Biphasic Synovial Sarcoma of the Cheek in a Child: A Rare Case in an Unusual Location Synovial sarcoma (SS) is rare in the head and neck region, accounting for only 10% of all SS, and less than 0.1% of all head and neck malignancies. Head and neck SS in paediatrics is extremely rare, with only a few cases reported worldwide. Here, we report a case of right cheek SS in a child who presented to us with a 5-month history of painless right cheek swelling. On examination, there was a palpable right cheek mass measuring 4 cm × 4 cm in size, firm in consistency, with a smooth surface and a well-defined margin. Examination of the ear, nose, throat, and head and neck was normal. Imaging showed a well defined enhancing lesion with calcifications, with no involvement of the paranasal sinuses, intraorbital, and intracranial extension. Fine needle aspiration for cytology showed a spindle cell lesion. Excision of the right cheek tumour was done via a sublabial approach. stopathological diagnosis of biphasic synovial sarcoma was made. Post-operatively, the patient was referred to an oncologist for adjuvant chemoradiotherapy. The patient recovered well, and no recurrence was found during the follow-up at six months.

Laryngeal cyst in pediatric age group is an infrequent condition. It frequently presents with laboured respiration, respiratory distress during feeding, hoarseness, feeble or absent cry. Herein, we report a case of congenital laryngeal saccular cyst, which was successfully treated with transoral endoscopic cold instrumental excision. This case highlights the significance of suspicion in stridulous infants with feeding anomalies which warrants an early referral to otolaryngologist.