02 January 2025
: Case report
[In Press] Emergency Management of Cut Throat Injury: A Report of 2 Cases
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents
Guoping Dai1ABCDEFG, Xin Yan1ACFDOI: 10.12659/AJCR.946414
Am J Case Rep In Press; DOI: 10.12659/AJCR.946414
Available online: 2025-01-02, In Press, Corrected Proof
Publication in the "In-Press" formula aims at speeding up the public availability of the pending manuscript while waiting for the final publication. The assigned DOI number is active and citable. The availability of the article in the Medline, PubMed and PMC databases as well as Web of Science will be obtained after the final publication according to the journal schedule
Abstract
BACKGROUND
Cut throat injury (CTI) is a type of penetrating neck injury that is an emergency in otorhinolaryngology and head and neck surgery.
CASE REPORT
We report 2 cases of CTI in zone 2. Patient 1 had severe injury to the larynx, trachea, and esophagus due to attempted suicide, whereas Patient 2 had a ruptured larynx due to attempted homicide, without injury to the vocal cords. The emergency doctor only used gauze to compress the neck rather than inserting a tracheal cannula through the opening immediately to maintain airway patency. Patient 1 had dyspnea at 1 point. Fortunately, Patient 2 had a stable neck wound did not bleed much, with few blocking blood clots. After performing a low tracheotomy in these 2 patients, the neck injury was repaired, gastric tubes were placed, and gastric enteral feeding diet was commenced. Both patients received anti-infection treatment and professional psychiatric therapy after surgery, and both recovered well.
CONCLUSIONS
Airway management is the critical first step, and the tracheal cannula should be inserted through the opening in the injured larynx for the first time to maintain airway patency; patients whose condition is unstable should undergo immediate surgical exploration, and those whose condition is stable without hard signs should undergo enhanced neck CT to assess the injury; prompt psychiatric care is also critical.
Keywords: Injury Severity Score; Management Quality Circles; Surgery, Computer-Assisted; Emergency Treatment
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