ABSTRACT
Objective: To assesses the pattern of maxillofacial gunshot and blast injuries amongst law enforcing forces personnel
Study Design: Descriptive Study
Place and Duration of Study: Combined Military Hospital Lahore from Jan 2010 to Dec 2010
Materials and Methods: This prospective study evaluated 52 patients from Jan 2010 to Dec 2010 at Combined Military Hospital [CMH], Kohat Pakistan. All patients in this study were males as fighting corps of law enforcing forces comprises only male soldiers and officers. Patients aged from 18 to 50 years with mean age 29.12 years +/- 8.56 years
They were assessed for presence of gunshot and ballistic injuries by clinical examination and evaluation of necessary radiographic investigations
Results: Nineteen patients out of total 52 patients had no other injury which accounts for about 36.9%. In maxillofacial area upper third of face was most frequent site to receive gunshot and ballistic injuries as 10 patients received injuries to upper face which measures about 19.2%. Along with maxillofacial area upper limbs were most common site affected as 14 patients received injuries to upper limbs which is 26.9% of all patients
Conclusion: Gunshot wounds present a great challenge to oral and maxillofacial surgeons and a multidimensional team approach is required to rehabilitate the victims of gunshot injuries
ABSTRACT
Between January 1997 to January 2000, 113 patients underwent thyroidectomy for solitary thyroid nodules in Department of Surgery Combined Military Hospital Kharian. Majority of patients belonged to Azad Kashmir, District Gujrat and Jehlum. Patients age ranged from 13 to 70 years, with 88 females [77.8%] and 25 males [22.1%]. Thyroid scan was carried out in 90 cases and ultrasound examination was done in 7 cases. Fine needle aspiration cytology [FNAC] was done in 94 cases preoperatively. Near total or total lobectomy and Isthmectomy was done in 84 cases and 18 cases underwent nodulectomy. Isthmectomy was done in 7 cases for nodules located in the isthmus. 4 cases underwent total thyroidectomy. Postoperatively there was slight hoarseness of voice in 4 cases and there was no case of postoperative haemorrhage or mortality. Malignancy was seen in only 5 cases [4.4%]. It was seen both in cold [4.6%] as well as in warm [4.4%] nodules. In this hospital based study the incidence of malignancy was less [4.4%] in solitary thyroid nodule compared with international figure of 4.7-18.3% and majority are undergoing operation for what is subsequently shown to be benign thyroid disease. These patients can be safely observed without operation after fine needle aspiration cytology has declared it benign. The information p[provided by thyroid scan has less bearing in the management. Fine needle aspiration cytology [FNAC] provides useful information and may be used along with other clinical information to decide best form of treatment in a solitary thyroid nodule