Abstract
Otorhinolaryngological (ORL) emergencies are common in all communities and their early diagnosis and management will result in reduction in morbidity and mortality. As the horizons of otorhinolaryngology are widening, management of patients with protocol based quality care becomes prime priority. This study has been done to study the (a) Prevalence of ENT emergencies in TEC (trauma and emergency care), (b) Pattern and distribution of ENT emergencies in relation to age, sex and diagnosis, (c) Outcome in terms of disposition from TEC ward. This will help us in identifying preventive measure for some of ENT emergencies and to improve treatment protocols if required. Type of study: Cross sectional retrospective descriptive study of 1 year duration. Records of patients who attended trauma care from 1st July 2009 to 30 June 2010 were studied under various parameters like age, sex and diagnosis and outcome. Major section was of facio-maxillary trauma (84.0%) followed by foreign bodies (5.8%), then others. 145 patients were discharged from the casualty, 518 were admitted and five were expired due to causes other then ENT e.g. head or abdominal injury. Different problems, their mode of management and outcomes are discussed here. With urbanization, facio-maxillary trauma constitutes the maximum workload amongst other emergencies like foreign body, ENT infections and burns and owing to the complex anatomy of face and neck, it is need of the hour for ORL surgeons to widen their scope of cases addressed and managed in emergency wards.
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Kitcher ED, Jangu A, Baidoo K (2007) Emergency ear, nose and throat admissions at the korle-bu teaching hospital. Ghana Med J 41(1):9–11
Saha S, Chandra S, Kumar P, Das S, Mishra S, Rashid MA, Monda A (2005) Emergency otorhinolaryngological cases in medical college, Kolkata—a statistical analysis. Indian J Otolaryngol Head Neck Surg 57(3):219–225
Obon PJ, Esteban R, Pueyo LJ et al (1995) An outpatient study in ENT (otorhinolaryngology) emergencies at a general hospital. Acta otorhinolaryngol 46(4):298–304 Esp
Bleach N, Mady S, Williamson PA (1994) Emergency workload in otolaryngology. Ann R Coll Surg Engl 76:335–338
McShane DP (1989) Analysis of night-time and weekend otolaryngology services. Irish J Med Sci 158(6):150–152
Rivero V, Ruiz G, Palomino G, Romero P, Hernandez C, Garcia M, Yanez K, Huelva B (2005) Considerations about ENT emergencies. Analysis of 30000 patients assisted in 10 years. Acta otorhinolarynol 56:198–201
Malhotra S, Gupta RS (1992) A study of the workload of the casualty department of a large city hospital. Health Popul Perspect Issues 15(1&2):68–76
Rabelo F, Prado V, Valera F, Demarco R, Tmashirp E, Lima W (2009) Surgical treatment of nasal packing refractory epistaxis. Braz J Otorhinolaryngol 75(3):335–339
Prasad KC, Prasad SC, Shenoy S, Kumar A (2009) Management of head and neck trauma in a developing country. Indian J Otolaryngol Head Neck Surg 61(suppl 1):35–43
Timsit CA, Bouchene K, Olfatpour B, Harman P, Tran Ba Huy P (2011) Epidemiology and clinical findings in 20, 563 patients attending the Lariboisiere Hospital ENT adult emergency clinic. Ann Otolaryngol Chir Cervicofac 118(4):215–224
Peterkin GA (1979) Otitis externa. J Laryngol Otol 88:15–21
Vaamonde LP, Lechuga GM, Beltran MI, Frade GC, Soto VA, Bartual MJ, Labella CT (2000) Epistaxis: a prospective study on emergency care at the hospital level. Acta Otolaryngol Esp 51(8):697–702
Upile T, Jerjes W, Sipaul F, El Maaytah M, Nouraei SAR, Singh Sandeep Hooper Colin, Wright A (2007) The role of surgical audit in improving patient management; nasal hemorrhage: an audit study. BMC Surg. 7–19 http://www.biomedcentral.com/1471-2482/7/19. Accessed 20 Dec 2010
Abbas I, Fayyaz M, Shah I, Khan M, Qazi AS, Munir N, Bibi A, Abbasi M (2009) Demographic distribution of maxillofacial fractures in ayub teaching hospital: 7-year review. J Ayub Coll Abbbottabad 21(2):110–112
Gupta AK, Garg R, Gupta A, Bajaj K (2009) A retrospective analysis of 189 patients of maxillofacial injuries presenting to a tertiary care hospital in Punjab, India. J Maxillofac Oral Surg 8(3):241–245
Global road safety partnership (2001) http://www.bpdweb.org/grsp/index.htm. Accessed 20 Dec 2010
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Yojana, S., Mehta, K. & Girish, M. Epidemiological Profile of Otorhinolaryngological Emergencies at a Medical College, in Rural Area of Gujarat. Indian J Otolaryngol Head Neck Surg 64, 218–224 (2012). https://doi.org/10.1007/s12070-011-0293-8
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DOI: https://doi.org/10.1007/s12070-011-0293-8