Multidisciplinary Rescue Airway Management in a Self-Inflicted Penetrating Neck Injury: A Case Report

Self-inflicted penetrating neck injury is a rare but highly lethal form of suicide attempt, often resulting in complex injuries to the upper airway and digestive tract. We report a case of a man in his 50s presenting with a complete supraglottic laryngeal and partial pharyngeal transection due to self-inflicted stab wounds. The initial assessment took place in a non-tertiary hospital, and an emergency airway access was achieved via tracheal intubation through the open cervical wound, followed by transfer to a level I trauma center and urgent surgical repair. A multidisciplinary team involving anesthesiology, intensive care, general surgery, and otorhinolaryngology ensured a favorable outcome. This case highlights the need for adaptable airway strategies and multidisciplinary collaboration in the management of traumatic airway disruption.

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Journal
Cureus
Published
2025-12-13
DOI
https://doi.org/10.7759/cureus.99111
Primary Topic
Trauma Management and Diagnosis
Type
article
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article

Multidisciplinary Rescue Airway Management in a Self-Inflicted Penetrating Neck Injury: A Case Report

Fátima Costa, Ana Rita Góis, Kateryna Samalyuk
Cureus
Trauma Management and Diagnosis
article

Multidisciplinary Rescue Airway Management in a Self-Inflicted Penetrating Neck Injury: A Case Report

Fátima Costa, Ana Rita Góis, Kateryna Samalyuk
article en

Abstract

Self-inflicted penetrating neck injury is a rare but highly lethal form of suicide attempt, often resulting in complex injuries to the upper airway and digestive tract. We report a case of a man in his 50s presenting with a complete supraglottic laryngeal and partial pharyngeal transection due to self-inflicted stab wounds. The initial assessment took place in a non-tertiary hospital, and an emergency airway access was achieved via tracheal intubation through the open cervical wound, followed by transfer to a level I trauma center and urgent surgical repair. A multidisciplinary team involving anesthesiology, intensive care, general surgery, and otorhinolaryngology ensured a favorable outcome. This case highlights the need for adaptable airway strategies and multidisciplinary collaboration in the management of traumatic airway disruption.

CureusVol. 17(12)
Escola Superior de Tecnologia da Saúde de Coimbra (PT), University of Coimbra (PT)
Openalex Percentile: Top 40%
Trauma Management and Diagnosis
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