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The aim of this article is to highlight the varied presentation and management of vallecular cysts. Three children with diagnosis of vallecular cyst presented in our department were reviewed retrospectively for clinical presentation, diagnostic tools and treatment options. All three cases presented with respiratory and feeding difficulty. Diagnosis in all the three cases was made with laryngoscopy (flexible/direct) and imaging. All three patients were treated by transoral approach aimed for excision of cyst using cold instruments. Postoperative period was uneventful and no recurrences were observed on the long-term follow up. Vallecular cysts should be considered as one of the differentials in children with respiratory distress and dysphagia in spite of being a rare anomaly. Direct transoral approach for excision of the vallecular cyst is recommended as a safe and reliable method with no recurrences till date.    Keywords: Vallecular Cyst; Respiratory Distress; Dysphagia; Laryngoscopy

jurisdiction of the ICC, give rise to the fundamental issue of whether the legitimacy of an international institution such as the International Criminal Court may be eroded by an act of the Security Council, the political organ of the United Nations. This article analyses the legal validity of such resolutions within the framework of limitations that have been imposed upon the Council in international law. It discusses the relationship between the resolutions and the provisions of the Rome Statute, and concludes that their cumulative effect operates to modify the Rome Statute. It then deals with the effect of the illegality of these resolutions on the obligations of Member States of the UN, as well as on the ICC.

This study shows that HMPV infection is more common in adults than in children. Sequence homology suggests the circulation of closely related HMPV strains within the country.