USG for assessing nostril patency for successful nasotracheal intubation

A 45 year male was scheduled for reduction of fracture mandible. Mouth opening was 1 cm. So fibreoptic nasotracheal intubation was planned. Xylometazoline drops were instilled in the nostrils. Right nostril was more patent as compared to the left one. So a split nasopharyngeal airway size 7 mm was tried to be introduced through this nostril. But the attempt failed, so it was removed and blood was found on it reflecting trauma.

CLINICAL PROFILE OF MAXILLO FACIAL FRACTURES IN A TERTIARY CARE HOSPITAL IN UTTAR PRADESH

Introduction- Trauma from external causes poses one of the greatest challenges for public health services in different parts of the world. Maxillofacial fractures are the most common outcome of trauma. Several factors which are contributing to these can be managed well after careful examination of the clinical profile of the patients. Aim - This study was done to find the clinical profile of maxilla facial fractures in a tertiary care hospital in Uttar Pradesh. Materials and methods -A retrospective study was conducted in Department of Otolaryngology and Head and Neck Surgery, SRMS IMS from May 2016 - October 2018. Medical records of 53 patients in and around west Uttar Pradesh with maxillofacial injuries admitted in our hospital were studied. Results –Males in age group in 20-40 yr were mostly involved in RTA which was most common cause of fmaxillofacial injuries. Fracture mandible was the most commonly fractured bone. Conclusion - There has to be strict regulations installed by the government to ensure compliance of rules regarding use of seat belts while driving and use of helmet while riding two-wheeler. Better compliance of traffic rules is an important factor in reducing the incidents of this trauma. KEYWORDS -Maxillofacial trauma, RTA , Fracture mandible

A Retrospective study on fracture of the mandible in the D.O.P.D of Rangpur Medical College Hospital.

Aims and 0bjective of present study: A retrospective study was performed involving 480 patients of fracture mandible who were attended in dental O.P.D of Rangpur Medical College Hospital during the period 2010 to December 2013. The aims of this study to analyze the fracture mandible cases and treatment modality by miniplate osteo synthesis. To evaluate causes, sites and different ages of fracture of mandible.Methods: Retrospective study of data were collected from the patients record file of dental O.P.D during the period January 2010 to December 2013.Result: A total of 480 cases were studied where miniplate immobilization were made in 288 cases. Arch bar immobilization were made in 144 cases and rest 48 cases eyelet wiring. Among the 288 case male female ratio was 2:1. The treatment modality relation to patient was same in number for male patients by mini plate immobilization where as arch bar immobilization was same for female patient in number. The reason behind may be due to fear of operation by female patient. The results are shown in pie chart and bar diagram.Conclusion: Using this research results, a great effort was made to provide better management of fracture mandible patient to the population of at or around the city of Rangpur.Mandibular fracture were more present in male between 20 to 30 years rta was about 50% cases. Rigid internal fixation by monocortical mini plate osteo synthesis provide good long time results and satisfactory cosmosis without any significant sequela[8].The more frequently affected region were symphysis menti and angle of mandible.Update Dent. Coll. j: 2016; 6 (1): 30-34