Cut Th Roat Injuries and It Management: A Clinical Study of 48 Patients

Ahmed, Md. Naveed; M, Sreedhar Rao; S, Muneeruddin Ahmed; M, Mahendra Kumar

doi:10.14260/jemds/2015/953

Cited by 5 publications

(4 citation statements)

References 11 publications

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“…Pharyngo -cutaneous fistulae can be avoided by meticulous suturing of tissue layers, re-enforcing each other, avoiding overlapping of suture lines and choosing correct suture material. They can be prevented by Ryle's tube feeding and avoiding oral feeds, in the postoperative period [23]. All patients who have attempted suicide should undergo a psychiatric evaluation.…”

Section: Discussionmentioning

confidence: 99%

Cut Throat Injury: Our Experience in Rural Set-Up

Chakraborty

Das

Verma

et al. 2016

Indian J Otolaryngol Head Neck Surg

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Cut throat injuries are one of the emergency conditions managed by ENT specialists. If not treated in time, they may lead to death. Prevention of these complications depends on immediate resuscitation by securing the airway by tracheostomy or intubation, prompt control of hemorrhage and blood replacement. The present study was conducted to study the sociodemographic profile of patients of cut throat injury, motives behind cut throat injury, site and depth of the injury, treatment given at our hospital and outcome. A prospective study was done in the department of ENT in a tertiary care hospital of rural West Bengal between January 2014 and December 2015. Patients who were brought dead and minor neck injury were excluded from the study. Endotracheal intubation where possible, or emergency tracheostomy was done below the level of injury. Ryle's tube was inserted where necessary. Injured structures were repaired in layers. Among 22 patients there were 18 male and 4 female. The peak age of incidence was in the 4th decade of life. Suicidal cut throat injury was the most common mode of injury. Most of the injuries were in the zone II (72.73%). Three patients died due to severe haemorrhage and/or aspiration. Decannulation was possible in 9 out of 12 patients. Cut throat injuries have become a major cause of morbidity and mortality in our society. Patients with injury of larynx or upper trachea need preliminary tracheostomy. Post-operative endoscopy identifies nerve injuries and stenosis problems.

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Section: Discussionmentioning

confidence: 99%

Cut Throat Injury: Our Experience in Rural Set-Up

Chakraborty

Das

Verma

et al. 2016

Indian J Otolaryngol Head Neck Surg

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“…Pharyngocutaneous fistulae can be avoided by meticulous suturing of tissue layers, avoiding overlapping of suture lines, and choosing correct suture material. They can be prevented by Ryle's tube feeding and avoiding oral feeds, in the post-operative period [13].…”

Section: Discussionmentioning

confidence: 99%

Laryngotracheal Trauma Management and Associated Morbidity and Mortality: 4-Year Experience at a Tertiary Care Center

PARMAR

AHUJA

Gupta

et al. 2023

Asian J Pharm Clin Res

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Objective: Cut throat injuries pose a great therapeutic challenge due to the multiple vital structures that are vulnerable to injuries in a small, confined unprotected area. In this study, we describe the site and depth of the injury, etiology, management, and prognosis. Methods: This was a retrospective study of 18 laryngotracheal trauma patients treated at the department of ENT in MDM hospital between April 2017 and January 2020. Results: Out of 176 cases of penetrating neck injury, 18 patients presented with a breach in the laryngotracheal framework. Male: female ratio was 17:1. The peak age of incidence is in the 2nd and 4th decade of life. Accidental cut throat injury was the most common mode of injury (83%), followed by homicidal (11%) and then suicidal (5%). Endotracheal intubation (where possible) or emergency tracheostomy was done to secure the airway in all the cases, followed by surgical debridement and laryngeal/hypopharynx repair. Post-operative endoscopy is useful to identify complications. Wound dehiscence was the most common complication. Conclusion: Cut throat injuries are one of the common ENT surgical emergency. Timely intervention is paramount, because it may otherwise cause death of the patient. Securing the airway, control of hemorrhage, and fluid and blood replacement is the mainstay to prevent complications such as shock, sepsis, laryngeal stenosis, or fistula formation.

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“…32 PAn doping with a strong acid protonates both iminic nitrogens to give emeraldine salt which is electrically conducting by virtue of its half-lled polaron band. 33 Normally, bulky sulfonic acids such as aromatic sulfonate are used as dopants to PAn 34 to obtain high electrical conductivity and solubility. In this work, BSNa was used to dope PAn in the composite hydrogel in order to increase the conductivity.…”

Section: Effects Of Gde Dosage On Mechanical Properties and Electricamentioning

confidence: 99%