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Cut neck injury needs prolonged hospitalization, high cost care, reduced quality of life and above all death. Proper exploration is a must in preventing co-morbidities like shock, sepsis, laryngotracheal stenosis or fistula formation. Neck trauma can involve muscles, vessels, nerves, bone and hollow viscera. Though the repair of neck means planning and skill for repair of the structure, the tracheal repair needs special attention to avoid tracheal stenosis. 12 patients were included in the prospective study of 8 months. Management plan was undertaken which were thoroughly studied and discussed with respect to two tracheoplasty cases done in ENT OT, AMCH. Apart from haemodynamic stability all patients were assessed for injury to hollow viscera and planned accordingly as this centre is an important centre for airway reconstruction. Male female ratio was 11:1. Suicidal cut neck injury was the most common cause. Two cases were of tracheal stenosis post tracheostomy. One of the case had associated neurovascular injury but with patent airway. Rest of the cases were repaired under general and/or local anaesthesia. Primary aim should be to maintain airway and to look for the extent of injury to reduce morbidity. Expertise of surgeons' skill is developing every day hence the successfulness of repair will be tested by least of morbidity. From this institute which is skilled in airway reconstruction we could comment that airway reconstruction team should be an integral part of surgeons' team.

BACKGROUND Despite the invigoration of cartilage graft in the last few years, very few literatures have been found regarding the use of the cartilage palisade tympanoplasty from the North-Eastern part of India. The aim of this study is to analyse the results of cartilage palisade graft technique in type 1 tympanoplasty in terms of the graft uptake, hearing improvement and postoperative complications. METHODS This hospital based prospective study was done from September 2018 to September 2019 including 21 patients of tubotympanic type of chronic otitis media. RESULTS Hearing improved significantly (p= 0.000) from 31.29 ± 6.81 dB to 14.95 ± 5.36 dB in the post-operative period in terms of ABG. The mean hearing gain was found to be 6.33 ± 6.96 dB. The graft uptake rate was 95.24%, without any significant post-operative complications. CONCLUSIONS High graft uptake rate, and highly significant audiometric outcomes in our study emphasises upon the usage of cartilage graft after slicing and palisading in the reconstruction of tympanic membrane even in primary cases without compromising the acoustic transfer characteristics.

Introduction: Allergic rhinitis (AR) is clinically dened as a symptomatic disorder of the nose induced after allergen exposure by an IgE- mediated inammation of the nasal mucous membranes. The symptoms include rhinorrhea (anterior or posterior), nasal congestion, nasal itching, and sneezing. In this study, we tried to determine the prevalence of Allergic Rhinitis among the people of North Eastern part of India (Assam) retrospectively. So we did a data based cohort study in a cross sectional pattern of the patients of visited Otorhinolaryngology Department of Assam medical college Dibrugarh, India, from July 2019 to June 2020. Aims And Objectives: To study about the burden of Allergic rhinitis among the people of Upper Assam Region. Methods And Materials: A study was done retrospectively based on data of the 420 patients who visited Otorhinolaryngology OPD in Assam Medical College and Hospital, Dibrugarh from July 2019 to June 2020, with symptoms of Allergic Rhinitis. The diagnosis was made on the basis of history and clinical examination. Discussion: It was found that out of 420 patients, the bulk of patients came to OPD during rainy season of august, autumn months of October and winter months of November. Besides 64% of people were of working age groups of 21-59 years who were exposed to dust , pollens, fungus , house dust mites during seasonal variations. Conclusion: The burden of allergic rhinitis in upper Assam region is largely underestimated. The cause of consistent symptoms of allergic rhinitis was noncompliance with medications, Lack of ability to comply with the advice of prevention of exposure to allergens, lack of education, lack of denitive diagnosis in peripheral health centre.

Objective. Thyroid surgery has travelled a long path, from a surgery which once was considered deemed to fail and even led to death, to the current time when newer techniques are being tested to make the incision smaller and smaller. The aim of our study is to give a precise detailed stepwise description of medial and lateral surgical approach with the anatomical basis and to compare their feasibility and safety. Methods. 104 cases presenting with thyroid swelling in the Department of Otorhinolaryngology, Assam Medical College Dibrugarh from January 1, 2019, to December 31, 2019, were selected and randomisation was done based on day of admission from OPD. Basic demographic data, preoperative diagnosis, operative time, blood loss, need for transection of strap muscles, and complications were recorded. Result. The distribution of thyroid cases according to age ranged from 17 to 81 years. The prevalence of thyroid disorders was the highest (37.5%) in the age group of 31–40 yrs. Of a total of 104 thyroid cases, 49 were colloid goitre, 24 were multinodular goitre, 9 were follicular neoplasm category 4, 4 were papillary thyroid carcinoma, 2 were follicular neoplasm category 3, and 3 were follicular neoplasm category 5. Conclusion. Out of the two approaches, lateral approach thyroidectomy showed better results with fewer complications. A single structure (superior belly of omohyoid) can be used as a guide to preserving all vital structures related to the thyroid gland.

Background: The school of Bilroth in Vienna started modern thyroid surgeries in 1860s.1 Thyroidectomy was associated with high mortality, recurrent laryngeal nerve injuries and tetany. One and a half century down the timeline, complications still occur. Although, in experienced hands, the thyroid surgeries performed today are associated with minimal mortality and morbidity. Lateral approach thyroidectomy is a commonly practiced approach with fewer complications. We carried out a study to assess the efficacy, safety and advantages of lateral approach thyroidectomy with a new key step.Methods: A prospective study was performed on thirty patients undergoing conventional open thyroidectomy from January to July 2019 at a tertiary care hospital in north east India. All patients underwent open thyroidectomy via lateral approach in which identifying superior belly of omohyoid was considered a key step of surgery. Basic demographic data, preoperative diagnosis, operative time, blood loss, need for transection of strap muscles and complications were recorded. Results: There were no intra-operative complications, without the need to cut strap muscles or sacrifice superior belly of omohyoid in any case. Voice change was seen in one case, improved after steroid administration. One case developed tetany after total thyroidectomy managed with calcium supplements.Conclusions: Results suggested that lateral approach of thyroidectomy is a quick and safe technique where identification of superior belly of omohyoid considered as our key step, enabled easy delivery of superior pole of thyroid and facilitates easy identification and preservation of vital structures; thus, causing least morbid sequelae.

Pleomormpic lipoma of the anterior neck is a rare entity. Although pleomorphic lipomas a benign tumour it may contain atypical cells. Histologically pleomorphic lipoma is composed of mature fat, bland spindle shaped mesenchymal cells and coarse "rope like" collagen bands In addition pleomorphic lopoma contains multi-neucleated florat like giant cells. It Enzinger & Harvey (1) in their original series of pleomorphic lipoma \ spindle cell lipoma where there is little fat or no fat is a diagnostic challange.Immunohostochemical analysis by CD 34 positivity and desmin negativity is a diagnostic criteria. Here with we presenting a huge pleomorphic lipoma in the retropharyngeal space presenting as anterior neck swelling and sleep apnoea.