Penetrating neck injuries with laryngeal framework involvement: in a tertiary care centre
Keywords:Self-inflicted neck injury, Laryngeal injury
Background: Penetrating neck injuries are very common as a mode of homicidal and suicidal injuries. Not many of them are deep enough to affect the laryngeal framework.
Methods: Prospective study in the Department of ENT Stanley Medical College, Chennai. The study period was from January 2018 to December 2018. Follow up of 3 months was done.
Results: Penetrating neck injuries treated on emergency care with tracheostomy and wound exploration and repair. It was found to be more common in young male population.
Conclusions: Laryngeal framework involvement necessitates tracheostomy during wound exploration. On table laryngeal injury repair improves prognosis and early post-operative vocal fold assessment helps frame a treatment plan designed specifically for the patient.
Patrick J Gullane, Carsten E Palme and Ralph W Gilbert. Trauma of the larynx and cervical trachea. Stell and Maran’s Textbook of Head and Neck Surgery and Oncology. John C Watkinson and Ralph W Gilbert. 5th Edition. 2012. Pages 281-294
Susanna Leighton et al. Anatomy and Examination of the neck. Hall and Colman’s Diseases of the Ear, Nose and Throat. Martin Burton. 15th Edition. 2000. Pages 129-131.
S. Moeng and K. Boffard. Penetrating Neck Injuries. Scandinavian Journal of Surgery. 91: 34–40, 2002
Errington C. Thompson, John M. Porter and Luis G. Fernandez. Penetrating Neck Trauma: An Overview of Management. J Oral Maxillofac Surg .60:918-923, 2002
Andrew J. Nicol and Johannes J Fagan. Neck trauma. Scott-Brown’s Otorhinolaryngology Head and Neck Surgery. Vol 3. Edi 8. 2018. Pages 597-605.
Ahmed, N., Amin, K., Madden, T., & Fan, K. (2012). Managing penetrating neck injuries—the Kings’ experience. British Journal of Oral and Maxillofacial Surgery, 50, S9
Kareem Ibraheem et al. “No zone” approach in penetrating neck trauma reduces unnecessary computed tomography, angiography and negative explorations. Journal of surgical research. January 2018 (221) 113-120.
A V Kasbekar et al. Penetrating neck trauma and the need for surgical exploration: six-year experience within a regional trauma centre. The Journal of Laryngology & Otology (2017), 131, 8–12.
Vishwanatha, B. et al. (2007). Penetrating neck injuries. Indian Journal of Otolaryngology and Head & Neck Surgery, 59(3), 221–224.