CLOSED LARYNGEAL INJURY

THE MECHANISM OF STRANGULATION WITH A NECKTIE

Abstract

Closed laryngeal injury is a form of airway damage caused by blunt external force to the neck. Because it is unassociated with superficial skin damage, the larynx must be carefully examined to prevent the development of serious respiratory impairment.
We encountered 2 cases in which laryngeal injury was caused by stranuglation with a necktie. All of the cases were characteristically caused by the impact of direct external force on the larynx. The mechanism of laryngeal injury in our patients is similar to that occurring in neck injuries produced by steering wheels in traffic accidents or by powerful transient compression associated with sports accidents.
This means that laryngeal injuries are associated with various pathological conditions, such as contusions, catrilage and bone fractures, and acute dyspnea, depending on the condition of the mucosal lining. surrounding tissue. and frame-work.
All two patients had contusions, according to the degree of their injuries.
Clinical symptoms improved in response to conservative treatment with antibiotics and steroid agents in all patients.Since no treatment strategy for closed laryngeal injury has yet been established, determination and management of the pathology is extremely important early. With this in mind, careful observation is needed to prevent the rapid onset of dyspnea, even when the laryngeal injury appears to be mild.