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Endoscopic septoplasty

3 years old child was referred to ENT specialist because of cough, difficulty in breathing and temperature 39 c of few hours duration. The child is admitted to the hospital for observation and medical treatment. 6 hours later the physician performed immediate tracheostomy. After the surgery the child was releived from the respiratory distress for 24 hours and he become dyspnic again. The physician carried out small minor procedure that was necessary to relieve child dyspnea. After days the tracheostomy tube is removed and the child is discharge from the hospital.

X ray was performed

49 years old male present with enlargement of the upper deep cervical lymph nodes on both side of the neck of 6 months duration. The nodes appear first in the right side. The patient gave a history of decreased hearing in the right ear that was intermittent then become permanent. Recently he developed reduced hearing in his left ear, nasal regurge, nasal intonation of voice, and recurrent mild epistaxis.

4 hours following an adenotonsillectomy for a 6 years old the pulse was 110 per minute, BP 100/70 mmhg, respiratory rate 20/minute and the child vomit 250 cc of dark fluid. 2 hours later he vomit additional 150 cc of dark fluid, the pulse become 130, BP 80/50mmhg, respiratory rate remain 20/minute

45 years heavy smoker male complain of change in voice for 3 years duration in form of hoarseness. In the last 3 months his voice become very hoarse and he developed mild respiratory distress. Later he became severely distresses and required surgical procedures to relieve distress. On examination there were bilateral firm non tender upper neck swelling