<p class="abstract"><strong>Background:</strong> Head and neck cancer is one of the most common cancers in India and worldwide. It accounts for 30 percent of the total cancer burden. Head and neck cancers are notorious for loco regional spread presenting late with metastastasis to cervical lymph nodes.</p><p class="abstract"><strong>Methods:</strong> Our study was carried out on patients presenting with metastatic neck nodes at Silchar Medical College and Hospital, Assam from 1^st April 2013 to 30^th March 2015.  </p><p class="abstract"><strong>Results:</strong> In our study 167 patients presented with head and neck cancer with metastatic neck nodes. Metastatic nodes involving level II accounted for 51.4% of cases with primaries in oral cavity, base of tongue. Level III lymph nodes were involved in 48.6% of cases with primaries in the hypopharynx and larynx.</p><p><strong>Conclusions:</strong> In our study it was found that hypopharynx is the most common primary head and neck cancer with metastatic neck node. The most commonly involved lymph nodes are level II and level III. This helps in understanding the pattern of micrometastases in head and neck cancer patients with N0 neck which makes way for the role of selective neck dissection in these groups of patients.</p>

Introduction Faciomaxillary fractures can present either as an isolated injury or as a part of polytrauma. The incidence of faciomaxillary injuries is on the incline with changing lifestyles in developing countries like India; thus posing as a major health burden. We conducted this study to aid in defining strategies to prevent and tackle the same. Materials and Methods A Prospective Observational study was conducted on all the patients admitted for traumatic faciomaxillary fractures in the Department of ENT for a period of three years. Aim of the study was to study the incidence, demography, pattern, management and postoperative complications in traumatic faciomaxillary fractures. Result Out of 499 cases who comprised our study group, the most common fracture encountered was of nasal bone(26.25%) with male predominance (86.37%), mostly scattered in the age group of 18-40 yrs (67.13%). RTA was found to be the most common cause (52.1%). Fractures of lateral third of face and mandible almost always needed an open reduction. Discussion The age and gender distribution pattern as well as the cause of faciomaxillary fractures and complications have been compared with the published reports. The central third of the facial skeleton has been found to be affected most in traumatic fractures, whereas some other studies found fracture of the mandible to be the most common. Open reduction was needed in 44.9% of patients.   Conclusion With increasing incidence of RTAs, there is a need to understand the pattern, review our management techniques and hence be able to provide appropriate and individualized management to those in need of it.

Muscle tension dysphonia (MTD) is a condition where phonation is associated with excessive muscular tension or muscle misuse. It has multifactorial etiologies. It can be a primary or secondary MTD. While it can affect anyone, sufferers usually belong to a particular group. It has very serious impact on sufferer's personal, social and professional life. We are presenting here, our 20 months prospective study done in the department of otorhinolaryngology, Silchar Medical College and Hospital from June 2012 to July 2013. Voice therapy was given to every patient, whether primary or secondary MTD. Pre-therapy vs post-therapy comparisons were made of self-ratings of voice handicap index, auditoryperceptual ratings as well as visual-perceptual evaluations of laryngeal images. Outcome of voice therapy results (Graphs 1 and 2) in such patients were found to be very good. As the disease is multifactorial, treatment approach should be broad-based involving multidisciplinary team. Abbreviations Vocal Cord Nodule (N), Vocal Polyp (P), Laryngopharyngeal Reflux (LPR), Presbylaryngis (PL), Cut Throat injury (CT), Primary Muscle Tension Dysphonia (PMTD), Dysphonia Plica ventricular (DPV). How to cite this article Singh SP, Dutta SRB. Voice Therapy in Muscle Tension Dysphonia Cases. Int J Phonosurg Laryngol 2015;5(1):20-24.

Primary tracheal tumours are extremely rare and overwhelmingly malignant.Squamous cell carcinoma is most common in smokers,whereas adenocarcinoma is most commonly found in non-smokers. Patients most commonly presents with hemoptysis, respiratory distress, cough and stridor. The symptoms appear in late phase and often are mistaken for chronic obstructive pulmonary disease.This leads to delay in management.Surgery,followed by adjuvant radiotherapy and chemotherapy,is the treatment of choice.

Objectives: Brainstem evoked response audiometry (BERA) is a non-invasive tool which is used to assess the early hearing loss in children. The objectives of the study were to find out the age-wise distribution and type of sensorineural hearing loss (SNHL) diagnosed in paediatric population. Methods: The present hospital based prospective study conducted on 4o children suffering from sensorineural hearing loss. Age wise distribution and type of sensorineural hearing loss was assessed in these children using brainstem evoked response audiometry. Results: Out of 40 children studied most of the patients (55%) belongs to 1-5 years age group.16 patients (40%) belong to 6-11 years age group.0nly 2 patients (5%) were observed in 12 years age group. Out of 40 children, 20% presented with Retro cochlear type (8 children) and 80% presented with Cochlear type (32 children) of sensorineural hearing loss