Background: Branchial cleft anomalies account for approximately 17% of pediatric neck masses and 30% of all congenital neck lesions; of these, less than 1% involve the first branchial cleft. We report several novel otologic malformations encountered in children with first branchial cleft anomalies; as well as our surgical techniques and outcomes.

Aims: Prognosis of ethmoid sinus adenocarcinoma (ADK) is essentially determined by local tumor control. There is a high rate of recurrence of these tumors across the range of patient series. Development of an optimal follow-up protocol of such tumors is recommended.

Lipomas are benign mesenchymal tumors that may present anywhere on the body. However, myxolipoma, the histological variant is rarely seen. We report a rare case of giant anterior cervicomediastinal myxolipoma in a 6 year old child, with discussion over diagnostic and management strategies for same.

Foreign body injury is one of the most commonly encountered otorhinolaryngologic emergencies. The diagnosis and management of foreign bodies have mainly been based on the type and location of the foreign body. The workplace is a significant contributor to fatal and non-fatal injuries worldwide and an insufficiently appreciated contributor to the total burden of health care costs. Steel workers sustain a higher occupational hazard of penetrating injuries anywhere in the body, including the head and neck. However, we found no reports in the literature about non-penetrating shrapnel foreign body injuries, particularly in the upper aero-digestive tract. This is a case report of a twenty-five years old steelworker who presented to the emergency department in Al Wakra Hospital with a history of non-penetrating steel foreign body impaction in the throat which had been visualized by Glide Scope and removed successfully with the assistance of Macintosh laryngoscope without complications. The purpose of this presentation is to highlight the unusual route taken by a shrapnel non-penetrating foreign body, through the open mouth to the hypo pharynx. Also, probably this could be the first such case to be reported. A note has, also, been added about its visualization and method of removal, comparing two different techniques.

Tornwaldt’s cyst represents a benign tumor which develops in the midline of the nasopharyngeal mucosa. Due to the fact that it doesn’t usually cause any symptoms, it is often discovered incidentally during a nasal endoscopy or another imaging investigation (either CT or MRI). Treatment is only advised when the cyst becomes symptomatic. In this paper, the authors aim to illustrate the optimal approach when dealing with a Tornwaldt’s cyst and to underline the importance of a correctly executed endoscopic surgery.

Purpose: Minimizing surgical morbidity after local flap reconstruction is important in the management of cutaneous defects. Controversy exists in current literature regarding the effects of radiation and chemotherapy on flap perfusion. Neoadjuvant treatments can damage the microvasculature of the surgical bed through fibrosis, endothelial cell damage, and reduced cell proliferation, which collectively increase the likelihood of postoperative flap failure. The aim of this study is to examine the effects of neoadjuvant radiation and chemotherapy on skin flap perfusion.

Objective: Epidermoid cyst is a cystic malformation which is most common in second and third decades, quite rare in oral cavity, which can be congenital or acquired and does not include skin tags. In this case report, we defined a giant epidermoid cyst which is located in mouth floor involving oral and submental regions, mimicking “plunging ranula” and discussed its surgical treatment.