Anaesthetic management in cut throat injuries a report of. Management of homicidal cut throat open airway injury. Ajay m, shaswati s, jayanta s, basu sk and sebananda h. Click on the image or right click to open the source website in a. The cut throat injury may involve soft tissue, cartilage, bones or neurovascular bundles. Cut throat injuries are challenging in terms of management as it necessitates close collaboration by otolaryngologists, anaesthetists, psychiatrists, speech therapists and general surgeons. Does your child have injuries to the lips and mouth including the inner cheeks, roof of the mouth, or tongue. Cut throat injury accounts for about 5 to 10 percent of all traumas. Cut throat injuries in children are rare, but they constitute a significant management challenge. Suicidal cut throat injury was the most common mode of injury. Some authors are of the opinion that selfharm attempts can be grouped into serious suicide attempts and more impulsive forms of deliberate selfharm. Cutthroat definition of cutthroat by the free dictionary.
We are a community of more than 103,000 authors and editors from 3,291 institutions spanning 160 countries, including nobel prize winners and some of. Management of severe cut throat injury in zaria, nigeria. In the case of a suicidal cutthroat, it is not uncommon to find hesitation cuts but in a homicidal cutthroat, it is uncommon. Statistical data analysis was done using spss software version 17. In one, the injury was just above the larynx, the offending object being a piece of glass pane.
In case of cut throat injury there is high chance of injury to blood vessels. Louis childrens hospital symptom checker to determine if. If you describe a situation as cut throat, you mean that the people or companies. Survivors of cut throat injury in a developing country. Pdf on jun 12, 2011, ramesh kumar and others published cut throat injuries a challenge for airway and anaesthetic management case report of 5. If you describe a situation as cutthroat, you mean that the people or companies. Management of atypical suicidal cut throat injury in a. The present autopsy study also highlighted the importance of cut throat injury and fatality which was different from the similar studies elsewhere. While many cases are reported of extensive laceration of the important structures in the neck, such as complete severence of the larynx, trachea and larger muscles, yet after an extensive search of the literature i have not found recorded a case of complete severence of. An atypical case of suicidal cut throat injury topic of. Literature search, showed few studies on cut throat injuries from this part of the world though the problem appears not uncommon. As all the cut throat injuries presented airway compromise we managed the patients by securing the airway by tracheostomy below the level of injury to airway.
A sudden increase in the number of cut throat patients in our centre in recent years prompted the authors to analyze this problem. We hereby report a case of cut throat injury with complete transection of trachea and its management. Survival rate is improved by prompt treatment discussion. Fatalities resulting from sharp force injuries may be of accidental, homicidal or suicidal origin. Very deep cut throat injury caused by knife extending up to cervical vertebrae and not associated with tentative cuts or tailing of wound has not been reported in the literature as per the best of our knowledge while suicidal cut throat injury extending up to cervical vertebrae using electric circular saw is reported. Alton brown on what the cutthroat kitchen cameras never show.
Ctis are potentially life threatening because of the many vital structures in this area. Cut throat injury is incised injury or incised resembling injury in the neck usually due to homicidal, suicidal or accidental cause. The purpose of these reports is to emphasize that suicidal cut throat injuries do occur in our environment and there is a need for the collaboration of the otorhinolaryngologist, anesthesiologist and psychiatrist in the effective management of these patients. Cut throat injuries though rarely reported in literature pose a great therapeutic challenge because multiple vital structures are vulnerable to injuries in the small, confined unprotected area. In a case of cut throat injury, there may be possibility of injury to the vital structures that may become rapidly fatal from.
The next morning i woke up with a sore in the back of my throat. Cut throat wounds are a wellrecognized method of homicide, are less commonly used in suicides and are rarely accidental. Cut throat injuries international journal of contemporary medical. This paper presents our experiences with managing three unemployed adult nigerian males two of hausa ethnicity and one from the tiv ethnic group presenting with cut throat injuries following suicidal attempts. Cut throat injury is a potentially life threatening emergency often encountered by ear, nose, and throat surgeons. An autopsy study of 74 cases of cut throat injuries. Complications included mediastinal emphysema, hypovolemic shock, wound dehiscence and laryngotracheal stenosis. Pdf cut throat injuries are one of the emergency conditions managed by ent specialists. Patients with injury of larynx or upper trachea need. Introduction with 1 million deaths occurring annually 1. Cut throat injuries may be rare but can be lifethreatening due to complications such as aspiration of blood and risk of hypoxia. Primary tracheal reconstruction in cut throat injury of a. This may result from accident, homicide, or suicide. Globally, cut throat injuries account for approximately 5% to 10% of all traumatic injuries with multiple structures being injured in 30% of patients 37.
A case report atma prakash chitragupta department of anaesthesiology, military hospital, beechwal army gate, bikaner, rajasthan 3344001, india. Cut throat injuries are usually homicidal rather than suicidal, presenting with. Louis childrens hospital symptom checker to determine if you should call the doctor or treat at home. Management of suicidal cut throat injuries in a developing nation. Separate proforma was prepared to collect the patients data. Laceration of the forearm or wrists being the most common method of self injury while the other modes of injury are firearm, hanging, 2. International journal of medical toxicology and forensic. In cases of attempted suicide, hesitant marks are a common finding. Cut throat injuries causes profound morbidity due to prolonged hospitalization, high cost of health care, loss of productivity and reduced quality of life and above all death 1,2. These patients need emergency and multispecialty care.
Cut throat injuries are potentially life threatening due to the peculiarity of the structures traversing this region of the body. Pdf cut throat injuries a challenge for airway and anaesthetic. On atypical suicidal cut throat injuries on atypical suicidal cut throat injuries pintore, giulia. In the case of a suicidal cut throat, it is not uncommon to find hesitation cuts but in a homicidal cut throat, it is uncommon. The most commonly used methods for committing suicide in india are hanging, poisoning, burns, jumping from height, drowning, firearm injuries, stab injuries etc. All the cut throat injuries encountered in this study are open variety. They result in the transaction of the hypopharynx, larynx, and trachea and are sometimes associated with injuries to the carotid artery, internal jugular vein, and esophagus. Globally, cut throat injuries account for approximately 5% to 10% of all traumatic injuries with multiple structures being injured in.
Nov 29, 2016 suicidal cut throat injury was the most common mode of injury. The most preferred place for the crime was an open field or farm n26. Apr 07, 2016 people alton brown on what the cutthroat kitchen cameras never show the tv cooking show host extraordinaire on the liquid meat everyone should learn to cook. Meaning, pronunciation, translations and examples log in dictionary. Homicidal cutthroat injuries are incised injuries or those simulating incised injuries in the neck inflicted by sharp objects. These injuries could be accidental, homicidal or suicidal and the use of a sharp weapon is the least frequent suicidal method in most cases reported.
Suicidal cut throat injuries are either unreported or fortunately rare in our country. Cutthroat injuries ctis are defined as incised injuries or those resembling incised injuries in the neck inflicted by sharp objects. Decannulation was possible in 9 out of 12 patients. Cut throat injuries using a sharp weapon is the least frequent suicidal method. On atypical suicidal cut throat injuries, journal of.
The management of these injuries requires a multidisciplinary approach. Cutthroat definition and meaning collins english dictionary. Cutthroat and cutstab wounds are effective in homicidal attacks with sharp objects, e. They may involve the teeth, jaw, lips, tongue, inner cheeks, or gums. We present a case of a homicidal cut throat injury but with hesitation cuts and tailing over the neck, unlike the classical description of homicidal cut throat injury. A total of 51 cases of cut throat injury were included in the study. Psychiatric illness, psychological stress and poverty are some of the associated factors of suicidal cut throat injury. Management of cutthroat injuries beigh z, ahmad r egypt j. Based on the timing a std wouldnt really make sense and it has been healing slowly, but man. Jan 14, 2014 this was a combined retrospective and prospective study of cut throat injury patients who were managed at bugando medical centre between february 2009 and january 20.
The cause of injury is homicidal, suicidal and rta in nature. May 01, 20 read cut throat injuries and honor killings. Review of 15 cases in eastern turkey, journal of forensic and legal medicine on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. The former is typically associated with severe mental illness, high intended lethality and attempts by the suicide attempter to avoid rescue. We present a case of a homicidal cutthroat injury but with hesitation cuts and tailing over the neck, unlike the classical description of homicidal cutthroat injury. The rarity of the case is the reason for presenting this case report. Cut throat injuries at a university teaching hospital in. So i was trying to deep throat a very large gentleman and kept try to push myself further, but was just pushing it more into the back of my throat than down my throat. Early and proper management in expert hands can prevent mortality and morbidity. The most important initial management of cut throat injuries is securing the airway with the placement of tracheal or tracheostomy tube because complications due to aspiration of blood, major vessel injury, and hypoxia often complicate the scenario. A total of 98 patients with cut throat injuries were studied. Such injuries are rarely reported in the literature.
Selfinflicted cut throat and stab wounds are uncommon but nevertheless a well recognized method of suicide. We present to you a rare case of suicidal cut throat injury in a 38 year old male with depressive type of schizoaffective disorder not associated with hesitant marks at babcock university teaching hospital, a private tertiary hospital in south west nigeria. Death occurs due to 1 profuse haemorrhage 2 air embolism 3 inhalation of effused blood. A case report atma prakash chitragupta department of anaesthesiology, military hospital. The forensic pathologist has a very challenging and important task when commenting on the manner of infliction of such wounds when such a case is presented with no proper history or witnesses. An autopsy study of 74 cases of cut throat injuries sciencedirect. Cut throat injuries have become a major cause of morbidity and mortality in our society. While many cases are reported of extensive laceration of the important structures in the neck, such as complete severence of the larynx, trachea and larger muscles, yet after an extensive search of the literature i have not found recorded a case of complete severence of both esophagus and trachea. Management of homicidal cut throat injury at a peripheral set up. If you or a loved one has suffered a throat injury due to anothers negligence and would like to discuss your legal options, call me for free, friendly advice at 916 9216400 or 800 4045400. Cut throat injury is incised injury over the neck, inflicted by sharp elements such as razor, knives, broken bottle pieces, glasses etc, which may be homicidal or suicidal or accidental. We are a community of more than 103,000 authors and editors from 3,291 institutions spanning 160 countries, including nobel prize winners and some of the worlds mostcited researchers.
This study was conducted in our local setting to describe the etiology. 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. Conclusion cut throat injuries are relatively uncommon in our environment, but on the increase due to violence in the society insurgency, ritual killings, armed robbery etc. Two cases of cut throat injury are presented because of the marked similarity in their presentation and management.
Death occurs due to 1 profuse haemorrhage 2 air embolism 3 inhalation of. To evaluate the demographic pattern types, motives and its consequences of cut throat injury. Cutthroat wounds are a wellrecognized method of homicide, are less commonly used in suicides and are rarely accidental. Laceration of the forearm or wrists being the most common method of selfinjury while the other modes of injury are firearm, hanging, 2. Prompt identification and referral to the specialist for proper management will reduce morbidity and mortality. Three patients died due to severe haemorrhage andor aspiration. Cut throat injury presenting as emergencies in a tertiary. Cervical tracheal injuries are relatively uncommon and are frequently associated with esophageal, vascular or spinal injuries. This prospective observational study was conducted in the department of ent. Here is a case report of a patient who tried to commit suicide by. Cut throat injuriesa retrospective study at a tertiary.
Management of suicidal cut throat injuries in a developing. Chop injuries contributed to maximum number of other injuries in homicides n46. May 01, 2012 on atypical suicidal cut throat injuries on atypical suicidal cut throat injuries pintore, giulia. Introduction cutthroat injuries ctis are defined as incised injuries or those resembling incised injuries in the neck inflicted by sharp objects. A case of atypical homicidal cutthroat injury ajay. Management of injuries that penetrate the platysma depends upon the anatomic level of injury. Evaluation and treatment of such injuries is a tough task. This study was undertaken to determine, in those who reached the hospital, the causes, presentation, management and outcome of cut throat injuries in enugu, southeast nigeria.
Abstract the most commonly used methods for committing suicide in india are hanging, poisoning, burns, jumping from height, drowning, firearm injuries, stab injuries etc. A cut throat injury which is inflicted by sharp objects such as knife, razor, glass pieces, etc. Nov 30, 2016 cut throat injury is a potentially life threatening emergency often encountered by ear, nose, and throat surgeons. An autopsy study of 74 cases of cut throat injuries core. Cut throat injury was associated with other injuries like gunshot wound, chop wounds and stab wounds in. Suicidal cut throat patient, thyroid cartilage totally injured. An atypical case of suicidal cut throat injury sciencedirect.
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