Praxis of ORL: Supraglottisin glottisten ayrılmasıyla sonuçlanan bir intihar girişimi | A suicide attempt that resulted in the separation of supraglottis from the glottis
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Praxis of ORL. Year: 2022  Volume: 10  Issue: 2  82-85
doi: 10.5606/kbbu.2022.22599

Supraglottisin glottisten ayrılmasıyla sonuçlanan bir intihar girişimi

Ebubekir Toprak, Kerem Sami Kaya, Egehan Salepci, Suat Turgut
SBÜ, Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Kliniği, İstanbul, Türkiye

Bölge II boyun yaralanmalarında havayolunun açık tutulması zorunludur. Bu yazıda, evinde çakı ile boğazını keserek intihara teşebbüs ettikten sonra ambulansla hastanemizin acil servisine getirilen 88 yaşında bir erkek hasta sunuldu. Penetre olan supraglottik alandan ve ses tellerinden ambulans ekibi tarafından bir endotrakeal tüp geçirilerek ve ardından kaf şişirilerek hava yolu güvence altına alındı ve boyunluk takıldı. Hasta ameliyathaneye alındıktan sonra tarafımızca trakeotomi yapıldı. Devamlı torba dikiş sütür ile epiglot, larengeal alana ayrıldığı yerden tespit edildi. Hasta ameliyattan sonra yoğun bakıma alındı. İlk iki gün hastanın acil ameliyata ihtiyacı olabileceğinden parenteral beslenen hasta ameliyattan sonra nazogastrik sonda ile beslenmeye başlandı. Bu olgu sunumu ile boyun yaralanmalarının acil vakalarında multidisipliner bir yaklaşımın gerekliliğini vurguluyoruz.

Anahtar Kelimeler: Yaralanmalar, larenks, boyun, supraglottit, vokal kord.


A suicide attempt that resulted in the separation of supraglottis from the glottis

Ebubekir Toprak, Kerem Sami Kaya, Egehan Salepci, Suat Turgut
Department of Otolaryngology, Health Sciences University, Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Türkiye

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.

Key words: Injuries, larynx, neck, supraglottitis, vocal fold.


Ebubekir Toprak, Kerem Sami Kaya, Egehan Salepci, Suat Turgut. A suicide attempt that resulted in the separation of supraglottis from the glottis. Praxis of ORL. 2022; 10(2): 82-85

Corresponding Author: Ebubekir Toprak, Türkiye: [email protected]


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