Spontaneous retropharyngeal haematoma is an unusual condition and difficult to diagnosis early especially in infants. It has multiple aetiological factors and can present to a number of specialists including the otolaryngologist. We describe an unusual case of a spontaneous huge retropharyngeal haematoma in 1-year-old male child which demonstrates the dramatic presentation and emphasizes the need for immediate surgical approach.

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Background: Noise pollution is contributed by various factors where railway noise is one of the major sources and causes of noise pollution. Railway noise mainly affects the population residing nearby and working at the railway stations as they are exposed to a high degree of noise from shunting operations, switching operations, whistles, horns, locomotive engines in the diesel shed, and rail yards of the railway station. Aim: The present study was conducted to assess the noise effects on railway employees with the rate of hearing loss growth and reduction in their working efficiency. Also, the study assessed noise's effect on regular daily life. Material and Method: The present study included 100 subjects working at the Ratlam railway junction who were selected by deliberate sampling method. The present study was a questionnaire-based study that utilized the preformed structure proforma that assessed basic knowledge about the well-being of the study subjects and their efficiency during working hours. The answer to the questions was either in the yes or no format on the marking grades of 0-5 that varied from not at all for 0 score and5 for very much score.