Laryngotracheal stenosis &amp; pharyngocutaneous fistula in cut-throat injuries — how we managed them

Sett, Suvro; Isser, D. K.

doi:10.1007/bf03006218

Cited by 5 publications

(1 citation statement)

References 7 publications

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“…Regarding treatment outcome some patients are living normal life after treatment, some patients are living with minor disability like change of voice and mild dysphagia. Laryngeal stenosis, pharyngeal stenosis, and pharyngocutaneous fistula are the worst complications [12]. In our study, one patient had tracheal stenosis.…”

Section: Discussionmentioning

confidence: 46%

Laryngotracheal Trauma Management and Associated Morbidity and Mortality: 4-Year Experience at a Tertiary Care Center

PARMAR

AHUJA

Gupta

et al. 2023

Asian J Pharm Clin Res

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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.

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Section: Discussionmentioning

confidence: 46%

Laryngotracheal Trauma Management and Associated Morbidity and Mortality: 4-Year Experience at a Tertiary Care Center

PARMAR

AHUJA

Gupta

et al. 2023

Asian J Pharm Clin Res

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Cut Throat Injury: Our Experience in Rural Set-Up

Chakraborty

Das

Verma

et al. 2016

Indian J Otolaryngol Head Neck Surg

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Cut throat injuries are one of the emergency conditions managed by ENT specialists. If not treated in time, they may lead to death. Prevention of these complications depends on immediate resuscitation by securing the airway by tracheostomy or intubation, prompt control of hemorrhage and blood replacement. The present study was conducted to study the sociodemographic profile of patients of cut throat injury, motives behind cut throat injury, site and depth of the injury, treatment given at our hospital and outcome. A prospective study was done in the department of ENT in a tertiary care hospital of rural West Bengal between January 2014 and December 2015. Patients who were brought dead and minor neck injury were excluded from the study. Endotracheal intubation where possible, or emergency tracheostomy was done below the level of injury. Ryle's tube was inserted where necessary. Injured structures were repaired in layers. Among 22 patients there were 18 male and 4 female. The peak age of incidence was in the 4th decade of life. Suicidal cut throat injury was the most common mode of injury. Most of the injuries were in the zone II (72.73%). Three patients died due to severe haemorrhage and/or aspiration. Decannulation was possible in 9 out of 12 patients. Cut throat injuries have become a major cause of morbidity and mortality in our society. Patients with injury of larynx or upper trachea need preliminary tracheostomy. Post-operative endoscopy identifies nerve injuries and stenosis problems.

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Cut Throat Injury: A Tertiary Care Centre Experience

Gupta¹,

Shah²,

Jain³

et al. 2021

BJOHNS

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Introduction Cut throat injuries are one of the challenging emergencies encountered in clinical practice. This study evaluates the causes and management of cut throat injuries. Materials and Methods This was a retrospective study of total 100 cases of cut throat injury presented to the department of ENT in a tertiary care hospital in Ahmedabad between June 2017 and June 2019. Majority of patients were managed by suturing. Results In our study 69% were males,31% were females. The peak age of incidence is 4th decade (55%). 70% of them have injury in Zone II. Seventy eight percent of the patients presented with active bleed without major vessel injury. The most common cause of cut throat injury had been found to be accidental (75%), 54% had injury up to muscular layer. Five patients were managed by laryngotracheal stent placement. Conclusion The middle aged males were mostly affected. The majority had zone 2 injury. The most common cause was Accidental (seasonal manja/ kite thread cut). Primary repair is the best way to avoid complications.

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Laryngotracheal stenosis & pharyngocutaneous fistula in cut-throat injuries — how we managed them

Cited by 5 publications

References 7 publications

Laryngotracheal Trauma Management and Associated Morbidity and Mortality: 4-Year Experience at a Tertiary Care Center

Laryngotracheal Trauma Management and Associated Morbidity and Mortality: 4-Year Experience at a Tertiary Care Center

Cut Throat Injury: Our Experience in Rural Set-Up

Cut Throat Injury: A Tertiary Care Centre Experience

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