cut throat injury

1. A STUDY ON CUT THROAT
INJURIES

2. INTRODUCTION
 Injury to neck structures.
 Morbidity & mortality( prolonged
hospitalization, complications, death)
 Suicidal, homicidal & accidental.
 Life threatning ( severe bleeding, air
embolism, respiratory distress)
 Minimised complication with multidisciplinary
approach.

3. AIMS
 To study the age & sex group involved.
 To study the pattern of injuries.
 To review psychosocial aspect of cut throat
injuries.
 To study management & outcome of injuries.

4. MATERIALS & METHODS
 40 cases
 January 2011 to january 2014.
 Zone 1 – from cricoid cartilage to clavicle.
 Zone 2 – between cricoid cartilage & angle of
mandible.
 Zone 3 – between angle of mandible & base
of skull.

5. Sex wise distribution
Male = 32
(80%)
Female = 8
(20%)
M : F = 4:1
80%
20%
male
female

6. Age wise distribution
 10-20 yrs = 4 cases
(10%).
 21-30 yrs = 20 cases
(50%).
 31-40 yrs = 12 cases
(30%).
 Above 40 yrs = 4 cases
(10%).
10%
50%
30%
10%

7. Distribution of cases according to the
cause
HOMICIDAL SUICIDAL ACCIDENTAL
20 CASES
(50%)
15 CASES
(37.5%)
5 CASES
(12.5%)

8. Distribution of cases according to the
cause
Homicidal
50%
Suicidal
37.50%
Accidental
12.50%

9. Factors
 Homicidal – Interpersonal conflict, political
conflict, robbery.
 Suicidal – Depression, Interpersonal conflict,
Unemployment, Poor socioeconomic status,
Drug abuse.
 Accidental – Road traffic accidents, Animal
bite.

10. Distribution of homicidal cases
CAUSE MOTIVATING
FACTORS
CASES PERCENTAGE
Homicidal Personal conflict 17 85%
Political conflict 2 10%
Robbery 1 5%

11. Distribution of homicidal cases
10%
5%
85%

12. Homicidal cut throat injury

13. Homicidal cut throat injury with transaction of
thyrohyoid membrane & epiglottis

14. Distribution of suicidal cases
CAUSE MOTIVATING
FACTORS
CASES PERCENTAGE
Suicidal Depression 5 33.3%
Interpersonal
conflict
5 33.3%
Poor
socioeconomic
status
2 13.3%
Drug abuse 3 20%

15. Distribution of suicidal cases
33.30%
33.30%
20%
13.30%

16. Distribution of accidental cases
CAUSE MOTIVATING
FACTORS
CASES PERCENTAGE
Accidental Road traffic
accident
3 60%
Animal bite 2 40%

17. Distribution of accidental cases
RTA 60%
Animal bite
40%

18. Neck injury due to road traffic accident

19. Distribution of patients according to neck
region involved
VARIABLES CASES PERCENTAGE
Neck region
involved
Zone - 1 2 5%
Zone - 2 36 90%
Zone - 3 2 5%

20. Distribution of patients according to neck
region involved
Zone-2=90%
Zone-1= 5% Zone-3=5%

21. Distribution of patients according to depth
of injury
VARIABLES CASES PERCENTAGE
Structures
injured
Superficial 18 45%
Larynx with
thyroid &
cricoid
cartilage
exposed
12 30%

22. Distribution of patients according to depth
of injury
VARIABLES CASES PERCENTAGE
Trachea 6 15%
Hypopharynx 4 10%

23. Distribution of patients according to the
repair done
VARIABLES CASES PERCENTAGE
Management Repair with
tracheostomy
32 80%
Repair
without
tracheostomy
8 20%

24. Case presented in emergency with sutured cut
throat injury & endotracheal tube in trachea.

25. Cut injury involving lateral & posterior part of
neck

26. Cut injury in the posterior aspect of neck

27. Repaired cut throat injury

28. video

29. Disscussion
 Common in young males (21-30 yrs).
 Most common cause; homicidal < suicidal <
accidental.
 May present with dyspnoea.
 Reflects type of weapon used.
 Most common procedure – tracheostomy followed
by laryngeal / hypopharyngeal repair.

30. Disscussion ( multidisciplinary approach )
Cut
throat
injuries
Anesthesia
psychiatry
Otolaryngology

31. Conclusion
 Major cause of morbidity & mortality.
 Could be reduced by increasing economical
growth, employment rate, emergency health
services.
 Early surgical intervention.
 Multidisciplinary approach.

32. THANK YOU