An Interesting Case of a Butcher Who Attempted to Cut His Neck

Main Article Content

N R Ankale
R S Mudhol
Rajesh Radhakrishna Havaldar
Anju Singh

Abstract

Introduction


Cut throat injuries are well recognized in homicide but less recognized in suicides. The incidence of suicide is increasing worldwide owing to the more stressful strenuous lifestyle and other risk factors like substance abuse. Suicide by incising one’s own throat is associated with hesitation marks whereas homicidal wounds are not.


Case Report


We present an interesting case of a suicidal cut throat of the victim being a butcher who was on alcohol abstinence since 3 days with severe injuries of supraglottic larynx and cricopharynx, surprisingly without any evidence of hesitation marks. He underwent immediate neck exploration and suturing of the injured structures without the need of a tracheostomy.


Discussion


A multidisciplinary approach by Otolaryngologists, Psychiatrists, Intensivists, and Anaesthetists is required in the effective management of these victims. A thorough proper early assessment can totally avoid the need of tracheostomy which is recommended in practice, hence preventing complications arising out of this unnecessary but advocated procedure.

Article Details

How to Cite
1.
Ankale NR, Mudhol RS, Havaldar RR, Singh A. An Interesting Case of a Butcher Who Attempted to Cut His Neck. BJOHNS [Internet]. 2020Jul.28 [cited 2024Nov.23];26(3):222-6. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/213
Section
Case report
Author Biographies

N R Ankale, Jawaharlal Nehru Medical College KLE University, Belagavi, Karnataka 590010

Professor
Department of ENT and HNS
Jawaharlal Nehru Medical College
KLE University, Belagavi, Karnataka
590010

R S Mudhol, Jawaharlal Nehru Medical College KLE University, Belagavi, Karnataka 590010

Unit Chief and Vice Principal
Jawaharlal Nehru Medical College
KLE University, Belagavi, Karnataka
590010

Rajesh Radhakrishna Havaldar, Jawaharlal Nehru Medical College KLE University, Belagavi, Karnataka 590010

Post Graduate Resident
Department of ENT and HNS

Anju Singh, Jawaharlal Nehru Medical College KLE University, Belagavi, Karnataka 590010

Post Graduate Resident
Department of ENT and HNS

References

Nock MK, Hwang I, Sampson N, Kessler RC, Angermeyer M, Beautrais A, et al. Cross-National Analysis of the Associations among Mental Disorders and Suicidal Behavior: Findings from the WHO World Mental Health Surveys. PLoS Med. 2009; 6(8): e1000123. https://doi.org/10.1371/journal.pmed.1000123

Adeyi AA. Suicidal Cut Throat Injuries: Management Modalities, Mental Illnesses - Understanding, Prediction and Control. Ed. Prof. Luciano LAbate. 2012. ISBN: 978-953-307-662-1, InTech, Available from: http://www.intechopen.com/books/mental-illnesses-understanding-prediction-and-control/suicidal-cutthroat-injuries-management-modalities

De S, Sarma M.K. Cut throat injuries at a tertiary referral hospital in

guwahati: a review of 165 cases.IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2016,15(8):36-41

Gallagher LM, Kliem C, Beautrais AL, Stallones L. Suicide and occupation in New Zealand, 2001-2005. Int J Occup Environ Health 2008; 14(1): 45-50

Adoga AA, Ma'an ND, Embu HY, Obindo TJ. Management of suicidal cut throat injuries in a developing nation: Three case reports. Cases J. 2010; 3:65

Herzog M, Hoppe F, Baier G, Dieler R. Injuries of the head and neck in suicidal intention. Laryngorhinootologie 2005; 84(3):176-81

Fagan JJ, Nicol AJ. Neck Trauma. In: Gleeson, M., Ed., Scott-Brown’s Otorhinolaryngology, Head and Neck Surgery 2008; 7th Edition, Great Britain, Hodder Arnold, 1768

Schaefer SD, Close LG. Acute management of laryngeal trauma. Update. Ann Otol Rhinol Laryngol. 1989; 98: 98-104

Venkatachalam SG, Palaniswamy Selvaraj DA, Rangarajan M, Mani K, Palanivelu C. An unusual case of penetrating tracheal ("cut throat”) injury due to chain snatching: the ideal airway management. Indian J Crit Care Med. 2007; 11(3): 151-4

Manickam A, Sengupta S, Sannigrahi R, Saha J, Basu SK, Ray S. Self inflicted cut throat injury - A series of 2 cases. Global Journal of Medical Research 2015; S 1

Onotai, LO, Ibekwe U. The Pattern of Cut Throat Injuries in the University of Port-Harcourt Teaching Hospital, Portharcourt. Nigerian Medical Journal 2010; 19: 264-6

Iseh, KR, Obembe A. Anterior neck injuries presenting as cut throat emergencies in a tertiary health institution in North Western Nigeria. Nigerian Medical Journal 2011; 20:475-8

Kendall, JL, Anglin D, Demetriades D. Penetrating neck trauma. Emergency Medicine Clinics of North America 1998; 16:85-105

Leopold DA: Laryngeal trauma, Arch Otolaryngol. 1983; 109:106-9

Amadasun JEO. Decision making in self inflicted life threatening neck injuries report of two cases. J Otorhinolaryngol Head Neck Surg. 1999; 2: 21-3.