A study of incidence, causes and management of cut throat injuries


  • Aruna Kumar Chappidi Department of Otorhinolaryngology, Guntur Medical College, Guntur, Andhra Pradesh, India
  • Anita Chilukuri Department of Otorhinolaryngology, Guntur Medical College, Guntur, Andhra Pradesh, India




Cut throat injury, Otolaryngologist, Diagnostic modalities


Background: Cut throat injuries is trauma that needs prolonged hospitalization, high cost of health care and reduced quality of life and above all death. The aim of the study was to study on cut throat of injuries including its incidence factors provoked and management.

Methods: it is prospective study conducted for a period of 2 years. A total of 30 cases of cut throat injuries were included in the study of patients from age group 5-70 yrs.  

Results: Male to female ratio was (9:1). Cut throat injury was more common in males who came from rural area. Most of them were unemployed and of low socioeconomic group and of low education level. Cut throat injuries were common in Hindu religion followed by Muslims. The most common cause of cut throat injury in our study was homicidal 17(56.6%) followed by suicidal 9 (30%) and accidental 4(13.3%). In our study 11(36.6%) cut throats were superficial and 19 (63.33%) were deep. 19 (63.33) cases sustained grieveous injury with 7 patients were dead. In all the cases (100%) skin, soft tissue and small vessels were severed. The laryngotracheal injury was present in 12 cases. The majority of patients reached the hospital between 6-10 hours. Simple wound closure was done in 17 cases. 30 patients 23 patients had improved in follow up with no complaint of alteration in voice. 12 (40%) patients had stay of around 0–10 days and with only 10 (33.33%).

Conclusions: with the advent of newer diagnostic modalities management of cut throat injuries which allow more precise and better management of cut throat injuries. The management of cut throat injuries require a multidisciplinary approach requiring the close collaboration of the otolaryngologist, the anaesthetist and the psychiatrist.

Author Biographies

Aruna Kumar Chappidi, Department of Otorhinolaryngology, Guntur Medical College, Guntur, Andhra Pradesh, India

Assistant professor: Department of Otorhinolaryngology,

Anita Chilukuri, Department of Otorhinolaryngology, Guntur Medical College, Guntur, Andhra Pradesh, India

Assistant professor: Department of Otorhinolaryngology,


Peden M, McGee K, Sharma G. The Injury Chart Book: A Graphical Overview of the Global Burden of Injuries. World Health Organization, Geneva. 2002.

Fagan JJ, Nicol AJ. Neck Trauma. In: Gleeson, M., Ed., Scott-Brown’s Otorhinolaryngology, Head and Neck Surgery. 7th Edition. Great Britain: Hodder Arnold; 2008, 1768.

Bhattacharjee N, Arefin SM, Mazumder SM, Khan MK. Cut Throat Injury: Retrospective Study of 26 Cases. Bangladesh Med Res Council Bulletin. 1997;23:87-90.

Iseh KR, Obembe A. Anterior neck Injuries. Presenting as Cut throat Emergencies in a Tertiary Health Institution in North Western Nigeria. Nigeria Med J. 2011;20:475-8.

Manilal A, Khorshed ABM, Talukder DC, Sarder RMA, Fakir AT, Hossain M. Cut throat injury: review of 67 cases. Bangladesh J otorhinolaryngol. 2011;17:5-13.

Adoga AA, Ma'an ND, Embu HY, Obindo TJ. Management of suicidal cut throat injuries in a developing nation: three case reports. Cases J. 2010;3:65.

Nason RW, Assuras GN, Gray PR, Lipschitz J, Burns CM. Burns Penetrating neck injuries : analysis of experience from a Canadian trauma center. Canadian J Surg. 2001;44:122- 6.

Mohanty S, Sahu G, Mohanty MK, Patnaik M. Suicide in India: a four year retrospective study. J Forensic Leg Med. 2007;14 :185-9.

Modi JP, Pandy AS. MODI's medical jurisprudence and toxicology. 20th ed. Bombay, India: Butterworths publications; 1977: 256-275.

Gordon O, Shapiro HA, Berson SD. Forensic Medicine a guide to principles. 3rd ed. Edin burgh, London: London Churchill Livings tone; 1988: 300- 319.

Simpson CK. Simpsons Forensic medicine. Severa Bureau, Layla anderberh editor. Bernard knight. 10th ed. London: Eward Arnold, Hodder and Stoughton Ltd; 1991: 101-102.

Herzog M, Hoppe F, Baier G, Dieler R. Injuries of the head and neck in suicidal intention. Laryngorhinootologie. 2005;84(3):176–81.

Panchappa SA, Natarajan D, Karuppasamy T, Jeyabalan A, Ramamoorthy RK, Thirani S, et al. Cut Throat Injuries—A Retrospective Study at a Tertiary Referral Hospital. Int J Otolaryngol Head Neck Surg. 2004;3:323-9.

Peralta R, Hurford WE. Airway trauma. Int Anesthesiol/Clin. 2000;38:111-27.

Venkatachalam SG, Palaniswamy Selvaraj D A, Rangarajan M, Mani K, Palanivelu C. An unusual case of penetrating tracheal ("cut throat") injury due to chain snatchingthe ideal airway management. Indian J Crit Care Med. 2007;11(3):151–4.

Gonzalez RP, Falimirski M, Holevar MR, Turk B. Penetrating zone II neck injury: Does dynamic computed tomographic scan contribute to the diagnostic sensitivity of physical examination for surgically significant injury? A prospective blinded study. J Trauma. 2003;54:61-5.

Demetriades D, Asensio JA, Velmahos G, Thal E. Complex problems in penetrating neck trauma Surg Clin N Am. 1996;6:661-83.






Original Research Articles