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Indian J Otolaryngol Head Neck Surg
2017[Mar]; 69
(1
): 52-57
PMID28239579
show ga
Neck trauma is a very important surgical emergency faced by ENT surgeons in day
to day practice. They are potentially life threatening conditions due to the
presence of many vital structures in this area. Timely presentation to the
referral centre and proper multidisciplinary approach towards management plays a
pivotal role in the healing pattern of the wound and prevention of serious
complication like shock, sepsis, laryngeal stenosis or fistula formation. A
retrospective study was done in ENT Department, NSCB Medical College, Jabalpur,
Madhya Pradesh, India during the period of 2014-2016. 17 patients were included
in the study. All the records regarding symptoms at presentation, type and mode
of injury, level of injury were analyzed. Management plan undertaken were
thoroughly studied and post operative complications like hoarseness, stenosis or
fistula formation were noted carefully. 14 out of 17 patients were male, all 17
patients belonged to lower socioeconomic status. Most common age group presenting
with neck trauma was between 22 and 40 years. 7 case were homicidal, 5 cases were
suicidal and 4 were of accidental injury. Most cases reached hospital within
2-6 h of injury except 3 cases which took more than 8 h. Bleeding from wound site
was most common symptom at presentation. Most injuries in 13 out of 17 cases were
at thyroid cartilage level. Penetrating neck trauma was most common followed by
blunt neck trauma. Most cases required emergency tracheostomy along with primary
laryngotracheal repair. Most common post operative complication seen was wound
dehiscence, subglottic stenosis and fistula formation. Neck trauma and cut throat
injuries are potentially life threatening emergency that require
multidisciplinary approach. Timely intervention can be crucial in preventing
fatal complications and reducing morbidity period of the patient.
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