Cut Throat Injury Research Articles

Familicide-suicide by cut throat by a safety razor blade along withatypical hesitation wounds

A coupleand their two daughterswere found lying in a pool of blood in the bedroom by the police. A safety razor blade had been recovered at crime scenes. Cut throat injuries were present on all the persons. The husband brought dead to a hospital and later the younger daughter also succumbed to the injuries. Medico legal autopsy and investigation by the police confirmed the caseas familicide-suicide and the perpetrator was the husband.Hewas suspecting infidelity of his wife and was in depression.To the authors’ knowledge both homicide and suicide by cut throat with a safety razor blade has not been described before.Also, in this paper, we are highlighting atypical hesitation cut on the posterior neck of the perpetrator.

An Epidemiological Study of Cut Throat Injury During COVID-19 Pandemic in a Tertiary Care Centre

To find out incidence, prevalence, various modes and pattern of cutthroat injury during COVID-19 pandemic and compare with prior non pandemic period. To find out the various factor influencing the suicidal cutthroat and establish the temporal association of suicidal cutthroat with COVID-19 pandemic. It is a retrospective study of cutthroat patients who were managed in ENT Dept. VIMSAR, Burla, Sambalur, Odisha, India from 1st September 2019 to 31st August 2020. Source of information are casualty, IPD and OT registers and online data. Total cases were divided into group-A (prior to COVID-19 pandemic) and group-B (during COVID-19 pandemic) and analysed. Total 24 cutthroat injury cases were treated over 1 year in department of ENT, VIMSAR, Burla, which was 0.054% of total cases attended at casualty and 2.371% of total IPD patients treated. In GROUP-A, total 10 cases with M:F = 9:1,suicidal 4 cases (40%), homicidal 6 cases (60%), and no accidental cases were recorded. While in GROUP-B, total 14 case with M:F = 14:0, suicidal 9 cases (64.28%), homicidal 3 cases (21.42%) and accidental 2 (14.28%) cases were recorded. In our study majority of cases were male with M:F = 23:1. Common age group belongs to 20–30 years with LSES and farmer by occupation. Zone II injury had incidence of 70.83%. Homicide cases proportionally high during non-COVID period while suicide cases high during COVID-19 pandemic. Association of COVID-19 pandemic with suicidal cut throat injury is seems to be significant. Among predisposing risk factors for suicidal, depression during COVID-19 pandemic had seen in 53.84% of total suicidal cases. Incidence and prevalence of Cut throat injury is comparatively high in western odisha which again increases during months of July and August parallel to COVID-19 pandemic. The common mode of cutthroat injury is homicidal, which suddenly changes to suicidal during COVID-19 pandemic. More vulnerable groups were young unemployed male, farmers and labours. Cutthroat injury cases definitely increases during COVID-19 pandemic with most common mode of injury being suicidal attempt, which may be due to economical and psychological imbalances, due to loss of job and fear and social stigma for COVID-19 diseases.

Suicidal Cut-throat Fatalities: A Case Report from the Kingdom of Bahrain

Using a sharp tool by an individual to cause a severe cut-throat injury is considered an unusual method for suicide. Investigating such suicidal cases is challenging, as no witness is available only the crime scene findings, the autopsy finding and the history of the victim. In this case report, we demonstrate a rare suicidal case received by the directorate of forensic science evidence in the Kingdom of Bahrain. A 39-year-old male was found with a neck laceration in his house, a small knife was found near his body, autopsy showed a cut-throat injury almost completely encircling the neck. Multiple superficial wounds were found in the proximity and parallel to the large incised wound in the front and back of the neck suggesting that they were hesitation marks. A stab wound was found directly medial to the left nipple. The final report was based on death scene investigation, autopsy findings and forensic laboratory results concluding that the death was suicidal in nature.

An Attempted Homicidal Cut Throat Injury: A Case Study

Homicidal cut throat is an injury over the front of neck by sharp instruments with an intent of murder. The neck contains vital structures (nerves, blood vessels, airway and pharyngeal conduit) in a compact fashion that may be difficult to access for physical examination or surgical exploration in a limited time. That is why these cases create panic and pose great challenges in the management. Here is a case of an attempted homicidal cut throat injury that highlights some of the challenges encountered in the management along with discussion on the evolving knowledge of the optimal management practice.

Psychosocial effect of COVID-19 lockdown suicidal cut throat injury: a case report

<p>The novel coronavirus pandemic of 2020 presents vast challenges to the population particularly to vulnerable ones such as those with addictive disorders amid lockdown with no access to alcohol and difficult to reach overburdened healthcare. We present such a case of a 45 years old alcohol dependent in withdrawal with self-inflicted cut throat injury.</p>

Exceptionally Unusual Case of a Self-Inflicted Suicidal Cut Throat Injury

Here we present a 43-year-old man who was brought with a self-inflicted cut throat injury; 18 hours after the suicidal attempt. On examination a deep 12 cm cut at the level of the hyoid bone exposing the posterior pharyngeal wall was seen. Emergency surgery with primary repair, tracheostomy and feeding gastrostomy was done. Post-operative period was uneventful and patient recovered without any speech or swallowing abnormalities. Through this article we would like to stress that even in cases of frightening ghastly wounds, by maintaining simple surgical principles we can achieve good outcomes. Keywords: Throat; Injuries; Neck; Suicide

Cut throat gashes: emergency tracheostomy as a relief

<p class="abstract">Cut throat injury accounts for about 5 to 10 percent of all traumas. It is a life-threatening emergency condition. Cut throat injuries are challenging in terms of management as it necessitates close collaboration by otolaryngologists, anaesthetists, psychiatrists, speech therapists and general surgeons. Securing airway by emergency tracheostomy is always of prime concern to prevent impending complications such as haemorrhage, shock and asphyxia followed by closure of wound. This paper shares our experience with three patients who presented in emergency department with cut throat injuries of varying etiology who were treated diligently with a multidisciplinary approach. This paper is to emphasize the importance of securing airway by emergency tracheostomy under local anaesthesia.</p>

Emergency Tracheostomy in a Tertiary Level Hospital in Bangladesh: Indications and Complications

Objective: To see the common indications, pattern of complications (during and post operative) of emergency tracheostomy in the tertiary level hospital in Bangladesh. It also gives the idea for minimizing the complications.
 Methods: This cross sectional study was carried out in the Department of Otolaryngology & Head- Neck surgery of Dhaka Medical College Hospital, Dhaka, from 14th April 2015 to 14th October 2015. This study includes all emergency patients irrespective of age and sex whose tracheostomy was done in emergency operation theatre of ENT department of Dhaka Medical College and Hospital.
 Results: The study reveals that the commonest indications of emergency tracheostomy were diagnosed case of carcinoma of larynx & base of tongue (30%) followed by post-irradiated carcinoma larynx (24%). Next common indications were stridor in undiagnosed case (18%), difficulty in intubation during surgery (10%), history of road traffic accident (6%), cut throat injury (6%), foreign body in throat (2%), laryngeal edema and blunt trauma in neck (2%) respectively. Commonest complications during the procedure were apnoea (12%), haemorrhage (18%), injury to surrounding structure (10%), cardiac arrest (4%) & respiratory arrest (2%). Common complications in early post operative period were surgical emphysema (10%), crusting or blockage (4%), tube dislodgement (4%), &stomal infection (2%). Late post operative complications were stomal granulation tissue (4%), pneumonia (2%), stomal infection (2%), tracheocutaneous fistula (2%), & tracheomalasia (2%).
 Bangladesh J Otorhinolaryngol; October 2016; 22(2): 96-101

A case of self slitting of throat as a result of cannabis induced psychosis

Self injuring or harming or mutilating behaviour is defined as a deliberate alteration in the body tissue or destruction of body tissue in the absence of conscious suicidal thought. Patients of mental disorder may deliberately cause hundred of wounds on themselves without any intention which may actually have a cumulative effect that is the death of the patient. It seems self harming behaviour has a vast spectrum, if injuries in its domain right from mild scratches to amputation of body parts to enucleation of eyes. Patient with self behaviour almost always has suffered from mental disorders like paranoid schizophrenia or syndromes of self mutilation which may have some religious overtone attached to it. Here we present a case of a 28-year-old male with cut throat injury in the middle of the neck in the front just above the thyroid cartilage as a result of cannabis induced psychosis. Keywords: Self Mutilation, Throat Slit, Cannabis Induced Psychosis.

An autopsy study of cut throat injuries

An autopsy study of cut throat injuries

Pattern of Homicidal Death among the Post-Mortem Cases in a Metropolitan City of Bangladesh

Homicide means killing one human being by another humafilt is a global problem and has significant consequence for both social and economic security of the people as well as national development This study warmed to describe patterns of the homicidal behavior in a major metropolitan area. Dhaka city and the relationships among socio-demographic characteristics. This was a cross-sectional study during the period of July 2017 to June 2018 in the Department of Forensic Medicine, Dhaka Medical College. A total number of 935 cases wereautopsied during the period,of which 319 cases were included in the study as homicidaldeath. All the inquest reports and the challan were read through along with post-mortem reports during the study period. The data were collected during the autopsy as well as from the registration books (Govt. records.) in the department of Forensic Medicine, Dhaka Medical College.Out of 319 homicidal death, 227cases were above the age of 30 years (71.15 % of the total cases),233 cases were male (73.04 %) and 86 were female (26.95 %) whereas considering religion, the majority were Muslim 287 in number (89.20%) and the rest were other religion. According to the types of wound 198 cases were stab and eta-throat, 81 cases were strangulation, 32cases were firearm injury & the 08 cases were suffocated The majority of deceased resulting from stab and cut-throat injuries and those were above 30 years of age group. The most of homicidal death occurred among the young age group which is very alarming to the society and for the nation. So, we should be aware enough to prevent such cases.

An Unusual Anterior Neck Injury [Cut Throat]: A Case Report

Introduction –The Neck is prone to injuries that are life threatening due to the presence of vital structures that lie within the neck. Cut throat injuries are located on the anterior neck classically, with dangers to the aero digestive tract and the vascular structures. Case Presentation -A 40 year old farmer presented with injuries on the lateral sides of the neck with an island of normal tissue anteriorly two days after the incidence from a rural hospital, fig 1. Examination revealed an anaemic, dehydrated young man that was not in any respiratory distress. There was complete avulsion of the epiglottis at the base; and the eyes were also plucked. Patient had blood transfusion, tracheostomy, fig 2 and subsequent repair with favourable outcome. 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).Prompt identification and referral to the specialist for proper management will reduce morbidity and mortality. Keywords : unusual, anterior neck, injury DOI : 10.7176/JHMN/63-06 Publication date :June 30 th 2019

Management of Atypical Suicidal Cut Throat Injury in a Private Tertiary Hospital

Cut throat injuries are potentially life threatening due to the peculiarity of the structures traversing this region of the body. 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. In cases of attempted suicide, hesitant marks are a common finding. Attempting suicide by cutting the throat without hesitant marks is a very rare occurrence. Generally, cases of cut throat injuries are largely under reported as many are fatal before presenting to the hospital therefore a definite incidence is not available. These patients need emergency multidisciplinary care to prevent rapid deterioration, avoidable morbidity and mortality. Adequate airway management skill in intubating and securing the airway to allow for wound exploration and surgical repair is essential for a good outcome. 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. The rarity of the case is the reason for presenting this case report.

An Interesting Case of a Butcher Who Attempted to Cut His Neck

Introduction
 Cut throat injuries are well recognized in homicide but less recognized in suicides. The incidence of suicide is increasing worldwide owing to the more stressful strenuous lifestyle and other risk factors like substance abuse. Suicide by incising one’s own throat is associated with hesitation marks whereas homicidal wounds are not.
 Case Report
 We present an interesting case of a suicidal cut throat of the victim being a butcher who was on alcohol abstinence since 3 days with severe injuries of supraglottic larynx and cricopharynx, surprisingly without any evidence of hesitation marks. He underwent immediate neck exploration and suturing of the injured structures without the need of a tracheostomy.
 Discussion
 A multidisciplinary approach by Otolaryngologists, Psychiatrists, Intensivists, and Anaesthetists is required in the effective management of these victims. A thorough proper early assessment can totally avoid the need of tracheostomy which is recommended in practice, hence preventing complications arising out of this unnecessary but advocated procedure.

Penetrating Neck Injuries: from ER to OR.

Neck contains several vital structures, in a small close space, in complex relationship to each other, and unprotected by any bony framework. Any injury to this crucial region, hence mostly becomes an acute emergency. Appropriately managing the same has always been a point of constant discussion amongst head and neck surgeons. The basic aim of the study was to discuss the management, comorbidities, prognosis and associated complications encountered in a series of patients with penetrating neck trauma (piercing platysma), presenting to the emergency over a period of 1year. Combat injuries and patients declared as brought dead at the time of first examination were excluded. This was a retrospective study of patients with cut throat injury, managed at a tertiary center of northern India from June 2014 to September 2015. Following management in the ER as per ATLS guidelines, all patients were then operated for specific injuries. Graph pad software was used for statistical analysis. Of the 15 patients studied in total, 11 (73.3%) were males. The mean patient age was 33.67years. Mean duration of presentation was 20.85h. 60% patients had homicidal injuries. Tracheostomy and Ryle's tube insertion was done in 8 (53.3%) patients. Exploration and surgical repair was done in all patients without any mortality. 4 patients developed post-operative complications. Mean duration of hospital stay was 9.2days. Immediate resuscitation followed by exploration and primary repair is a must in all patients of penetrating neck injury.

A study of incidence, causes and management of cut throat injuries

<p class="abstract"><strong>Background:</strong> Cut throat injuries is trauma that needs prolonged hospitalization, high cost of health care and reduced quality of life and above all death. The aim of the study was to study on cut throat of injuries including its incidence factors provoked and management.</p><p class="abstract"><strong>Methods:</strong> it is prospective study conducted for a period of 2 years. A total of 30 cases of cut throat injuries were included in the study of patients from age group 5-70 yrs. </p><p class="abstract"><strong>Results:</strong> Male to female ratio was (9:1). Cut throat injury was more common in males who came from rural area. Most of them were unemployed and of low socioeconomic group and of low education level. Cut throat injuries were common in Hindu religion followed by Muslims. The most common cause of cut throat injury in our study was homicidal 17(56.6%) followed by suicidal 9 (30%) and accidental 4(13.3%). In our study 11(36.6%) cut throats were superficial and 19 (63.33%) were deep. 19 (63.33) cases sustained grieveous injury with 7 patients were dead. In all the cases (100%) skin, soft tissue and small vessels were severed. The laryngotracheal injury was present in 12 cases. The majority of patients reached the hospital between 6-10 hours. Simple wound closure was done in 17 cases. 30 patients 23 patients had improved in follow up with no complaint of alteration in voice. 12 (40%) patients had stay of around 0–10 days and with only 10 (33.33%).</p><p class="abstract"><strong>Conclusions:</strong> with the advent of newer diagnostic modalities management of cut throat injuries which allow more precise and better management of cut throat injuries. The management of cut throat injuries require a multidisciplinary approach requiring the close collaboration of the otolaryngologist, the anaesthetist and the psychiatrist.</p>

Complex suicide ofa drug addict; a case report

The term “complex suicide” refers to suicides in which more than one method is applied. It can be further classified as planned and unplanned complex suicide. In planned complex suicides, two or more methods are employed simultaneously in order to make sure that death will occur even if one method fails. In unplanned complex suicides, several other methods of suicide are tried after the first method chosen fails. Following case discussion is based on a death with two methods of suicide. Body of a 20 year old drug addict was recovered from a river. A blood stained table knife was found in his room. There were no features of struggle at scenes. He had no previous attempts of suicide. Autopsy examination revealed four (4) superficial and parallel cut throat injuries. There were no evidence of haemorrhagic shock, blood aspiration or air embolism. Fine continuous froth with kissing hyper inflated lungs were found. The cause of death was given as drowning. Since two suicidal methods were employed, namely cut throat and jumping in to river, it was identified as a case of complex suicide. Cut throat injuries could have been inflicted before entering the water. It appeared that, the initial cut throat injuries had failed to cause death and the victim subsequently succeeded by jumping in to river. Therefore, the death discussed showed clear characteristics of an unplanned complex suicide

Life threatening cut throat injury due to kite string

Kite flying is a popular sport in Indian subcontinent. The string or manjha, used for flying kites is coated with ground glass and glue, which makes it very sharp. This abrasive string can give rise to various types of injuries ranging from minor cuts to life threatening injuries and cause severe disabilities and death. The authors report a complicated case of cut throat injury due to kite string "manjha' and its surgical management.Bang Med J (Khulna) 2016; 49 : 31-33

A Rare Case of Homicide by Dual Method-Strangulation with Cut Throat: A Case Report

Background : Homicide is killing of a human being by another human being. Various methods like strangulation, cut throat, stabbing etc may be used for homicide; however combination of two mechanisms is rare. Case Report: hereby we present a rare case with unexpected appearance of two different mechanisms of homicide applied over same region, wherein body of a female was referred to us with history of cut throat. Body of the deceased was found near her house with cut throat injuries over front of neck, on examination cut throat injuries were present over neck along with ligature mark intermingling with them. Conclusion: The present case represents an unexpected rare association of two methods of homicide, as in this case of strangulation followed by cut throat. Correct Interpretation of cause of death with its manner in such case is very important, which needs meticulous post-mortem examination along with proper correlation with other information.

Neck Trauma: ENT Prospects.

Neck trauma is a very important surgical emergency faced by ENT surgeons in day to day practice. They are potentially life threatening conditions due to the presence of many vital structures in this area. Timely presentation to the referral centre and proper multidisciplinary approach towards management plays a pivotal role in the healing pattern of the wound and prevention of serious complication like shock, sepsis, laryngeal stenosis or fistula formation. A retrospective study was done in ENT Department, NSCB Medical College, Jabalpur, Madhya Pradesh, India during the period of 2014-2016. 17 patients were included in the study. All the records regarding symptoms at presentation, type and mode of injury, level of injury were analyzed. Management plan undertaken were thoroughly studied and post operative complications like hoarseness, stenosis or fistula formation were noted carefully. 14 out of 17 patients were male, all 17 patients belonged to lower socioeconomic status. Most common age group presenting with neck trauma was between 22 and 40years. 7 case were homicidal, 5 cases were suicidal and 4 were of accidental injury. Most cases reached hospital within 2-6h of injury except 3 cases which took more than 8h. Bleeding from wound site was most common symptom at presentation. Most injuries in 13 out of 17 cases were at thyroid cartilage level. Penetrating neck trauma was most common followed by blunt neck trauma. Most cases required emergency tracheostomy along with primary laryngotracheal repair. Most common post operative complication seen was wound dehiscence, subglottic stenosis and fistula formation. Neck trauma and cut throat injuries are potentially life threatening emergency that require multidisciplinary approach. Timely intervention can be crucial in preventing fatal complications and reducing morbidity period of the patient.