Background: Cut-throat injury is a potentially fatal condition that may be associated with serious morbidity and mortality. The neck region is particularly at risk of serious injuries due to the location of vital structures, including nerves, viscera, and major vessels. Although cut-throat injury is said to be rare in children, its occurrence has been reported in some series. Management of this condition requires a multidisciplinary approach for a better outcome. Aim: The aim of this report is to highlight the successful management of an alarming case of severe cut-throat injury with associated laryngeal injury in a child. Case presentation: A 12-year-old boy presented with a cut-throat following an assault by an unknown person. Examination revealed an acutely ill child, conscious but pale. He sustained a deep transverse laceration that transected the thyroid cartilage, exposing the laryngeal cavity. An assessment of Zone II penetrating neck injury was made. He was resuscitated, and had emergency neck exploration, tracheostomy, and repair of the injuries. The patient was followed up for 6 months, and had a good voice outcome, with no significant complication. Conclusion: Cut-throat injury is rare in children. But it is a potentially life-threatening condition. It is therefore important to recognize this entity and develop effective protocol of management in our environment.
References
[1]
Penden, M., McGee, K. and Sharma, G. (2002) The Injury Chart Book: A Graphical Overview of the Global Burden of Injuries. Injuries and Violence Prevention Department.
[2]
Onotai, L.O. and Ibekwe, U. (2010) The Pattern of Cut Throat Injuries in the University of Port-Harcout Teaching Hospital, Portharcourt. Nigerian Journal of Medicine, 19, 264-266. https://doi.org/10.4314/njm.v19i3.60178
[3]
Abdullahi, H., Adamu, A. and Hasheem, M.G. (2020) Penetrating Arrow Injuries of the Head-and-Neck Region: Case Series and Review of Literature. Nigerian Medical Journal, 61, 276-280. https://doi.org/10.4103/nmj.nmj_17_20
[4]
Adamu, A. and Ngamdu, Y. (2020) Management of Penetrating Arrow Neck Injury: A Report of Two Cases. MAMC Journal of Medical Sciences, 6, 63-67. https://doi.org/10.4103/mamcjms.mamcjms_9_20
[5]
Panchappa, S.A., Natarajan, D., Karuppasamy, T., Jeyabalan, A., Ramamoorthy, R.K., Thirani, S., et al. (2014) Cut Throat Injuries—A Retrospective Study at a Tertiary Referral Hospital. International Journal of Otolaryngology and Head & Neck Surgery, 3, 323-329. https://doi.org/10.4236/ijohns.2014.36058
[6]
Beigh, Z. and Ahmad, R. (2014) Management of Cut-Throat Injuries. The Egyptian Journal of Otolaryngology, 30, 268-271. https://doi.org/10.4103/1012-5574.138493
[7]
Chakraborty, D., Das, C., Verma, A.K. and Hansda, R. (2016) Cut Throat Injury: Our Experience in Rural Set-up. Indian Journal of Otolaryngology and Head & Neck Surgery, 69, 35-41. https://doi.org/10.1007/s12070-016-1033-x
[8]
Rautela, N., Verma, V., Usmani, S.A., Mishra, A., Singh, H.P. and Kumar, S. (2017) Cut Throat Injuries: The Socio-Demographic Pattern, Causes, and Outcome at Tertiary Care Hospital of North India. International Journal of Contemporary Medical Research, 4, 136-140.
[9]
Kumar Chappidi, A. and Chilukuri, A. (2018) A Study of Incidence, Causes and Management of Cut Throat Injuries. International Journal of Otorhinolaryngology and Head and Neck Surgery, 4, 636-643. https://doi.org/10.18203/issn.2454-5929.ijohns20180970
[10]
Yadav, D.J.S. (2019) Cut Throat Injury: Etiology, Pattern and Management. Journal of Medical Science and Clinical Research, 7, 780-783. https://doi.org/10.18535/jmscr/v7i4.131
[11]
Chandra, K., Vishwambhar, S. and Choudhary, T. (2014) An Infant with Cut Throat A Case Report. Otolaryngology Online Journal, 4, 1-15.
[12]
Nicol, A.J. and Fagan, J.J. (2018) Neck Trauma. In: Watkinson, J. and Clarke, R., Eds., Scott-Brown’sOtorhinolaryngology and Head and Neck Surgery, 8th Edition, CRC Press, 579-605.
[13]
Iseh, K.R. and Obembe, A. (2011) Anterior Neck Injuries Pesenting as Cut Throat Emergencies in a Tertiary Health Institution in North Western Nigeria. Nigerian Journal of Medicine, 20, 475-478.
[14]
Peralta, R. and Hurford, W.E. (2000) Airway Trauma. International Anesthesiology Clinics, 38, 111-127. https://doi.org/10.1097/00004311-200007000-00008
[15]
Ezeanolue, B.C. (2001) Management of the Upper Airway in Severe Cut Throat Injuries. African Journal of Medicine and Medical Sciences, 30, 233-235.
[16]
Okoye, B. and Oteri, A. (2001) Cut Throat Injuries in Port Harcourt. Sahel Medical Journal, 4, 207-209. https://doi.org/10.4103/1118-8561.148011
[17]
Spunt, B., Goldstein, P., Brownstein, H. and Fendrich, M. (1994) The Role of Marijuana in Homicide. International Journal of the Addictions, 29, 195-213. https://doi.org/10.3109/10826089409047377
[18]
Jones, S., Tyson, S., Yorke, J. and Davis, N. (2020) The Impact of Injury: The Experiences of Children and Families after a Child’s Traumatic Injury. Clinical Rehabilitation, 35, 614-625. https://doi.org/10.1177/0269215520975127
[19]
Suggit, S. (1953) Cut Throat Injury in a Child’s Larynx. The Journal of Laryngology & Otology, 67, 220-223. https://doi.org/10.1017/s0022215100048568
[20]
Ozdemir, B., Celbis, O. and Kaya, A. (2013) Cut Throat Injuries and Honor Killings: Review of 15 Cases in Eastern Turkey. Journal of Forensic and Legal Medicine, 20, 198-203. https://doi.org/10.1016/j.jflm.2012.09.011
[21]
Jayanth, S., Chandra, Y., Harish, S. and Hugar, B. (2015) Study of Pattern of Cut Throat Injuries. European Journal of Forensic Sciences, 2, 1-5.
[22]
Kumar, P.V. and Begum, T. (2016) Cut Throat Injury by Manja String—A Case Report. Indian Journal of Forensic Medicine & Toxicology, 10, 21-24. https://doi.org/10.5958/0973-9130.2016.00006.2
[23]
Jain, R. and Kaushik, S. (2018) Cut Throat Injury Presenting as Emergencies in a Tertiary Care Hospital in India: A Retrospective Analysis. International Journal of Otorhinolaryngology, 4, 35-38.
