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Cut Throat Injury Presenting As Emergencies in a Tertiary Care Hospital in India: A Retrospective Analysis
Rajat Jain,
Sandeep Kaushik
Issue:
Volume 4, Issue 2, December 2018
Pages:
35-38
Received:
23 April 2018
Accepted:
16 July 2018
Published:
12 September 2018
DOI:
10.11648/j.ijo.20180402.11
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Abstract: Anterior neck injuries are variable according to their extent, depth and cause. These can be intentional or accidental. The injuries may be penetrating or non-penetrating. Injury to certain anatomic structures (e.g, carotid or subclavian vessels) may be fatal in two thirds of cases. Management of injuries that penetrate the platysma depends upon the anatomic level of injury. A retrospective study of 30 cases of cut throat injury presenting as emergency were managed over a two year period from June 2010 to June 2012. They were analysed for details of age, sex, etiology, nature of injury and surgical procedures for management and their complications. A total of 30 cases of cut throat injuries were reviewed. 20 females, 10 males with age ranging from 5 to 60 years, mean age of 21.2 years. 13 cases were suicidal, 10 cases were attempted homicidal, 3 were from animal assault, 2 were as a result of road traffic accident and remaining 2 patients were due to fall on sharp object. Sharp knife was used in all cases of attempted suicide and 80% cases of human assault, while cow horn was the most common object involved in animal assault. Bullet was observed in two cases of gunshot. Four patients had pharyngocutaneous fistula, one developed tracheopharyngeal fistula, One developed wound dehiscence in post-operative period. Suicidal and homicidal wounds account for majority of the cases (76.66%). Cut throat injuries presenting as emergency differ in etiology, extent, and depth. Early intervention in the form of airway management and meticulous repair layer by layer is needed for surgical repair. Complications developed as a result of bad initial management & poor health of patients. Proper initial management & early repair of the ‘cut-throat injury’ reduces complications and post-operative morbidity. Post-operative follow-up for at least one year is needed to avoid delayed complications and hence morbidity.
Abstract: Anterior neck injuries are variable according to their extent, depth and cause. These can be intentional or accidental. The injuries may be penetrating or non-penetrating. Injury to certain anatomic structures (e.g, carotid or subclavian vessels) may be fatal in two thirds of cases. Management of injuries that penetrate the platysma depends upon th...
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Comparison of Three Techniques for the Management of Concha Bullosa on Nasal and Olfactory Functions
Deniz Hanci,
Huseyin Altun
Issue:
Volume 4, Issue 2, December 2018
Pages:
39-45
Received:
20 August 2018
Accepted:
7 September 2018
Published:
8 October 2018
DOI:
10.11648/j.ijo.20180402.12
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Abstract: Background: Different techniques were described for the management of concha bullosa. However there is still no consensus on which technique should be preferred. Objective: To evaluate the most effective technique for the management of concha bullosa in terms of improvement in nasal and olfactory functions. Study Design: Prospective, randomized controlled trial. Methods: A total of 95 patients were randomly divided into three groups; medial laminectomy (n = 31), lateral laminectomy (n = 32), and crushing of the middle turbinate (n = 32). Patients were evaluated using visual analogue score (VAS), sinonasal outcome test-22 (SNOT-22), peak inspiratory flow (PNIF), and Sniffin’ Sticks Extended Test preoperatively and 3 months postoperatively. Results: The age range of the study patients was 18 and 56 years (mean age 35.2±9.4 years). There was no statistically significant difference between the baseline characteristics of the patients including age and gender. There was a statistically significant improvement in headache, obstruction, PNIF, SNOT-22 scores and olfactory performances of the patients 3 months after the surgery (P < 0.05 for all). All the groups were comparable in improvement of nasal and olfactory functions after surgical management of concha bullosa. However, the crushing of the middle turbinate was less effective, and, medial laminectomy resulted in better improvement in PNIF score compared to lateral laminectomy (P = 0.011). In addition, there was a significant improvement in odor discrimination in medial laminectomy group when compared to crushing of middle turbinate (P = 0.011). Conclusions: Although all three techniques are comparable with respect to improvement in nasal and olfactory functions, we recommend medial laminectomy as the surgical technique for the management of concha bullosa.
Abstract: Background: Different techniques were described for the management of concha bullosa. However there is still no consensus on which technique should be preferred. Objective: To evaluate the most effective technique for the management of concha bullosa in terms of improvement in nasal and olfactory functions. Study Design: Prospective, randomized con...
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Ear Nose and Throat Diseases among HIV Infected Patients at Fepsi Hospital in Butembo, Democratic Republic of the Congo
Franck Katembo Sikakulya,
Joel Kambale Ketha,
Michel Kalongo Ilumbulumbu,
Olivier Mumbere Mulisya,
Gabriel Kambale Bunduki,
Richard Byaruhanga,
Moise Muhindo Valimungighe
Issue:
Volume 4, Issue 2, December 2018
Pages:
46-50
Received:
21 August 2018
Accepted:
6 September 2018
Published:
12 October 2018
DOI:
10.11648/j.ijo.20180402.13
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Abstract: Background: Ear, Nose and Throat (ENT) diseases are recognized as common early presentations of HIV infection. Despite the large number of HIV infected patients worldwide, information regarding Ear Nose and Throat diseases among HIV infected patients is very limited; Objective of this survey was to determine the incidence of Ear Nose and Throat diseases among HIV infected patients at FEPSI hospital in Butembo. Methods: This was a retrospective study carried out from 1stJanuary 2017to 31stDecember2017 at FEPSI Hospital which is one of the referral hospitals involved in the management of HIV infected patients in Butembo, Eastern of the Democratic Republic of the Congo. Results: The incidence of Ear Nose and Throat diseases among HIV infected patients was found to be 8.7% (25/288). Acute Rhinitis was the most frequent Ear Nose and Throat disease in our survey with 60%; Female were more affected than male with a ratio of 1.08; The age range 21- 40 and 41-60 were the most affected with 36.0% each; Housewives were more affected with 44.0%; married patients were more affected with 64.0%. Rhinorrhea was the most Ear Nose and Throat manifestation in our survey with 60%. Conclusion: Ear Nose and Throat diseases remain a big problem for HIV infected patient in Butembo city, eastern of DR of the Congo. It is important for otolaryngologists or all physicians to be aware of Ear Nose and Throat diseases, so early diagnosis and timely intervention to be instituted to improve survival rates.
Abstract: Background: Ear, Nose and Throat (ENT) diseases are recognized as common early presentations of HIV infection. Despite the large number of HIV infected patients worldwide, information regarding Ear Nose and Throat diseases among HIV infected patients is very limited; Objective of this survey was to determine the incidence of Ear Nose and Throat dis...
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A Clinico-Etiological Study of Cervical Lymphadenopathy in Otorhinolaryngology Practice
Girija A Ghate,
James Thomas,
Neelesh Bhat
Issue:
Volume 4, Issue 2, December 2018
Pages:
51-54
Received:
27 July 2018
Accepted:
21 September 2018
Published:
25 October 2018
DOI:
10.11648/j.ijo.20180402.14
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Abstract: Cervical lymphadenopathy is a condition commonly seen in general, paediatric as well as Otorhinolaryngology practice. It is seen across all age groups and both genders. It shows a wide range of clinical features with an equally wide variety of causative factors. As the diagnosis can vary from a simple pharyngeal infection to a malignancy, appropriate investigations and timely diagnosis become a matter of concern to both the family as well as the treating doctor. Therefore a systematic clinical approach with minimal array of investigations is required to avoid unnecessary delay in diagnosis and designing the management protocol. It is essential to keep this in mind while investigating and treating these patients. The aim of this study was to determine the etiological factors in cases of cervical lymphadenopathy seen in Otorhinolaryngology clinic at a tertiary care center. 50 cases of the same, aged between 6 to 70 years attending ENT OPD at Dr. D. Y. Patil Medical College and Hospital, DPU, Pune, India, were studied over a period of 8 months. Reactive lymphadenitis was found to be the commonest cause followed by metastatic neck disease and tuberculosis as causes of cervical lymphadenopathy. There was a male preponderance with adults affected more than children. Chronicity of the condition also helped in pointing to certain etiologies. The variety of etiological factors is huge and clinical diagnosis alone may prove to be inaccurate. Fine Needle Aspiration Cytology proved to be the most reliable tool for definitive diagnosis.
Abstract: Cervical lymphadenopathy is a condition commonly seen in general, paediatric as well as Otorhinolaryngology practice. It is seen across all age groups and both genders. It shows a wide range of clinical features with an equally wide variety of causative factors. As the diagnosis can vary from a simple pharyngeal infection to a malignancy, appropria...
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