LARYNGOTRACHEAL TRAUMA MANAGEMENT AND ASSOCIATED MORBIDITY AND MORTALITY: 4-YEAR EXPERIENCE AT A TERTIARY CARE CENTER
DOI:
https://doi.org/10.22159/ajpcr.2023.v16i3.46509Keywords:
Cut throat, Emergency, Laryngotracheal traumaAbstract
Objective: Cut throat injuries pose a great therapeutic challenge due to the multiple vital structures that are vulnerable to injuries in a small, confined unprotected area. In this study, we describe the site and depth of the injury, etiology, management, and prognosis.
Methods: This was a retrospective study of 18 laryngotracheal trauma patients treated at the department of ENT in MDM hospital between April 2017 and January 2020.
Results: Out of 176 cases of penetrating neck injury, 18 patients presented with a breach in the laryngotracheal framework. Male: female ratio was 17:1. The peak age of incidence is in the 2nd and 4th decade of life. Accidental cut throat injury was the most common mode of injury (83%), followed by homicidal (11%) and then suicidal (5%). Endotracheal intubation (where possible) or emergency tracheostomy was done to secure the airway in all the cases, followed by surgical debridement and laryngeal/hypopharynx repair. Post-operative endoscopy is useful to identify complications. Wound dehiscence was the most common complication.
Conclusion: Cut throat injuries are one of the common ENT surgical emergency. Timely intervention is paramount, because it may otherwise cause death of the patient. Securing the airway, control of hemorrhage, and fluid and blood replacement is the mainstay to prevent complications such as shock, sepsis, laryngeal stenosis, or fistula formation.
Downloads
References
Onotai LO, Ibekwe U. The pattern of cut throat injuries in the university of Port-Harcourt teaching Hospital, Portharcourt. Niger J Med 2010;19:264-6. doi: 10.4314/njm.v19i3.60178, PMID 20845627
Okoye BC, Oteri AJ. Cut throat injuries in Port Harcourt. Sahel Med J 2001;4:207-9.
Adoga AA. Suicidal cut throat injuries, management modalities. In: Mental Illnesses Understanding, Prediction and Control. London: Intechopen; 2012.
Aich M, Alam AB, Talukder DC, Sarder MR, Fakir AY, Hossain M. Cut throat injury: Review of 67 cases. Bangladesh J Otorhinolaryngol 2011;17:5-13.
Ezeanolue BC. Management of the upper airway in severe cut throat injuries. Afr J Med Med Sci. 2001;30:233-5.
Akpan E, Antiaue SG, Onoym IV, Edentekhe TA. Surgical airway problems and their management. The university of Calaban teaching hospital experience. Niger Postg Med J 1979;4:15-8.
Krug EG, Sharma GK, Lozano R. The global burden of injuries. Am J Public Health 2000;90:523-6. doi: 10.2105/ajph.90.4.523, PMID 10754963
Modi JP, Pandy AS. In: Modi NJ, editor. Modis Medical Jurisprudence Andtoxicology. 20th ed. Bombay, India: Lexis Nexis, Buer Worths Wadhwa; 1977. p. 256-75.
Panchappa SA, Natarajan D, Karuppasamy T, Jeyabalan A, Ramamoorthy RK, Thirani S, et al. Cut throat injuries-a retrospective study at a tertiary referral Hospital. Int J Otolaryngol Head Neck Surg 2014;3:323-9.
Simpson CK. In: Knight B, editor. Simpsons Forensic Medicine. 10th ed. London: Eward Arnold, Hodder and Stoughton Ltd.; 1991. p. 101-2.
Iseh KR, Obembe A. Anteriorneck injuries presenting as cut throat emergencies in a tertiary health institution in north western Nigeria. Niger J Med 2011;20:475-8. PMID 22288327
Sett S, Isser DK. Laryngotracheal stenosis & pharyngocutaneous fistulain cut-throat injuries-how we manage them. Indian J Otolaryngol Head Neck Surg 2000;52:315-8. doi: 10.1007/BF03006218, PMID 23119710
Ahmed MA, Rao MS, Ahmed SM, Kumar MM. Cut throat injuries and it management: A clinical study of 48 patients. J Evol Med Dent Sci 2015;4:6572-81.
Published
How to Cite
Issue
Section
Copyright (c) 2022 Dr. Sonu Parmar, Dr. Paridhi Ahuja, Dr. Rashmi Gupta, Dr. Divya Goyal
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.