Complete Laryngotracheal Separation Following Attempted Hanging

Jw, Choi; Koo, Bon Seok; Rha, Ki-Sang; Yoon, Yeo Hoon

doi:10.3342/ceo.2012.5.3.177

Cited by 14 publications

(15 citation statements)

References 11 publications

(20 reference statements)

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“…Other severe neck injuries have been reported in nonlethal hanging: tracheal and esophageal rupture, 10 laryngotracheal separation, 11,12 and complete supraglottic rupture. 13 We also found in one of our cases a complete rupture of the epiglottis.…”

Section: Discussionmentioning

confidence: 96%

Traumatic Rupture of Deep Neck Structures in Hanging

Advenier

Grandmaison

2014

American Journal of Forensic Medicine &Amp; Pathology

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Injuries to the neck structures are various in case of hanging. Soft tissue lesions generally consist in sternocleidomastoid and subhyoid muscle hemorrhages. Traumatic ruptures of deep neck structures are rare. We report 2 cases of partial and complete ruptures of sternocleidomastoid muscles after suicidal hanging. Both were typical and complete hanging. In 1 case, muscle laceration was associated with common carotid rupture on the same side. Hemorrhage at the rupture site was only found at the microscopic level. Such injuries may result from the ligature's compression and depend on duration of suspension. Heavy body weight, rigid rope material, and fall after a jump may promote their occurrence.

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Section: Discussionmentioning

confidence: 96%

Traumatic Rupture of Deep Neck Structures in Hanging

Advenier

Grandmaison

2014

American Journal of Forensic Medicine &Amp; Pathology

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“…If there are any suspicious symptoms of airway damage, according to the literature, early fiberoptic intubation or emergency tracheostomy should be performed. 3,4,9 As these techniques are rarely familiar to pre-hospital rescuers in the field, rescuers must present a detailed description of the patient`s condition upon arrival at hospital to assure that fiberoptic endoscopy or emergency tracheostomy is prepared to promptly secure the patient's airway. In the case reported here, the patient with suspected tracheal damage arrived without enough preparation for emergency surgical airway, and Ambu bagging was started.…”

Section: Discussionmentioning

confidence: 99%

“…If there are any suspicious symptoms of airway damage, according to the literature, early fiberoptic intubation or emergency tracheostomy should be performed. 3,4,9…”

Section: Discussionmentioning

confidence: 99%

Suicidal hanging patient with complete tracheal rupture

Jeong

Choi

et al. 2018

Hong Kong Journal of Emergency Medicine

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In attempted suicide, laryngotracheal rupture caused by hanging leads to rapid death at the scene or before arrival at hospital. The case presented here describes a patient with complete tracheal rupture from an attempted suicidal hanging who was successfully resuscitated. Pre-hospital providers transferred the patient to hospital without being aware of the possibility of airway damage. Cardiac arrest occurred shortly after arrival at hospital. During the cardiopulmonary resuscitation, endotracheal intubation was performed, and fortunately, the tracheal tube was located just below the ruptured trachea and thus enabled ventilation. For patients suspected of having airway damage at the pre-hospital stage, awareness of the patient's condition and adequate airway management are important. The management of laryngotracheal rupture which suggests that for patients not adequately ventilated, immediate treatment with flexible fiberoptic intubation or tracheostomy is needed to secure the airway. Equipment and personnel at the receiving hospital need to be prepared for immediate treatment.

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“…Sudden neck extension, fixation of the larynx and anteroposterior compression of the tracheal rings result in shearing forces tearing the cricotracheal membrane. 10 Direct upward pressure from hanging elevates the larynx superiorly resulting in separation of larynx and trachea. 11 Similarly, the extent and location of blunt laryngotracheal trauma is determined by several factors.…”

Section: Discussionmentioning

confidence: 99%