A suicide attempt that resulted in the separation of supraglottis from the glottis
Ebubekir Toprak, Kerem Sami Kaya, Egehan Salepci, Suat Turgut
Keywords: Injuries, larynx, neck, supraglottitis, vocal fold.
Abstract
Keeping the airway open is mandatory in zone II neck injuries. Herein, we report an 88-year-old male patient who was brought to the emergency service of our hospital by ambulance after he attempted suicide by cutting his throat with a pocket knife at home. The airway was secured by the ambulance team by passing an endotracheal tube through the penetrated supraglottic area and the vocal cords and then inflating the cuff, and a neck collar was attached. After the patient was taken to the operating room, tracheotomy was performed by us. With a continuous purse-string suture, the epiglottis was fixed to where it separated from the laryngeal area. The patient was transferred to the intensive care unit after the operation. Since the patient might have needed urgent operation in the first two days, the patient, who was parenterally fed, was started to be fed with a nasogastric tube after the operation. Through this case report, we emphasize the necessity of a multidisciplinary approach in emergency cases of neck injuries.