A Descriptive Study on Common Causes, Treatment and Outcome of Neck Injuries
Main Article Content
Abstract
Introduction: ENT experts manage neck traumas, particularly penetration neck injuries or cut throat injuries, which violate the platysma muscle layer. The aim of this study was to assess further in detail about the sociodemographic status, etiology, presentation of patients, treatment provided and its outcome. Material and Methods: This study was carried out in the Department of ENT at a tertiary care hospital from January 2020 to January 2023. The study is retrospective. Total 17 cases of cut throat injuries, irrespective of age and sex, were included in the study. Patients with insignificant injuries to neck and those with multiple traumas to other body parts were excluded from this study. Results: Among the 17 patients included in the study, most of them were males and belonged to upper lower socioeconomic class according to modified Kuppuswamy scale. The most common mode of neck injury was by suicide and four of them were suffering from depression. The most common site involved was the zone II. Conclusions: Poor socioeconomic status and unemployment negatively impact mental health, leading to homicidal injuries. Resolving societal issues like poverty and drug addiction, implementing government enforcement measures, and improving communication systems can reduce complications and death rates.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
References
Panchappa SA, Natarajan D, Karuppasamy T, Jeyabalan A, Ramamoorthy RK, Thirani S, Swamirao RK. Cut throat injuries—a retrospective study at a Tertiary Referral Hospital. International Journal of Otolaryngology and Head & Neck Surgery. 2014 Oct 10;3(06):323
Chakraborty D, Das C, Verma AK, Hansda R. Cut throat injury: our experience in rural set-up. Indian Journal of Otolaryngology and Head & Neck Surgery. 2017 Mar;69:35-41
Aich M, Alam AK, Talukder DC, Sarder MR, Fakir AY, Hossain M. Cut throat injury: review of 67 cases. Bangladesh Journal of Otorhinolaryngology. 2011;17(1):5-13
Bhattacharjee N, Arefin SM, Mazumder SM, Khan MK. Cut throat injury: a retrospective study of 26 cases. Bangladesh medical research council bulletin. 1997 Dec 1;23(3):87-90
Okoye BC, Oteri AJ. Cut throat injuries in Port Harcourt. Sahel Medical Journal. 2001 Oct 1;4(4):207
Adoga AA. Suicidal cut throat injuries: Management modalities. Mental illnesses understanding, prediction and control. 2012 Jan 5:424-36
Herzog M, Hoppe F, Baier G, Dieler R. Injuries of the head and neck in suicidal intention. Laryngo-rhino-otologie. 2005 Mar 1;84(3):176-81
Bailey AR. Management of a patient with a cut throat. British journal of hospital medicine. 1997;58(9):469
Nowicki JL, Stew B, Ooi E. Penetrating neck injuries: a guide to evaluation and management. The Annals of The Royal College of Surgeons of England. 2017 Jan;100(1):6-11
Kumar G, Dash P, Patnaik J, Pany G. Socioeconomic status scale-Modified Kuppuswamy Scale for the year 2022. International Journal of Community Dentistry. 2022 Jun 10;10(1):1-6
Babu A, Garg H, Sagar S, Gupta A, Kumar S. Penetrating neck injury: collaterals for another life after ligation of common carotid artery and subclavian artery. Chinese Journal of Traumatology. 2017 Feb;20(01):56-8
Onotai LO, Ibekwe U. The pattern of cut throat injuries in the university of port-harcout teaching hospital, Portharcourt. Nigerian Journal of Medicine. 2010;19(3): 264-6
Gilyoma JM, Hauli KA, Chalya PL. Cut throat injuries at a university teaching hospital in northwestern Tanzania: a review of 98 cases. BMC emergency medicine. 2014 Dec;14:1-7
Simpson CK: Simpsons Forensic Medicine. In Bernard Knight. 10th edition. London: Eward Arnold, Hodder and Stoughton Ltd; 1991:101-2
Gordon I, Shapiro HA. Extracts from forensic medicine: a guide to principles. 1975:223-229
Mohanty S, Sahu G, Mohanty MK, Patnaik M. Suicide in India–A four-year retrospective study. Journal of forensic and legal medicine. 2007 May 1;14(4):185-9
Terra JL. Suicide risk and depression. La Revue du Praticien. 2008 Feb 1;58(4):385-8
Adoga AA, Ma'an ND, Embu HY, Obindo TJ. Management of suicidal cut throat injuries in a developing nation: three case reports. Cases journal. 2010 Dec;3(1):1-4
Nordberg E. Injuries as a public health problem in sub-Saharan Africa: epidemiology and prospects for control. East African medical journal. 2000 Dec 1;77(12 Suppl):S1-43
Chalya PL, Mabula JB, Ngayomela IH, Kanumba ES, Chandika AB, Giiti G, Mawala B, Balamuka D. Motorcycle injuries as an emerging public health problem in Mwanza City, Tanzania: A call for urgent intervention. Tanzania Journal of Health Research. 2010 Jul 30;12(4):214-21
Roon AJ, Christensen N. Evaluation and treatment of penetrating cervical injuries. Journal of Trauma and Acute Care Surgery. 1979 Jun 1;19(6):391-7
Bhatt NR, McMonagle M. Penetrating neck injury from a screwdriver: can the No Zone approach be applied to Zone I injuries?. Case Reports. 2015 Nov 27;2015:bcr2015212666
Iseh KR, Obembe A. Anterior Neck Injuries Pesenting as Cut Throat Emergencies in a Tertiary Health Institution in North Western Nigeria. Nigerian Journal of Medicine. 2011;20(4):475-8
Ezeanolue BC. Management of the upper airway in severe cut-throat injuries. African Journal of medicine and medical sciences. 2001 Sep 1;30(3):233-5
Akpan E, Antiaue SG, Onoym IV, Edentekhe TA. Surgical airway problems and their management. The University of Calaban Teaching Hospital experience. Niger Postg Med J. 1979;4:15-8.