Management of cut-throat injuries

Beigh, Zafarullah; Ahmad, Rauf

doi:10.4103/1012-5574.138493

Cited by 9 publications

(8 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most cases reported to the tertiary centre within 2-4 h. Beigh and Ahmad [8] also quoted that all patients should be referred to the referral centre as early as possible. But 3 cases reported after 8 h and these 3 cases were observed to later have delayed healing of the wound with post operative complications namely wound dehiscence and fistula formation.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Neck Trauma: ENT Prospects

Sachdeva

Upadhyay

2017

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

Neck trauma is a very important surgical emergency faced by ENT surgeons in day to day practice. They are potentially life threatening conditions due to the presence of many vital structures in this area. Timely presentation to the referral centre and proper multidisciplinary approach towards management plays a pivotal role in the healing pattern of the wound and prevention of serious complication like shock, sepsis, laryngeal stenosis or fistula formation. A retrospective study was done in ENT Department, NSCB Medical College, Jabalpur, Madhya Pradesh, India during the period of 2014-2016. 17 patients were included in the study. All the records regarding symptoms at presentation, type and mode of injury, level of injury were analyzed. Management plan undertaken were thoroughly studied and post operative complications like hoarseness, stenosis or fistula formation were noted carefully. 14 out of 17 patients were male, all 17 patients belonged to lower socioeconomic status. Most common age group presenting with neck trauma was between 22 and 40 years. 7 case were homicidal, 5 cases were suicidal and 4 were of accidental injury. Most cases reached hospital within 2-6 h of injury except 3 cases which took more than 8 h. Bleeding from wound site was most common symptom at presentation. Most injuries in 13 out of 17 cases were at thyroid cartilage level. Penetrating neck trauma was most common followed by blunt neck trauma. Most cases required emergency tracheostomy along with primary laryngotracheal repair. Most common post operative complication seen was wound dehiscence, subglottic stenosis and fistula formation. Neck trauma and cut throat injuries are potentially life threatening emergency that require multidisciplinary approach. Timely intervention can be crucial in preventing fatal complications and reducing morbidity period of the patient.

show abstract

Section: Methodsmentioning

confidence: 99%

“…Only 2 out of 17 cases had cricoid cartilage level injury and they developed subglottic stenosis. Only one case had damage to vocal cords as seen in intraoperative examination and were again observed in follow up period to rule out any granuloma formation or residual paresis [8].…”

Section: Methodsmentioning

confidence: 99%

Neck Trauma: ENT Prospects

Sachdeva

Upadhyay

2017

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…Cut throat injuries (CTIs) represent a subset of Neck injuries and their occurrence is not uncommon in our environment. CTI(s) is described as incised injuries or injuries resembling incised injuries to the anterior neck inflicted by a sharp object [11,8,7] . They result mostly from suicidal, homicidal attempts or accidental events.…”

Section: Introductionmentioning

confidence: 99%

“…A few CTIs pose no upper airway challenge, yet requiring tracheostomy at wound exploration and repair. Viz a viz tracheostomy is key in management of CTIs [11,[4][5]7] .…”

Section: Introductionmentioning

confidence: 99%

An Unusual Anterior Neck Injury [Cut Throat]: A Case Report

2019

JHMN

View full text Add to dashboard Cite

Introduction -The Neck is prone to injuries that are life threatening due to the presence of vital structures that lie within the neck. Cut throat injuries are located on the anterior neck classically, with dangers to the aero digestive tract and the vascular structures. Case Presentation-A 40 year old farmer presented with injuries on the lateral sides of the neck with an island of normal tissue anteriorly two days after the incidence from a rural hospital, fig 1. Examination revealed an anaemic, dehydrated young man that was not in any respiratory distress. There was complete avulsion of the epiglottis at the base; and the eyes were also plucked. Patient had blood transfusion, tracheostomy, fig 2 and subsequent repair with favourable outcome. Conclusion-Cut throat injuries are relatively uncommon in our environment, but on the increase due to violence in the society (insurgency, ritual killings, armed robbery etc).Prompt identification and referral to the specialist for proper management will reduce morbidity and mortality.

show abstract

“…(6) The common causes of CTIs in this part of the world are suicide attempts. Family problems, psychiatric illness, unemployment, and poverty may be the triggering factors in suicide attempts.…”

Section: Introductionmentioning

confidence: 99%