ABSTRACT

Ear, nose and throat (ENT) injuries are relatively common in children. The mechanisms of trauma are different to those of adults and vary according to age of the child and geographical area. Special considerations relate to the care of the child with an ENT injury. Prompt tailored management is necessary to limit the morbidity and, in rare cases, mortality associated with ENT injuries. Prevention of ENT trauma in children can occur in several settings. Use of protective equipment within sport, road and traffic safety measures and correct vehicular restraints are all associated with risk reduction. Safety measures within the home are particularly important for the younger child. Children are particularly vulnerable to development of a nasal septal haematoma, a collection of blood between the anterior cartilaginous septum and its covering mucoperichondrium. Any child with a history of nasal trauma should undergo anterior rhinoscopy to check for a haematoma.