Objective: To analyze the socio demographic pattern, sex and age ratio, common causes, the most common site and extent of the injury in the patients with cut throat injury at our hospital. To compare the same with previous similar studies conducted at other centers in different parts of the world. Setting: Department of ENT, Government Rajaji Hospital, Madurai, India from January 2013 to June 2014. Methods: A total of 51 cases of cut throat injury were included in the study. Separate proforma was prepared to collect the patients' data. Structured questionnaire was offered. Results: 51 cases of cut throat injury patients were included in the study. Age varied from 4 years to 80 years. Out of 51 cases, there were 43 males, 7 females and one male child. Male to female ratio was 6.2:1. All the patients were belonging to lower socioeconomic status (Kuppusamy class 5). Amongst them 26 cases (50.98%) were due to homicidal attack; 13 cases (25.49%) due to suicidal attempt; 7 cases (13.72%) due to road traffic accident; 4 cases (7.84%) due to bull gore injury; 1 case (1.96%) due to accidental fall. Emergency tracheostomy was done in 16 cases (33.33%). An average hospital stay for most of the patients was less than 3 weeks. 2 victims (3.92%) died due to haemorhage, aspiration pnuemonia and septicemia. Conclusions: Our study found that the majority of the victims were males of age between 20 years to 40 years from poor socioeconomic status. Social commitment and political motivation, decrease in the poverty, individual awareness, increase in economic growth, and literacy rate will prevent the cut throat injuries. Early and improved management will reduce the mortality and morbidity.

BACKGROUND The study was conducted at Governemnt Rajaji Hospital OBJECTIVE Laryngeal cancer is primarily a disease of middle aged men. It has peak incidence in the seventh decade. Worldwide it is the common head and neck cancer. Squamous cell carcinoma is the most common type of tumor, comprising 90 percent or more of all laryngeal malignancies. Laryngeal cancer is more common in areas with higher levels of social poverty. The study is done to find out the common clinical presentation of patients with laryngeal carcinoma with reference to the age profile, the symptomatology, disease stage, etiological factors, occupational history, histological profile and to determine the treatment modalities offered to the laryngeal cancer patients attending ENT OPD at GRH., Madurai. METHODS This is a hospital based prospective study. The study was conducted at Government Rajaji Hospital.,Madurai.,India.All the newly diagnosed laryngeal cancer patients were included in the study between July 2013 to June 2014.Totaly we had 113 patients in this study. RESULTS In our study most of them were male patients. The most common age group Was 65 years.We had only 4 female patients in our study and all had supraglottic growth. All the patients belonged to low socioeconomic strata.The most common part of larynx involved is supraglottis. None of our patients had distant metastasis. The most common presentation was difficulty in breathing and stridor, later followed by change of voice and dysphagia.The common histopathological finding was squmous cell carcinoma. In that moderatelty differentiated was the most common type.The most common stage was stage III. The most common treatment offered at our hospital was concurrent chemoradiotherapy. CONCLUSIONS Diagnosis of laryngeal cancer is based on good history, clinical examination, direct examination of the larynx, CT scan and supported by histopathological examination. This study has been done to increase awareness on early diagnosis and treatment which leads to the better life style of the laryngeal cancer patients.

Cut throat injuries in children are rare, but they constitute a significant management challenge. Such injuries are rarely reported in the literature. Evaluation and treatment of such injuries is a tough task. Cervical tracheal injuries are relatively uncommon and are frequently associated with esophageal, vascular or spinal injuries. We hereby report a case of cut throat injury with incomplete transection of trachea and its management in a four years old male child.