Three Years of Experience of ENT-Head and Neck Trauma in a Tertiary Care Centre of Nepal.

Background Trauma to ENT-Head and Neck region is one of the commonest emergencies. The neck and face being exposed parts of our body are vulnerable to traumatic injuries. Objective To study epidemiological pattern, site, mode and cause of trauma in ENT Head and Neck region, their management and outcome. Method This retrospective study was conducted in the department of ENT-Head and Neck Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal. Medical records of the patients admitted with Head and Neck trauma from April 14, 2019 to April 13, 2022 were retrieved from the Medical Records Section and reviewed. Trauma cases which were managed on an OPD basis and those patients with incomplete data and polytrauma were excluded. Result Most of the trauma cases were in the adults 139 (72.41%). Males were more common than females (80.73%). Oral cavity and oropharyngeal injury 37 (69.81%) was most common in the pediatric patients. In adults nose and facial trauma79 (56.83%) was the most common site of injury. Fall was the most common mode of injury in pediatric patients 36 (67.92%) while in adults it was interpersonal violence 43 (30.94%). Conclusion ENT-Head and Neck trauma was more commonly observed in male adults. Paediatric patients were found to be vulnerable to fall while in adults interpersonal violence was the most common mode of trauma. Oral cavity and oro-pharynx were the most common sites of injury in children while nose and facial trauma were the most common in adults. There were no significant complications and mortality reported during the hospital stay.

A Handbook of Emergencies in ENT- Head and Neck Surgery.

This handbook is a unique addition in the field of emergencies in otorhinolaryngology and head and neck surgery. The authors had done their best to provide the good handbook. The authors have mentioned all the emergency conditions very precisely which helps the reader to find it. It is user-friendly in terms of reading. A Chapter in burns has been included in the handbook which is good and helpful. The nutshell mentioned within the chapter is like the cherry on the top for the handbook. The emergency procedure which is mentioned in detail helps the reader to find it easy for performing the procedure. All the features make this 262 pages handbook worthy of inclusion in any otorhinolaryngologists' library. It is particularly suitable for residents, medical doctors who work in emergency, General practitioner, Pediatricians and Otorhinolaryngologists. This handbook consists of variety of chapters and images depicting the emergency conditions in otorhinolaryngology. They are organized in a logical fashion: section A: The ear with variety of emergency conditions. Section B: The nose and paranasal sinuses with variety of emergency conditions. Section C: The throat and head and neck with variety of emergency conditions. Section D: Burns and Trauma. Section E: Emergency procedures. The main purpose of this handbook is to tackle the ENT emergencies in which the authors have been successful in fulfilling their job. However, I found the addition of mucormycosis chapter to be more relevant in current scenario. Nonetheless, the image quality could be better and on the cover page it is good to mask the identity of the patient. The handbook is published on high quality glossy paper with size that fits the pocket. So, this handbook is highly recommended for the residents, general practioners, pediatricians and the otorhinolaryngologists for immediate consultation during emergency management of ENT cases.

Chondrosarcoma of posterior nasal septum.

Chondrosarcoma is a rare non-epithelial tumor comprising of 10-20% of primary bone tumor. The nasal septum is a rare site for its occurrence. We present one such case of chondrosarcoma of the nasal septum who was treated with endoscopic removal followed by post operative radiotherapy and discuss the relevant clinical presentation, diagnosis and treatment and review the literature also.