Two patients suffering from chronic recurrent tonsillitis were reported. The first patient was confirmed infected with COVID-19, 3 weeks prior to tonsillectomy. The detritus and tonsil specimen were further analysed through real-time PCR (RT-PCR) and revealed amplification of the fragment N and ORF1ab genes of SARS-CoV-2. The second patient had a negative IgM and positive IgG antibody for COVID-19; however, the nasopharyngeal swab indicated negative for SARS-CoV-2. Tonsillectomy was performed 2 weeks after the swab; the tonsil specimen was analysed through RT-PCR and revealed amplification of the N2 and RdRp gene of SARS-CoV-2. According to both results, the presence of the SARS-CoV-2 gene remains to be detected in tonsil and/or detritus after 2–3 weeks after recovery. Hence, it is suggested that it is necessary to use adequate protection when performing tonsillectomy on early recovered patients with COVID-19. Furthermore, tonsillectomy would be more advisable to be performed after the fourth week after recovery from COVID-19.

In developing regions such as West Nusa Tenggara (WNT), Indonesia, industry, transportation, and lifestyle were also developed synergistically. This development will lead to several consequences such as air pollution, traffic, etc. On the other hand, Laryngeal cancer remains the dominant cancer in the head and neck. It is related to environmental factors such as air pollution as well as a smoking habit. Laryngeal cancer is commonly found in the advanced stage. The study aims to know the factors associated with laryngeal cancer occurrence and the characteristics of the diseases. A retrospective study was conducted through medical records exploration in WNT General Hospital from January 1st, 2018 to December 31st, 2019. All patients in this period will be included as a subject. All risk factors and characteristics of patients were recorded, then analyzed descriptively. Nineteenth patients fulfilled the criteria in the study period. Most of them were male, low socio-economic status, and has a smoking habit. The symptom when the patients seeking medical advice were mainly hoarseness and hoarseness with dyspnea. Predominantly, the patients came in late-stage. Furthermore, the most treatment given was the combination of surgery, chemotherapy, and radiotherapy. The main histopathology result was undifferentiated squamous cell carcinoma.

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Introduction Hemangioma is a benign tumor made up of blood vessels and typically occurs as a slightly elevated purplish or reddish area of skin. Hemangioma is mostly found superficially; subcutaneous hemangioma in the nasal dorsum is rare. Case presentation In West Nusa Tenggara Regional Hospital, the authors found two cases of subcutaneous hemangioma in patients of very different ages. The first patient was a 2-year-old Sasak girl, and the other was a 40-year-old Sasak man. The pediatric patient was treated with an elliptical approach, whereas the adult patient was treated with lateral rhinotomy extended by an elliptical approach to remove the hemangioma and ligate the feeding arteries. After surgery, the adult patient was followed up for 5 months, whereas the pediatric patient was followed up for 3 months. The results for both patients were good, with minimal scar formation. Conclusion Despite the limitations of technology and human resources in a remote area of Indonesia, the surgical approach used in these cases produced good outcomes for both patients.