Cut Throat Injury: A Tertiary Care Centre Experience
Main Article Content
Abstract
Introduction
Cut throat injuries are one of the challenging emergencies encountered in clinical practice. This study evaluates the causes and management of cut throat injuries.
Materials and Methods
This was a retrospective study of total 100 cases of cut throat injury presented to the department of ENT in a tertiary care hospital in Ahmedabad between June 2017 and June 2019. Majority of patients were managed by suturing.
Results
In our study 69% were males,31% were females. The peak age of incidence is 4th decade (55%). 70% of them have injury in Zone II. Seventy eight percent of the patients presented with active bleed without major vessel injury. The most common cause of cut throat injury had been found to be accidental (75%), 54% had injury up to muscular layer. Five patients were managed by laryngotracheal stent placement.
Conclusion
The middle aged males were mostly affected. The majority had zone 2 injury. The most common cause was Accidental (seasonal manja/ kite thread cut). Primary repair is the best way to avoid complications.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
J.M. Gilyoma, K.A. Hauli, P.L. Chalya Cut throat injuries at a university teaching hospital in northwestern Tanzania: a review of 98 cases.BMC Emerg Med, 14 (14) (2014 Jan), p. 1 Google Scholar
Bhattacharjee N, Arefin SM, Mazumder SM, Khan MK. Cut throat injury: a retrospective study of 26 cases. Bangladesh Med Res Counc Bull. 1997;23:87–90. [PubMed] [Google Scholar]
Bailey AR. Management of a patient with a cut throat. Br J Hosp Med. 1997;58:469. [PubMed] [Google Scholar]
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. Int J Otolaryngol Head Neck Surg. 2014;3:323–329. doi: 10.4236/ijohns.2014.36058. [CrossRef] [Google Scholar]
Krug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health. 2000;90:523–526. doi: 10.2105/AJPH.90.4.523. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
Iseh KR, Obembe A. Anterior neck injuries presenting as cut throat emergencies in a tertiary health institution in north western Nigeria. Niger J Med. 2011;20(4):475–478. [PubMed] [Google Scholar]
Mohanty S, Sahu G, Mohanty MK, Patnaik M. Suicide in India: a four year retrospective study. J Forensic Leg Med. 2007;14:185–189. Doi 10.1016/j.jcfm.2006.05.007. [PubMed]
Onotai LO, Ibekwe U. The pattern of cut throat injuries in the University of Port-Harcourt Teaching Hospital, Portharcourt. Niger J Med. 2010;19:264–266. doi: 10.4314/njm.v19i3.60178. [PubMed] [CrossRef] [Google Scholar]
Duncan JAT. A case of severely cut throat. Br J Anaesth. 1975;47:1327–1329. doi: 10.1093/bja/47.12.1327. [PubMed] [CrossRef] [Google Scholar]
Ezeanolue BC. Management of the upper airway in severe cut throat injuries. Afr J Med Med Sci. 2001;30:233–235. [PubMed] [Google Scholar]
Sett S, Isser DK. Laryngotracheal stenosis and pharyngocutaneous fistula in cut throat injuries: how we manage them. Indian J Otolaryngol Head Neck Surg. 2000;52(3):315–318. [PMC free article] [PubMed] [Google Scholar]
Herzog M, Hoppe F, Baier G, Dieler R. Injuries of the head and neck in suicidal intention. Laryngorhinootologie. 2005;84:176–181. doi: 10.1055/s-2004-825873. [PubMed] [CrossRef] [Google Scholar]