Dileep Kumar Khatri, Bal Rao M Iqbal, Mushtaque Ali.
Pattern of injuries regarding Ear, Nose, Throat & Head & Neck in patients presenting in Accident & Emergency department.
Pak J Surg Jan ;32(4):255-9.

Objective: To analyze the pattern of injuries regarding Ear, Nose, Throat and Head & Neck, in patients presenting in accident and emergency department. The role of ENT team in the management of those injuries. Material and Methods: The study was conducted in accident and emergency department of PMC Hospital from 1st August 2015 to 31st July 2016. Each patient presenting to emergency was attended by ENT team along with casualty medical officer. Patients of all ages, both male and female, including kids, injuries at the region of Face, Nose, Ear, Throat and neck. Results: Total number of emergency patients was 248,652. 46,328 were with history of trauma. 6,385 patients were registered. 79% were male and 21% female, 64% were adults, 16% children and 20% old aged. 40% presented with road traffic accidents, 21% with history of assaults, 18% with gunshot injuries, 12% with sports injuries, 6% with fall from height and 3% with miscellaneous trauma. In 44% of the case face was involved with injury, 26% nasal injury, 14% with oral cavity injury, 10% with neck trauma and 6% with ear injury. 10% of the patients were brought in very critical state. Patients with major injuries were rushed to operation theater for major emergency procedure. 8% of the patients required tracheostomy for either general anesthesia or to secure airway. 2 patients required cricothyrotomy as lifesaving strategy. 5% of cases required internal jugular vein ligation. 7 cases had developed carotid vessel injury in which 4 cases were successfully repaired with the help of vascular surgeon, but unfortunately 3 cases couldnt be saved due to massive blood loss. Those patients who were operated, they were admitted till fit to carry out daily activities. Conclusion: Injuries in the regions of ENT and head & neck constitute the major portion of emergency patients. The injuries include from mild abrasions that require simple dressing to lacerated neck that requires emergency neck exploration. ENT team in emergency department has remarkable role for management of trauma cases.

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