Self-inflicted powered knife penetrating neck injury - A case report
Laryngeal fractures are a rare event. Penetrating neck injuries produced by powered tools can be life-threatening and pose a challenge for head and neck surgeons. We report the case of a 51-year-old male that attempted suicide by self-inflicting a penetrating anterior neck injury with a powered kni...
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| Format: | Article |
| Language: | English |
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Portuguese Society of Otolaryngology and Head and Neck Surgery
2021-09-01
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| Series: | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
| Subjects: | |
| Online Access: | https://journalsporl.com/index.php/sporl/article/view/2897 |
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| _version_ | 1850166874405339136 |
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| author | Miguel Carvalho Márcia Mourão Miguel Silva Sérgio Raposo |
| author_facet | Miguel Carvalho Márcia Mourão Miguel Silva Sérgio Raposo |
| author_sort | Miguel Carvalho |
| collection | DOAJ |
| description |
Laryngeal fractures are a rare event. Penetrating neck injuries produced by powered tools can be life-threatening and pose a challenge for head and neck surgeons. We report the case of a 51-year-old male that attempted suicide by self-inflicting a penetrating anterior neck injury with a powered knife. Neck exploration revealed section of all infrahyoid muscles exposing the carotid artery bilaterally, multiple laryngeal fractures, hypopharyngeal and esophageal lacerations. We classified the penetrating injury as a Schaefer-Fuhrman group 4. Reconstruction of the hypopharynx, esophagus and strap muscles was done with absorbable sutures. Reconstruction of the thyroid cartilage was performed with non-absorbable sutures. Post-operative evaluation revealed structural integrity of the hypopharynx and esophagus, as well as bilateral vocal fold mobility 6 months after the surgery. To improve patient survival and outcome, it’s of utmost importance that head and neck surgeons have a comprehensive understanding of the management of these unusual type of injuries.
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| format | Article |
| id | doaj-art-633f8edd722445b49269e9dff684c484 |
| institution | OA Journals |
| issn | 2184-6499 |
| language | English |
| publishDate | 2021-09-01 |
| publisher | Portuguese Society of Otolaryngology and Head and Neck Surgery |
| record_format | Article |
| series | Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
| spelling | doaj-art-633f8edd722445b49269e9dff684c4842025-08-20T02:21:20ZengPortuguese Society of Otolaryngology and Head and Neck SurgeryRevista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2184-64992021-09-0159310.34631/sporl.927Self-inflicted powered knife penetrating neck injury - A case reportMiguel Carvalho0Márcia Mourão1Miguel Silva2Sérgio Raposo3Serviço de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Centro Hospitalar Tondela-Viseu, PortugalServiço de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Centro Hospitalar Tondela-Viseu, PortugalServiço de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Centro Hospitalar Tondela-Viseu, PortugalServiço de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Centro Hospitalar Tondela-Viseu, Portugal Laryngeal fractures are a rare event. Penetrating neck injuries produced by powered tools can be life-threatening and pose a challenge for head and neck surgeons. We report the case of a 51-year-old male that attempted suicide by self-inflicting a penetrating anterior neck injury with a powered knife. Neck exploration revealed section of all infrahyoid muscles exposing the carotid artery bilaterally, multiple laryngeal fractures, hypopharyngeal and esophageal lacerations. We classified the penetrating injury as a Schaefer-Fuhrman group 4. Reconstruction of the hypopharynx, esophagus and strap muscles was done with absorbable sutures. Reconstruction of the thyroid cartilage was performed with non-absorbable sutures. Post-operative evaluation revealed structural integrity of the hypopharynx and esophagus, as well as bilateral vocal fold mobility 6 months after the surgery. To improve patient survival and outcome, it’s of utmost importance that head and neck surgeons have a comprehensive understanding of the management of these unusual type of injuries. https://journalsporl.com/index.php/sporl/article/view/2897neck injurysuicidereconstructive surgery |
| spellingShingle | Miguel Carvalho Márcia Mourão Miguel Silva Sérgio Raposo Self-inflicted powered knife penetrating neck injury - A case report Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço neck injury suicide reconstructive surgery |
| title | Self-inflicted powered knife penetrating neck injury - A case report |
| title_full | Self-inflicted powered knife penetrating neck injury - A case report |
| title_fullStr | Self-inflicted powered knife penetrating neck injury - A case report |
| title_full_unstemmed | Self-inflicted powered knife penetrating neck injury - A case report |
| title_short | Self-inflicted powered knife penetrating neck injury - A case report |
| title_sort | self inflicted powered knife penetrating neck injury a case report |
| topic | neck injury suicide reconstructive surgery |
| url | https://journalsporl.com/index.php/sporl/article/view/2897 |
| work_keys_str_mv | AT miguelcarvalho selfinflictedpoweredknifepenetratingneckinjuryacasereport AT marciamourao selfinflictedpoweredknifepenetratingneckinjuryacasereport AT miguelsilva selfinflictedpoweredknifepenetratingneckinjuryacasereport AT sergioraposo selfinflictedpoweredknifepenetratingneckinjuryacasereport |