Ear, nose and throat emergencies: an experience in rural area


  • Deepshikha Sumbria Department of Health and Family Welfare, Jammu and Kashmir
  • Waqar Ul Hamid Department of ENT HNS, Government Medical College, Srinagar, Jammu and Kashmir, India
  • Aamir Yousuf Department of ENT HNS, Government Medical College, Anantnag, Jammu and Kashmir, India
  • Rauf Ahmad Department of ENT HNS, Government Medical College, Srinagar, Jammu and Kashmir, India




Emergencies, Foreign bodies, Trauma, Abscess, Epistaxis


Background: Ear, nose and throat (ENT) emergencies are very common throughout the world. Early diagnosis and prompt treatment in the hands of expert will result in reduction of morbidity, mortality and referrals.

Methods: This retrospective study was conducted on 352 patients reporting in out-patient department (OPD) and emergency of District Hospital Ramban from June 2016 to May 2017. Demographic data as well as diagnosis were studied. The type of anaesthesia and type of procedure and outcome of emergency case were recorded. Patients with terminal cancer care admitted were excluded from the study.  

Results: A total of 352 patients, 204 males and 148 females were included in present study. The commonest emergency was foreign body (69.03%), trauma (11.9%), epistaxis (9.6%), and abscess (6.8%). Procedures done were foreign body removal, fracture reductions, soft tissue injury repair, incision and drainage, packing and cauterisation.

Conclusions: Foreign body is the most common cause of ENT emergency and it is a preventable accident. Education of parents and public at large will go a long way in reducing these preventable mishaps in children. Timely management of emergencies in the hand of experts reduces the mortality and complication rate.

Author Biography

Deepshikha Sumbria, Department of Health and Family Welfare, Jammu and Kashmir

Medical officer, Department of Health and Family Welfare Dept.


Census (2011). District Census Handbook, Registrar General of India, Ministry of Home affairs, Government of India. Available at: https://censusindia.gov.in. Accessed on 20 May 2020.

Mukhtiar AK, Mudasir AK, Aneesa A, Suhail AP. ENT emergencies-an experience. Ind J Sci Res Tech. 2013;1(3):62-5.

Muhammad K, Qammar M, Zia ul Haq, Ashar A, Muhammad MB. Foreign Bodies in Ear, Nose and Throat - A Clinical Audit. J Rawalpindi Med Coll. 2017;21(1):72-4.

Peter K, Philip DY. Infections and foreign bodies in ENT. Surg. 2012;30(11):590-6.

Kitcher ED, Jangu A, Baidoo K. Emergency Ear, Nose and Throat admission at the Korle-Bu Teaching hospital. Ghana Med J. 2007;41(1):9-11.

Perez OJ, Rivares EJ, Leache PJ, Fernandez LR. An outpatient study of ENT emergencies at a general hospital. Acta Otorinolaryngol Esp. 1995;46(4):298-304.

Jondhale M, Keche P, Gawarle S. A prospective evaluation of aural and nasal foreign bodies in a tertiary care hospital. Int J Health Sci Resi. 2015;5(12):52-7.

Gawarle SH, Jondhale M, Keche P. Ear, nose, throat foreign bodies: experience in the tribal population. Int J Otorhinolaryngol Head Neck Surg. 2016;2(4):244-8.

Craig SS, Cheek JA, Seith RW, West A. Removal of ENT foreign bodies in children. Emergency Medicine Australasia. 2015;27:145-7.

Cook S, Burton M, Glasziou P. Efficacy and safety of the ‘mother’s kiss’ technique: a systematic review of case reports and case series. Can Med Assoc J. 2012;184:904-12.

Navitsky RC, Beamsley A, McLaughlin S. Nasal positive-pressure technique for nasal foreign body removal in children. Am J Emerg Med. 2002;20:103-4.

Benjamin E, Harcourt J. The modified ‘Parent’s Kiss’ for the removal of paediatric nasal foreign bodies. Clin Otolaryngol. 2007;32:120-1.

Owen Go, Parker AJ, Watson DJ. Fracture Nose under local anesthesia. Is it acceptable to the Patient? Rhinol. 1992;30:89-96.

Staffel I. Optimizing treatment of Nasal fractures. Laryngosocope. 2002;112:1709-19.

Kotecha B, Fowler S, Harkness P, Walmsley J, Brown P, Topham J. Management of Epistasis: A national survey. Annals of Royal College of Surgeons of England. 1996;78(5):444-6.

Tan LKS, Calhoum KH. Epistaxis. Medical clinics of North America. 1999;83:43-56.

Brkić F, Umihanić S. Tracheobronchial foreign bodies in children. Experience at ORL clinic Tuzla, 1954-2004. Int J Pediatr Otorhinolaryngol. 2007;71(6):909-15.






Original Research Articles