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LTT is a life-threatening incident that is fortunately rare. The presenting symptoms might not correlate with the intensity of trauma and range from mild endolaryngeal edema to complete laryngotracheal transection. An early diagnosis and timely intervention is required for successful outcomes and minimizing complications. This retrospective audit was performed on 18 patients of LTT who presented to the emergency from January 2017 to December 2019. The history, clinical presentation, examination findings, degree and nature of trauma, diagnostic modalities, medical and surgical management, and outcomes were analyzed. A total of 13 males and 5 females were included in this audit, with a mean age of 38.7 years. The most common cause was accidental in 77.7% patients. 61.5% of patients presented with Schaefer grade 3 and higher. Out of which 46% underwent emergent neck exploration and repair. 27.7% (5/18) presented with sequelae which were managed either by T- tube stenting, endoscopic dilatation by coblation, or laryngotracheal resection (LTR) and end-to-end anastomosis (EEA). Out of 14 surgically reconstructed airways, successful decannulation was achieved in 57.1% (8) patients. High clinical suspicion, early referral with emergent intervention is paramount for successful outcomes, fewer recurrences, and reduction of hospital's and patient's financial burden as timely planning and intervention can ensure successful decannulation of around two thirds of the higher grades (grade 3-5) of laryngotracheal traumatic injuries. Early airway establishment is the most critical goal. Definitive treatment protocols are needed in this field which warrants further formulation of multicentric studies and audits.

Loss of voice is a serious concern for a laryngectomee which should be addressed prior to planning the procedure. Voice rehabilitation options must be educated before the surgery. Even though many devices have been in use, each device has got its limitations. We are searching for probable future technologies for voice rehabilitation in laryngectomees and to familiarise with the ENT fraternity. We performed a bibliographic search using title/abstract searches and Medical Subject Headings (MeSHs) where appropriate, of the Medline, CINAHL, EMBASE, Web of Science and Google scholars for publications from January 1985 to January 2020. The obtained results with scope for the development of a device for speech rehabilitation were included in the review. A total of 1036 articles were identified and screened. After careful scrutining 40 articles have been included in this study. Silent speech interface is one of the topics which is extensively being studied. It is based on various electrophysiological biosignals like non-audible murmur, electromyography, ultrasound characteristics of vocal folds and optical imaging of lips and tongue, electro articulography and electroencephalography. Electromyographic signals have been studied in laryngectomised patients. Silent speech interface may be the answer for the future of voice rehabilitation in laryngectomees. However, all these technologies are in their primitive stages and are potential in conforming into a speech device.

Coronavirus disease 2019 (COVID-19) is a type of viral pneumonia that has paralysed the entire world both in terms of health and economy. It has been recently declared as a global pandemic. All the health care professionals must be aware of the disease entity and take precautionary measures to control its transmission from person to person, particularly in hospital settings. In this article, we propose essential steps that can be implemented at the departmental and institutional levels to do endoscopic diagnostic procedures effectively during COVID-19 outbreak and to break the transmission chain.

Nitric acid functionalized steam activated carbon (NAFSAC) was prepared from waste fluid petroleum coke (FPC) and used as a support material for the synthesis of a NiMo catalyst (2.5 wt-% Ni and 13 wt-% Mo). The catalyst was then used for the hydrotreatment of light gas oil. The support and catalysts were characterized by Brunauer-Emmett-Teller (BET) gas adsorption method, X-ray diffraction, H2-temperature programmed reduction, NH3-temperature programmed desorption, CO-chemisorption, mass spetrography, scanning electron microscopy (SEM), Boehm titration, and Fourier transform infrared spectroscopy (FTIR). The SEM results showed that the carbon material retained a needle like structure after functionalization with HNO3. The Boehm titration, FTIR, and BET results confirmed that the HNO3 functionalized material had moderate acidity, surface functional groups, and mesoporosity respectively. The produced NAFSAC had an inert nature, exhibited the sink effect and few metal support interactions, and contained functional groups. All of which make it a suitable support material for the preparation of a NiMo hydrotreating catalyst. Hydrotreating activity studies of the NiMo/NAFSAC catalyst were carried out under industrial operating conditions in a laboratory trickle bed reactor using coker light gas oil as the feedstock. A parallel study was performed on the hydrotreating activity of NiMo/γ-Al2O3 as a reference catalyst. The hydrodesulfurization and hydrodenitrogenation activities of the NiMo/NAFSAC catalyst were 62% and 30%, respectively.

Ordered mesoporous material SBA-15 was synthesized and used as a support for the preparation of molybdenum sulphide catalysts through precipitation from homogeneous solution (PFHS) technique with the Mo content varying from 2–12 wt%. The prepared catalysts were evaluated for thiophene hydrodesulphurization catalytic activities at 400°C. Catalysts prepared through PFHS method resulted in highly dispersed MoS2 catalysts, which were inferred from powder X-ray diffraction (XRD), X-ray photoelectron spectroscopy (XPS), low temperature oxygen chemisorptions (LTOC) and BET surface area analysis. The relationship between XPS intensity ratio, oxygen chemisorption and catalytic activities is discussed in terms of highly dispersed nano particles of MoS2 and its consequence in accommodating more promoted atoms at the edge sites.

The feasibility of mesoporous silica as support to NiMo catalysts for hydrotreating of gas oil derived from Athabasca bitumen was tested in a trickle bed reactor at industrial conditions. High quality two dimensional (2D) hexagonal SBA-15 and three dimensional (3D) cubic KIT-6 supports were prepared by sol–gel method. The supports and catalysts were characterized by different characterization techniques such as N2 physisorption, X-ray diffraction (XRD), Temperature programmed reduction (TPR), and DRIFT spectroscopy. The XRD and N2 adsorption–desorption analysis shows the stability of structure after metal loadings. Presence of high NiMoS centres which is responsible for higher hydrotreating activities in KIT-6 supported catalysts is demonstrated by DRIFT spectroscopic analysis. HDN and HDS activities of NiMo catalysts supported on SBA-15 and KIT-6 were studied using coker light gas oil at temperature, pressure and LHSV of 370 °C, 8.8 MPa and 2.0 h−1, respectively. KIT-6 supported catalysts shows much higher hydrodesulfurization (HDS) and Hydrodenitrogenation(HDN) activities compared to SBA-15 counterpart due to the fact that 3D-interconnected mesopores caused better dispersion of active species and faster diffusion of reactants and products. The higher amount of MoS2 phases, better dispersion and higher concentration of the catalytically active edge sites (NiMoS) formation in the KIT-6 supported NiMo catalyst have resulted in superior hydrotreating activity when compared with the SBA-15 supported NiMo catalysts. In contrast to the material with 2D hexagonal symmetry, the 3D cubic pore structure is highly branched and is accessible, making it an excellent support.