• Users Online: 1194
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2014  |  Volume : 30  |  Issue : 3  |  Page : 268-271

Management of cut-throat injuries


Department of ENT and Head Neck Surgery, Government Medical College, Srinagar, Jammu and Kashmir, India

Correspondence Address:
Zafarullah Beigh
90 Feet Road, Ahmadnagar, Srinagar 190010, Jammu and Kashmir
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1012-5574.138493

Rights and Permissions

Introduction Cut-throat injuries (CTIs) are defined as incised injuries or those resembling incised injuries in the neck inflicted by sharp objects. This may result from accident, homicide, or suicide. CTIs are potentially life threatening because of the many vital structures in this area. These patients need emergency and multispecialty care. In this part of the world, suicide is the major cause of CTIs. Exposed hypopharynx and/or larynx following a cut throat, hemorrhage, shock, and asphyxia from aspirated blood are the most common causes of death following a CTI. Materials and methods This retrospective study was carried out in the Department of Otorhinolaryngology and Head Neck Surgery, Government Medical College, Srinagar, J&K, India, and included 26 CTI patients who were brought to our department for treatment. The demographics of the patients, site, cause, and nature of the CTI, and the type and outcome of treatment received were recorded and analyzed. Results This study showed that young men from rural areas were most susceptible to CTIs. The leading cause of a CTI was a suicide attempt. Among patients who attempted suicide, the reason was psychiatric illness most of the times. The majority of the patients in our study had a cut in the center of the neck, with injury to skin, soft tissue, and the larynx/pharynx. Of 26 patients, 24 recovered completely, whereas two patients died. In our study, 15 out of 26 patients were managed without tracheostomy. Conclusion All patients with a CTI should be referred immediately to hospital; early management of patients by a team of specialists can save the life of the patient most of the time. All patients who have attempted suicide should undergo a psychiatric evaluation. This is because the act of suicide is a sign of an underlying mental illness and there may be a possibility of a second attempt. Not all patients with CTIs require tracheostomy. The majority of patients with CTIs can be managed without tracheostomy.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed11658    
    Printed218    
    Emailed0    
    PDF Downloaded485    
    Comments [Add]    
    Cited by others 1    

Recommend this journal