximately 3-6% of all head and neck masses. Three fourths of  all parotid masses are benign. However, they are very diverse in nature and in intimacy with  important anatomical structures. An accurate diagnosis and surgical management of some
rarely presenting parotid masses is further challenging to the medical team because of limited   literature and experience with these masses.  Methods: A retrospective study was done at our Tertiary Care Institute studying different  approaches towards rarely presenting parotid masses during last two years.  Results: A giant pleomorphic adenoma with 14 cm diameter managed with total superficial  Parotidectomy, a difficult to diagnose parotid mass at angle of mandible which was confirmed  to be Schwannoma post excision and a large Paediatric lymphangioma managed with  Sclerotherapy are discussed here.  Conclusion: All were managed without mortality, with minimal morbidity and no recurrence   noted till date. Our experience will be of great use to physicians and surgeons while dealing  with rare benign parotid masses.