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Aim: Nasal dermal sinus is a relatively rare congenital condition. We have reviewed our experience in the presentation and managements of these cases. Patients and Methods: This is a retrospective study from June 2006 to January 2019. Patients presented with a nasal pit, with or without a hair in it were selected. They were studied for their various aspects before and after operation. Results: Out of eight patients studied one presented with infection and hence operation was done at a later date. One patient’s parents refused operation and hence seven patients were operated. Complete excision of dermal sinus by midline vertical incision under general anaesthesia was done. One patient had recurrence and was re-operated 14 years later. Follow-up was from 1 to 13years, with mean of 6 years. Conclusion: Nasal dermal sinus and dermal cyst without fistulae are two different entities. Most of these sinuses do not bear the intracranial extension. Excision can be done from the face and cranial exploration is rarely required.

BACKGROUND The term Focused Assessment with Sonography for Trauma (FAST) was coined by Rozycki et al in 1996. It is now termed "focused abdominal sonography for trauma". It is an emergency ultrasound scan done in abdominal trauma with focus on four quadrants of abdomen-right upper quadrant, left upper quadrant, subxiphoid region and pelvis. It is a good rapid [only 2 to 3 minutes] screening tool to guide surgeon regarding management of blunt abdominal trauma cases. MATERIALS AND METHODS This is descriptive study 66 patients [age range 3-12 years, with blunt trauma abdomen were subjected to a thorough clinical history, clinical examination and FAST Examination and in many cases compared with CT scan and operative findings. RESULTS Of 66 paediatric blunt abdominal trauma patients, 48 were male and 18 were female. FAST was done in 65 cases. In 49 cases, free fluid was detected whereas; in 16 cases no free fluid was detected. 46 cases were true positive, 15 were true negative. 3 false positive and 1 false negative. The sensitivity, specificity and accuracy of FAST were 93.7%, 94% and 90.6% respectively. There were 46 cases of abdominal visceral injury, of which 14 were bowel injuries, 32 solid abdominal organ injuries, mostly isolated and 11 had multiple organ injuries. FAST detected free fluid in all 32 cases of abdominal solid organ injuries. 57 cases were stable and only 9 were hemodynamically unstable.