The rapid increase in the population and Road traffic accidents led to rise in the number of head injury cases. Most of the cases reporting to the tertiary care hospitals present with injuries to ear, nose and throat. these injuries need to be addressed by ENT surgeons in addition general surgeons and neuro surgeons. A prospective study was done by us at tertiary care centre to assess the ear, nose and throat manifestations in head injury cases. The study was carried over a period of ten years and 100 patients were included. Number of male patients were more than females and young age group was affected more.This study highlights the necessity of the ENT surgeon's inclusion in the trauma team and the present study has been done to evaluate various ear, nose and throat manifestations and investigations which help in earlier diagnosis.

Diagnosis of chronic otitis media implies a permanent abnormality of the pars tensa or flaccida, most likely result of earlier acute otitis media, negative middle ear pressure or otitis media with effusion. It results in some degree of conductive hearing loss due to perforated tympanic membrane with or without ossicular distruction. This condition is treated by tympanoplasty in which we do the repair of tympanic membrane with the help of temporalis fascia graft. In our study we used the wet temporalis fascia graft. We did an observational study of 40 cases of COM inactive Mucosal type and found that 39 cases had the better graft placement and shorter uptake time as well as the operative time. And also there was significant improvement in the hearing post operatively which was assessed by pure tone audiometry. However, a larger sample size would help further establish the validity or relevance of our study.