Toka-chaff cutter cervical trauma in COVID-19 lockdown: case report

Manish Munjal, Porshia Rishi, Nitika Tuli, Harjinder Sidhu, Shubham Munjal, Harnoor Dhillon


Fodder cutter (toka) of both manual and powered type is among the commonest tool being used by people for the preparation of fodder for their cattle. Agricultural traumatic injuries can lead to serious disability and mortality. Out of the agricultural machinery related accidents the maximum occur with the chaff-cutters i.e. toka machines. An intriguing cervical trauma due to entanglement in agricultural implement while chopping fodder in a young individual is being reported, as there is no reference in global literature. Slightest mistake can lead to serious injuries with disastrous outcome.


Toka, laryngo-tracheal trauma, Reconstruction

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Goldsmith P. Traumatic Paralysis of the Left Vocal Cord. Proc R Soc Med. 1916;9:2-4.

Sharma V. Farm accidents and financial assistance provided to the victims in Punjab. Available at: DENTS_in_Punjab. Accessed on 25 July 2020.

Reddy GL, Anuradha RV. Disability and farming India: problems and prospects, cognitive Discourses. Int Multidiscip J. 2013;1(1):14-27.

Goldenberg D, Golz A, Flax-Goldenberg R, Joachims HZ. Severe laryngeal injury caused by blunt trauma to the neck: a case report. J Laryngol Otol. 1997;111(12):1174-6.

Bent JP, Silver JR, Porubsky ES. Acute laryngeal trauma: a review of 77 patients. Otolaryngol Head Neck Surg. 1993;109(3 Pt 1):441-9.

Butler AP, Wood BP, O'Rourke AK, Porubsky ES. Acute external laryngeal trauma: experience with 112 patients. Ann Otol Rhinol Laryngol. 2005;114 (5):361-8.

Schaefer N, Griffin A, Gerhardy B, Gochee P. Early recognition and management of laryngeal fracture: a case report. Ochsner J. 2014;14(2):264-5.

Jalisi S, Zoccoli M. Management of laryngeal fractures-a 10-year experience. J Voice. 2011;25(4): 473-9.