Cut Throat Injury Presenting As Emergencies in a Tertiary Care Hospital in India: A Retrospective Analysis
International Journal of Otorhinolaryngology
Volume 4, Issue 2, December 2018, Pages: 35-38
Received: Apr. 23, 2018;
Accepted: Jul. 16, 2018;
Published: Sep. 12, 2018
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Rajat Jain, Neuro-Otology Unit, Department of Neurosurgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
Sandeep Kaushik, Ent Department, Goverment Medical Collge, Kannauj, India
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Anterior neck injuries are variable according to their extent, depth and cause. These can be intentional or accidental. The injuries may be penetrating or non-penetrating. Injury to certain anatomic structures (e.g, carotid or subclavian vessels) may be fatal in two thirds of cases. Management of injuries that penetrate the platysma depends upon the anatomic level of injury. A retrospective study of 30 cases of cut throat injury presenting as emergency were managed over a two year period from June 2010 to June 2012. They were analysed for details of age, sex, etiology, nature of injury and surgical procedures for management and their complications. A total of 30 cases of cut throat injuries were reviewed. 20 females, 10 males with age ranging from 5 to 60 years, mean age of 21.2 years. 13 cases were suicidal, 10 cases were attempted homicidal, 3 were from animal assault, 2 were as a result of road traffic accident and remaining 2 patients were due to fall on sharp object. Sharp knife was used in all cases of attempted suicide and 80% cases of human assault, while cow horn was the most common object involved in animal assault. Bullet was observed in two cases of gunshot. Four patients had pharyngocutaneous fistula, one developed tracheopharyngeal fistula, One developed wound dehiscence in post-operative period. Suicidal and homicidal wounds account for majority of the cases (76.66%). Cut throat injuries presenting as emergency differ in etiology, extent, and depth. Early intervention in the form of airway management and meticulous repair layer by layer is needed for surgical repair. Complications developed as a result of bad initial management & poor health of patients. Proper initial management & early repair of the ‘cut-throat injury’ reduces complications and post-operative morbidity. Post-operative follow-up for at least one year is needed to avoid delayed complications and hence morbidity.
Cut Throat Injuries, Surgical Repair, Management, Complications
To cite this article
Cut Throat Injury Presenting As Emergencies in a Tertiary Care Hospital in India: A Retrospective Analysis, International Journal of Otorhinolaryngology.
Vol. 4, No. 2,
2018, pp. 35-38.
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Ladapo AA: Open injuries of anterior aspect of the neck. Ghana Med Journal; 1979; 4:182-6.
Okoye BC, Oteri AJ. Cut throat injuries in Port Harcourt. Sahel Med Journ; 2001; 4:207-209.
Kendall JL, Anglin D, Demetriades D. Penetrating neck trauma. Emergency Medicine Clinics of North America; 1998; 16:85-105.
Biffl WL, Moore EE, Rehse DH, Offner PJ, Franciose RJ, Burch JM. Selective management of penetrating neck trauma based on cervical level of injury. American Journal of Surgery; 1997; 174:678-82.
Demetriades D, Asensio JA, Velmahos G, Thal E. Complex problems in penetrating neck trauma. Surgical Clinics of North America; 1996; 76:661-83.
Bumpous JM, Whitt PD, Ganzel TM, McClane SD. Penetrating injuries of the visceral compartment of the neck. American Journal of Otolaryngology; 2000; 21:190-194.
Ezeanolue BC. Management of the upper airway in severe cut throat injuries. African Journal of medicine and medical sciences; 2001; 30:233-5.
Bhattacharjee N, Arefin SM, Mazumder SM, Khan MK. Cut throat injury:a retrospective study of 26 cases. Banladesh Med Res counc; 1997; 23:87-90.
Leopold DA: Laryngeal trauma, Arch Otolaryngol; 1983; 109:106-109.
Cherian TA, Rupa V, Raman R. External laryngeal trauma: analysis of 30 cases. JLO; 1993; 107:920-923.
Naaeder SB. The neck. In: Badoe EA, Archampong EQ and da Rocha-Afodu JT eds. Principles and Practice of surgery including Pathology in the Tropics, 3rd edition. Tema, Ghana: Ghana Publishing Corporation Publishers; 2000:339.
Iseh K. R. Fwacs, Obembe A. Fwacp. Anterior neck injuries presenting as cut throat emergencies in a tertiary health institution in north western Nigeria. Nigerian journal of medicine.com/files/journals/1/articles/.../52-116-1-RV. doc.
Zafarullah Beigh, Rauf Ahmad Management of cut-throat injuries Year: 2014 | Volume: 30 | Issue: 3 | Page: 268-271.