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:	Neck Injuries Suicide Treatment Outcome
Online Access:	https://bjohns.in/journal/index.php/bjohns/article/view/371

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spelling	doaj-b0897e5e6d5a497f890590bf1fbbc5b52020-11-25T01:30:21ZengThe 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
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	N R Ankale R S Mudhol Rajesh Radhakrishna Havaldar Anju Singh
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
author_facet	N R Ankale R S Mudhol Rajesh Radhakrishna Havaldar Anju Singh
author_sort	N R Ankale
title	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_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_sort	interesting case of a butcher who attempted to cut his neck
publisher	The Association of Otolaryngologists of India, West Bengal
series	Bengal Journal of Otolaryngology and Head Neck Surgery
issn	2395-2407 2395-2407
publishDate	2018-12-01
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.
topic	Neck Injuries Suicide Treatment Outcome
url	https://bjohns.in/journal/index.php/bjohns/article/view/371
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An Interesting Case of a Butcher Who Attempted to Cut His Neck

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