Abstract
Objective: To analyze the socio demographic pattern, sex and age ratio, common causes, the most common site and extent of the injury in the patients with cut throat injury at our hospital. To compare the same with previous similar studies conducted at other centers in different parts of the world. Setting: Department of ENT, Government Rajaji Hospital, Madurai, India from January 2013 to June 2014. Methods: A total of 51 cases of cut throat injury were included in the study. Separate proforma was prepared to collect the patients’ data. Structured questionnaire was offered. Results: 51 cases of cut throat injury patients were included in the study. Age varied from 4 years to 80 years. Out of 51 cases, there were 43 males, 7 females and one male child. Male to female ratio was 6.2:1. All the patients were belonging to lower socioeconomic status (Kuppusamy class 5). Amongst them 26 cases (50.98%) were due to homicidal attack; 13 cases (25.49%) due to suicidal attempt; 7 cases (13.72%) due to road traffic accident; 4 cases (7.84%) due to bull gore injury; 1 case (1.96%) due to accidental fall. Emergency tracheostomy was done in 16 cases (33.33%). An average hospital stay for most of the patients was less than 3 weeks. 2 victims (3.92%) died due to haemorhage, aspiration pnuemonia and septicemia. Conclusions: Our study found that the majority of the victims were males of age between 20 years to 40 years from poor socioeconomic status. Social commitment and political motivation, decrease in the poverty, individual awareness, increase in economic growth, and literacy rate will prevent the cut throat injuries. Early and improved management will reduce the mortality and morbidity.
Highlights
Penetrating neck trauma involves a sharp object penetrating the skin and violating the platysma layer of the neck
A total of 51 cases of cut throat injury were included in the study irrespective of their age and sex who attended ENT department and patients referred from general surgery and trauma departments
The socio demographic data, motives of trauma, structures injured, treatment given at our hospital, complications and mortalities were analyzed
Summary
Penetrating neck trauma involves a sharp object penetrating the skin and violating the platysma layer of the neck. This includes gunshot wounds, stab or puncture wounds, and impalement injuries. Penetrating neck injuries, like any trauma, may be classified as intentional or non intentional. It can be classified as homicidal, accidental or suicidal. The objects causing these injuries can be divided into stabbing instruments (e.g., knives, cutting instruments, razors, blades, broken glass pieces, broken bottles, puncturing objects, impaling objects) and shooting instruments (e.g., missiles, projectiles). The object’s mass and shape will determine the extent of a penetrating injury
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