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Summary Securing the airway is vital in the management of anaesthesia administration. Patients with difficult airway are extremely challenging. Paediatric tongue lesions represent 2.4% of all paediatric oral and maxillofacial lesions. Most lesions are benign and include various local neoplasms, solid tumors, cysts, polyps and diffuse hypertrophy. We present a case of a 7-year-old child having congenital macroglossia with mandibular deformity due to malocclusion, admitted for reduction glossectomy. It was predicted to be a difficult intubation and it was successfully achieved by blind nasal technique.

Ingested sharp foreign bodies usually lodge themselves in the pharynx unlike their more common smooth counterparts, which are found in the upper esophagus. These are very rare in infants and pose problems like delayed presentation and occasionally extraluminal migration. A very rare case of through and through penetration of neck by an ingested nail in an infant, which presented 8 months after its ingestion, is reported.