Skip to main content

Advertisement

SpringerLink
Log in

Cut Throat Injury: Our Experience in Rural Set-Up

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Cut throat injuries are one of the emergency conditions managed by ENT specialists. If not treated in time, they may lead to death. Prevention of these complications depends on immediate resuscitation by securing the airway by tracheostomy or intubation, prompt control of hemorrhage and blood replacement. The present study was conducted to study the sociodemographic profile of patients of cut throat injury, motives behind cut throat injury, site and depth of the injury, treatment given at our hospital and outcome. A prospective study was done in the department of ENT in a tertiary care hospital of rural West Bengal between January 2014 and December 2015. Patients who were brought dead and minor neck injury were excluded from the study. Endotracheal intubation where possible, or emergency tracheostomy was done below the level of injury. Ryle’s tube was inserted where necessary. Injured structures were repaired in layers. Among 22 patients there were 18 male and 4 female. The peak age of incidence was in the 4th decade of life. Suicidal cut throat injury was the most common mode of injury. Most of the injuries were in the zone II (72.73%). Three patients died due to severe haemorrhage and/or aspiration. Decannulation was possible in 9 out of 12 patients. Cut throat injuries have become a major cause of morbidity and mortality in our society. Patients with injury of larynx or upper trachea need preliminary tracheostomy. Post-operative endoscopy identifies nerve injuries and stenosis problems.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Panchappa SA, Natarajan D, Karuppasamy T, Jeyabalan A, Ramamoorthy RK, Thirani S, Swamirao RK (2014) Cut throat injuries—a retrospective study at a Tertiary Referral Hospital. Int J Otolaryngol Head Neck Surg 3:323–329

    Article  Google Scholar 

  2. Kobusingye OC (2008) Violence and injuries: what Africa should do? Afr Health Monit 1:37–40

    Google Scholar 

  3. Onotai LO, Ibekwe U (2010) The pattern of cut throat injuries in the University of Port-Harcourt Teaching Hospital, Portharcourt. Niger J Med 19:264–266

    Article  CAS  PubMed  Google Scholar 

  4. Manilal A, Khorshed ABM, Talukder DC, Sarder RMA, Fakir AT, Hossain M (2011) Cut throat injury: review of 67 cases. Bangladesh J Otorhinolaryngol 17:5–13

    Google Scholar 

  5. Bhattacharjee N, Arefin SM, Mazumder SM, Khan MK (1997) Cut throat injury: a retrospective study of 26 cases. Bangladesh Med Res Counc Bull 23:87–90

    CAS  PubMed  Google Scholar 

  6. Okoye BC, Oteri AJ (2001) Cut throat injuries in Port Harcourt. Sahel Med J 4:207–209

    Google Scholar 

  7. Adoga AA (2012) Suicidal cut throat injuries, management modalities. In: Mental illnesses understanding, prediction and control. ISBN: 978-953-307-662-1

  8. Ezeanolue BC (2001) Management of the upper airway in severe cut throat injuries. Afr J Med Med Sci 30:233–235

    CAS  PubMed  Google Scholar 

  9. Akpan E, Antiaue SG, Onoym IV, Edentekhe TA (1979) Surgical airway problems and their management. The University of Calaban Teaching Hospital experience. Niger Postg Med J 4:15–18

    Google Scholar 

  10. Herzog M, Hoppe F, Baier G, Dieler R (2005) Injuries of the head and neck in suicidal intention. Laryngorhinootologie 84:176–181

    Article  CAS  PubMed  Google Scholar 

  11. Bailey AR (1997) Management of a patient with a cut throat. Br J Hosp Med 58:469

    CAS  Google Scholar 

  12. Krug EG, Sharma GK, Lozano R (2000) The global burden of injuries. Am J Public Health 90:523–526

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Modi JP, Pandy AS (1977) In: Modi NJ (ed) Modis medical jurisprudence and toxicology, 20th edn. Lexisnexis Buerworths Wadhwa, Bombay, India, pp 256–275

  14. Aich M, Khorshed Alam ABM, Talukder DC, Rouf Sarder MA, Fakir AY, Hossain M (2011) Cut throat injury: review of 67 cases. Bangladesh J Otorhinolaryngol 17:5–13

    Google Scholar 

  15. Gupta Y, Gourh G (2014) Cut throat injuries in developing nation—a retrospective study. J Head Neck Phys Surg 2(2):27–38

    Google Scholar 

  16. Gordon O, Shapiro HA, Berson SD (1988) Forensic medicine—a guide to principles, 3rd edn. London Churchill Livingstone, Edinburgh, pp 300–319

    Google Scholar 

  17. Simpson CK (1991) In: Knight B (ed) Simpsons forensic medicine, 10th edn. Eward Arnold, Hodder and Stoughton Ltd., London, pp 101–102

    Google Scholar 

  18. Taylor AS (1984) In: Mant A (ed) Taylor’s principles and practice of medical Jurisprudence, 13th edn. Churchill Livingstone, Edinburgh, London, pp 237–239

    Google Scholar 

  19. Watson AA (1984) In: Ason JK (ed) Stabbing and other incisonal wounds. The pathology of trauma, 2nd edn. Chu Armp, London, pp 105–106

    Google Scholar 

  20. Duncan JAT (1975) A case of severely cut throat. Br J Anaesth 47:1327–1329

    Article  CAS  PubMed  Google Scholar 

  21. Iseh KR, Obembe A (2011) Anterior neck injuries presenting as cut throat emergencies in a tertiary health institution in north western Nigeria. Niger J Med 20(4):475–478

    CAS  PubMed  Google Scholar 

  22. Sett S, Isser DK (2000) Laryngotracheal stenosis and pharyngocutaneous fistula in cut throat injuries: how we manage them. Indian J Otolaryngol Head Neck Surg 52(3):315–318

    CAS  PubMed  PubMed Central  Google Scholar 

  23. Ahmed MA, Rao MS, Ahmed SM, Kumar MM (2015) Cut throat injuries and it management: a clinical study of 48 patients. J Evol Med Dent Sci 4(38):6572–6581

    Article  Google Scholar 

  24. Mohanty S, Sahu G, Mohanty MK, Patnaik M (2007) Suicide in India: a four year retrospective study. J Forensic Leg Med 14:185–189

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. BSMCH, Bankura, India

    Debdulal Chakraborty, Chiranjib Das, Arvind Kumar Verma & Rajesh Hansda

  2. Ramkrishnapally, Batanagar, South 24 Parganas, 700140, India

    Chiranjib Das

Authors
  1. Debdulal Chakraborty
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Chiranjib Das
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Arvind Kumar Verma
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Rajesh Hansda
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Chiranjib Das.

Ethics declarations

Conflict of interest

None.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chakraborty, D., Das, C., Verma, A.K. et al. Cut Throat Injury: Our Experience in Rural Set-Up. Indian J Otolaryngol Head Neck Surg 69, 35–41 (2017). https://doi.org/10.1007/s12070-016-1033-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-016-1033-x

Keywords

Search

Navigation