An Interesting Case of a Butcher Who Attempted to Cut His Neck

Introduction Cut throat injuries are well recognized in homicide but less recognized in suicides. The incidence of suicide is increasing worldwide owing to the more stressful strenuous lifestyle and other risk factors like substance abuse. Suicide by incising one’s own throat is associated with hesi...

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Main Authors: N R Ankale, R S Mudhol, Rajesh Radhakrishna Havaldar, Anju Singh
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2018-12-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
Subjects:
Online Access:https://bjohns.in/journal/index.php/bjohns/article/view/371
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author N R Ankale
R S Mudhol
Rajesh Radhakrishna Havaldar
Anju Singh
author_facet N R Ankale
R S Mudhol
Rajesh Radhakrishna Havaldar
Anju Singh
author_sort N R Ankale
collection DOAJ
description Introduction Cut throat injuries are well recognized in homicide but less recognized in suicides. The incidence of suicide is increasing worldwide owing to the more stressful strenuous lifestyle and other risk factors like substance abuse. Suicide by incising one’s own throat is associated with hesitation marks whereas homicidal wounds are not. Case Report We present an interesting case of a suicidal cut throat of the victim being a butcher who was on alcohol abstinence since 3 days with severe injuries of supraglottic larynx and cricopharynx, surprisingly without any evidence of hesitation marks. He underwent immediate neck exploration and suturing of the injured structures without the need of a tracheostomy. Discussion A multidisciplinary approach by Otolaryngologists, Psychiatrists, Intensivists, and Anaesthetists is required in the effective management of these victims. A thorough proper early assessment can totally avoid the need of tracheostomy which is recommended in practice, hence preventing complications arising out of this unnecessary but advocated procedure.
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spelling doaj.art-b0897e5e6d5a497f890590bf1fbbc5b52024-03-03T06:15:02ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072395-24072018-12-01263222226183An Interesting Case of a Butcher Who Attempted to Cut His NeckN R Ankale0R S Mudhol1Rajesh Radhakrishna Havaldar2Anju Singh3Jawaharlal Nehru Medical College KLE University, Belagavi, Karnataka 590010Jawaharlal Nehru Medical College KLE University, Belagavi, Karnataka 590010Jawaharlal Nehru Medical College KLE University, Belagavi, Karnataka 590010Jawaharlal Nehru Medical College KLE University, Belagavi, Karnataka 590010Introduction Cut throat injuries are well recognized in homicide but less recognized in suicides. The incidence of suicide is increasing worldwide owing to the more stressful strenuous lifestyle and other risk factors like substance abuse. Suicide by incising one’s own throat is associated with hesitation marks whereas homicidal wounds are not. Case Report We present an interesting case of a suicidal cut throat of the victim being a butcher who was on alcohol abstinence since 3 days with severe injuries of supraglottic larynx and cricopharynx, surprisingly without any evidence of hesitation marks. He underwent immediate neck exploration and suturing of the injured structures without the need of a tracheostomy. Discussion A multidisciplinary approach by Otolaryngologists, Psychiatrists, Intensivists, and Anaesthetists is required in the effective management of these victims. A thorough proper early assessment can totally avoid the need of tracheostomy which is recommended in practice, hence preventing complications arising out of this unnecessary but advocated procedure.https://bjohns.in/journal/index.php/bjohns/article/view/371Neck InjuriesSuicideTreatment Outcome
spellingShingle N R Ankale
R S Mudhol
Rajesh Radhakrishna Havaldar
Anju Singh
An Interesting Case of a Butcher Who Attempted to Cut His Neck
Bengal Journal of Otolaryngology and Head Neck Surgery
Neck Injuries
Suicide
Treatment Outcome
title An Interesting Case of a Butcher Who Attempted to Cut His Neck
title_full An Interesting Case of a Butcher Who Attempted to Cut His Neck
title_fullStr An Interesting Case of a Butcher Who Attempted to Cut His Neck
title_full_unstemmed An Interesting Case of a Butcher Who Attempted to Cut His Neck
title_short An Interesting Case of a Butcher Who Attempted to Cut His Neck
title_sort interesting case of a butcher who attempted to cut his neck
topic Neck Injuries
Suicide
Treatment Outcome
url https://bjohns.in/journal/index.php/bjohns/article/view/371
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