The-pattern-of-cut-throat-injuries-early-management-and-outcomea-prospective-study-in-a-tertiary-care-hospital

Objective: To analyze pattern, sex and age ratio, common causes, the most common site and extent of the injury in the patients with cut throat injury at our hospital. To compare the same with previous similar studies conducted at other centers in different parts of the world. Also to note the early management and outcome in our study. DepartmentSetting: of ENT and Head and Neck Surgery, Gauhati Medical college and Hospital, Guwahati, from January 2022 to January 2023. Methods: A total of 60 cases of cut throat injury were included in our study. Proforma was prepared to collect data. Results: 60 cases of cut throat injury patients were included in the study. Out of 60 cases 51 were males and 9 were females. Simple primary wound closure was done in 58 cases and 2 required secondary wound repair. In 20 patients, tracheostomy with primary repair was done. 32 patients needed psychiatric consultation. In our study,Conclusion: majority were males between 20 years to 40 years from lower middle socioeconomic status. Early and improved management will reduce the mortality and morbidity.

A PROSPECTIVE STUDY OF ASSOCIATION OF ANTERIOR ETHMOIDAL NERVE SYNDROME (SLUDER'S NEURALGIA) WITH NASAL SEPTAL SPUR AND ITS MANAGEMENT

Background: Anterior ethmoidal nerve syndrome is headache resulting from irritation of the terminal branches of the anterior ethmoidal nerve. The headache arises when the septal spur compresses against the middle turbinate or the lateral nasal wall. Here we studied the association of anterior ethmoidal nerve syndrome (Sluder's neuralgia) with nasal septal spur and its management. A prospective observational study carried out on 31 patients Methods: who ful?lled the clinical diagnostic criteria. The patients were treated surgically. The outcomes of surgical treatment Results: were quite promising with 29 patients reporting in improvement in pain after surgery out of the 31 surgeries performed. Conclusion: The diagnosis requires a strong clinical suspicion and appropriate evaluation including nasal endoscopy, scan and anaesthesia of the suspected point of contact

Recurrent laryngeal nerve injury (RLNI) in thyroid surgery and its prevention.

Background: Vocal cord paresis or paralysis due to iatrogenic injury of the recurrent laryngeal nerve (RLNI) is one of the main problems in thyroid surgery. Although many procedures have been introduced to prevent the nerve injury, still the incidence of recurrent laryngeal nerve palsy varies between 1.5-14%. The aim of the present study is to assess the risk factors of recurrent laryngeal nerve injury during thyroid surgery. Methods: This was a prospective, observational study conducted in the Department of ENT and Head & Neck Surgery, Gauhati Medical College & Hospital, Guwahati for a period of 3 years from 1st October, 2010 to 30th September, 2013. Factors predisposing to recurrent laryngeal nerve injury were evaluated such as pathology of the lesions and the type of operations and identification of recurrent laryngeal nerve intra-operatively. Preoperative and postoperative indirect laryngoscopic examinations were performed for all patients. Results: A total of 171 cases of thyroid surgery were performed during the study period. Majority of patients were females. The most common pathology observed in the thyroid gland for which surgery was indicated, according to preoperative FNAC report, was colloid goitre. RLN injury was observed in 3 cases (1.75%) in our study which occurred post hemi thyroidectomy. All these cases had unilateral vocal cord palsy. Conclusion: RLN palsy is one of the common complications after thyroid surgery. Most of the palsy is transient. Meticulous thyroid dissection and identification of RLN during surgery can reduce the rate of RLN palsy.

Common Ear, Nose, and Throat Problems in Pediatric Age Group Presenting to the Emergency Clinic – Prevalence and Management: A Hospital-Based Study.

ENT-related diseases form a significant portion of ailments in pediatric age group. Many of them present in emergency clinics with acute symptoms requiring urgent management. A prospective study was carried out in the Department of ENT, Gauhati Medical College, Guwahati, Assam, in patients below 16 years of age, to determine the hospital prevalence of ENT emergencies in pediatric age group and their management protocol as followed in a tertiary center. Emergencies relating to ear were most common followed by nasal and pharyngoesophageal conditions. Foreign bodies were most common among aural and nasal emergencies. A considerable number of patients presented with faciomaxillary and orodental injuries. Although mortality is low in such emergency group, morbidity may be very high at times. In management of such emergencies, particularly where operative intervention is required, expertise of an ENT specialist is necessary.