INTRODUCTION: Cut throat injury is incised injury or incised resembling injury in the neck usually due to homicidal, suicidal or accidental cause. Multiple vital structures are vulnerable to get injured so it usually requires multi disciplinary approach. The objective of this study is to evaluate cut throat injury in terms of site, severity, cause, motivating factors, age and gender distribution of the victim and the surgical treatment method. MATERIAL AND METHODS: Retrospective study was carried out by reviewing the chart, from May 2010 to April 2014. Demographics of the patients; cause and motivating factors; site, severity and the type of surgical treatment were recorded and analyzed. RESULTS: There were a total of 20 patients, of which 14 were males and 6 were females. The most common age group affected was 20-40 years. Homicide was the commonest cause in 12 (60%) patients, followed by suicidal attempt in 6 (30%) and accidental injury in 2 (10%) patients. Interpersonal conflict and psychiatric illnesses were the most common motivating factors for the homicidal and suicidal cut throat injury respectively. Most of the patients had zone II injury. Primary repair was the most common surgical treatment method. CONCLUSION: Young adults are more vulnerable to cut throat injury with majority having zone II injury and homicide being the most common cause. Primary repair is the most common surgical treatment method. Addressing the root cause of violence and identifying and treating the patients with psychiatric illness with suicidal tendency will probably reduce the incidence of cut throat injury in our society.

BackgroundGlomangiomyoma is a rare histological variant of glomus tumour. Clinically, it mimicks as a haemangioma and is challenging to diagnose. Its occurrence in the neck of a child has not been previously described.Case presentationA 3 year old girl presented with the complaints of painless progressive neck swelling in the right side for one and half year. Sonography, computed tomography (CT), magnetic resonance imaging (MRI), CT neck angiography and fine needle aspiration cytology (FNAC) were suggestive of vacular malformation i.e. giant haemangioma or arteriovenous malformation. The mass was removed in toto under general anaesthesia without postoperative complications. The histopathology confirmed it to be glomangiomyoma with haemangiopericytoma like features.ConclusionIt’s an extremely rare variant of glomus tumour and may be the first report of a glomangiomyoma in the neck of a child. Despite a rare entity, it should be borne in mind during differential diagnosis.

Ossifying fibroma is a rare benign fibro-osseous lesion more commonly seen in the head and neck regions. Despite a benign lesion, it behaves aggressively locally and possess higher recurrence nature. One may have a diagnostic challenge owing to its rapid progression and osteolytic nature and having the impression of malignant lesion. Here, we are presenting a case of 9 years old girl with complaints of left nasal obstruction and left facial swelling for 6 months.

Objective: FB (foreign bodies) in ear, nose and throat are often encountered by otolaryngologists in their daily practice and is commonly seen in both children and adults. Depending upon the type and location of FB, it may have serious impact on individual's health if instant appropriate action is not taken. That's why, there's frequent visits to ED (emergency department) on having FB in ear and aerodigestive tracts. The objective of this study was to evaluate the nature, common sites, modes of presentation, modes of management of FB, age and gender distribution. Materials and Methods:A retrospective hospital-based study was done in Universal College of Medical Sciences, Bhairahawa, Rupandehi, Nepal from March 2014 to September 2017. The information was obtained from hospital record books.Results: Out of 483 total patients, 287 (59.42%) were male and 196 (40.57%) were female. Most of them were less than 10 years old. Of the 483 patients, 202 (41.82%) had FB in the ear, 132 (27.32%) in the nose and 149 (30.84%) in the throat. Living FB were found in 54 (26.73%) patients out of 202 in the ear, 10 (7.57%) patients out of 132 in the nose and none in the throat. Of the total patients, 97 (20.08%) required general anesthesia (GA) to remove FBs and the rest 427 (88.4%) patients were dealt with or without local anesthesia. Most of the FBs were removed promptly on presentation otherwise within 24 hours of presentation in the hospital. Conclusion:FB in ENT were found more commonly in the children and the commonest site was ear. Timely presentation, prompt diagnosis and needful management in a center with otolaryngology practice reduces the morbidity and mortality. Most of the FB in ENT can be removed in outpatient department (OPD) or emergency room (ER) with or without local anesthesia (LA).