Severe Cut Throat Injury in a Child: A Case Report and Review of Literature

作     者：Nafisatu Bello-Muhammad Hamisu Abdullahi Yasir Nuhu Jibril Auwal Adamu Manir Hamza Anka Muhammad Ghazali Hasheem Nafisatu Bello-Muhammad;Hamisu Abdullahi;Yasir Nuhu Jibril;Auwal Adamu;Manir Hamza Anka;Muhammad Ghazali Hasheem

作者机构：Department of ENT Aminu Kano Teaching Hospital Bayero University Kano Nigeria Department of ENT Abubakar Tafawa Balewa University Teaching Hospital Bauchi Nigeria Department of ENT Federal University of Health Sciences Azare Bauchi State Nigeria 

出 版 物：《International Journal of Otolaryngology and Head & Neck Surgery》 (耳鼻喉（英文）)

年 卷 期：2024年第13卷第4期

页      面：285-292页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Cut-Throat Neck Trauma Penetrating Neck Injury Neck Exploration Tracheostomy 

摘      要：Background: Cut-throat injury is a potentially fatal condition that may be associated with serious morbidity and mortality. The neck region is particularly at risk of serious injuries due to the location of vital structures, including nerves, viscera, and major vessels. Although cut-throat injury is said to be rare in children, its occurrence has been reported in some series. Management of this condition requires a multidisciplinary approach for a better outcome. Aim: The aim of this report is to highlight the successful management of an alarming case of severe cut-throat injury with associated laryngeal injury in a child. Case presentation: A 12-year-old boy presented with a cut-throat following an assault by an unknown person. Examination revealed an acutely ill child, conscious but pale. He sustained a deep transverse laceration that transected the thyroid cartilage, exposing the laryngeal cavity. An assessment of Zone II penetrating neck injury was made. He was resuscitated, and had emergency neck exploration, tracheostomy, and repair of the injuries. The patient was followed up for 6 months, and had a good voice outcome, with no significant complication. Conclusion: Cut-throat injury is rare in children. But it is a potentially life-threatening condition. It is therefore important to recognize this entity and develop effective protocol of management in our environment.