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PATTERN OF INJURIES REGARDING EAR, NOSE, THROAT & HEAD & NECK IN PATIENTS PRESENTING IN ACCIDENT & EMERGENCY DEPARTMENT

Dr Abdur Rahim, Dr Asfaa Ashfaq, Dr. Hussain Bilal Malik

Objective: To examine design of wounds concerning Ear, Nose, Throat in addition Head and Neck, in cases offering in accident also emergency subdivision. Character of ENT squad in administration of these wounds. Material and Methods: The current research remained showed in accident also emergency section of Lahore General Hospital Lahore, Pakistan from January 2018 to April 2019. Apiece case offering to emergency remained appeared through ENT team laterally by fatality medical officer. Cases of altogether ages, mutually man also woman, counting kids, damages at area of Face, Nose, Ear, Throat also neck. Results: Entire quantity of emergency cases remained 250,680. 46,450 remained through past of trauma. 6,400 cases remained listed. 81% remained man also 19% woman, 67% stayed grownups, 18% offspring also 22% old aged. 43% obtainable by road traffic accidents, 22% through past of attacks, 19% through gunshot wounds, 13% through sports wounds, 7% through reduction from tallness in addition 4% by various disturbance. In 46% of patient face remained complicated through damage, 27% nasal wound, 16% by oral cavity wound, 12% by neck shock then 7% by ear wound. 12% of cases remained transported in actual dangerous national. Cases through main wounds remained hurried to process for main emergency process. 9% of cases essential tracheostomy for moreover GA before to protected airway. 3 cases essential cricothyrotomy as lifesaving approach. 6% of patient essential interior jugular vein ligation. 8 patients had established carotid vessel wound in that 5 respondents remained effectively mended by aid of vascular physician, nonetheless inappropriately 4 patients couldn’t remain protected owing to enormous blood damage. These cases who remained functioned, they remained acknowledged till appropriate to carry out day-to-day actions. Conclusion: Wounds in areas of ENT in addition head and neck establish main share of emergency cases. The wounds comprise from slight scrapes that necessitate humble bandage to lacerated neck that needs emergency neck exploration. ENT squad in emergency subdivision has extraordinary character for administration of disturbance patients. Key words: Tracheostomy, Head in addition Neck trauma, cricothyrotomy, internal jugular vein ligation.

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