Nasotracheal intubation is a means of airway management; it is the preferred method for surgeries in the head and neck region, especially oropharyngeal, dental and maxillofacial surgeries. In the process and management of nasotracheal intubation, additional instruments, drugs and skilled maneuvers are required, and with the recent development of techniques and methods, potential problems or complications can be avoided. We report a case of difficult nasotracheal intubation planned for maxillofacial surgery successfully using a lesser-used Echmann chuck technique that requires personal and technical experience to facilitate safe intubation with reduced complications.

Spinal Hemangioblastomas are rare benign vascular tumors of the central nervous system presenting in adults and are seen in association with VHL gene mutation. MRI is the preliminary diagnostic modality whereas histopathological diagnosis after complete surgical resection of tumor remains a confirmatory modality. Here we present an extremely rare case of a 2 year old female child with complaints of lower limb weakness who was diagnosed histopathologically with spinal hemangioblastoma.

Superior mesenteric artery syndrome (SMA syndrome), also known as Wilkie's syndrome is a rare vascular disease due to extrinsic compression of the third portion of the duodenum between the superior mesenteric artery and the aorta. The symptoms are variable and non-specific, the treatment is first of all medical and surgery is reserved for unresponsive cases to medical treatment. We report a case of Superior mesenteric artery syndrome occurring in a 21- year-old patient, revealed by chronic epigastric pain with vomiting, the diagnosis is made by CT scan and the patient underwent laparoscopic gastro-entero-anastomosis, with good postoperative evolution.