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

Abstract

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.