JUNIPER PUBLISHERS-Global Journal of Otolaryngology
Suicidal Attempt by Hanging-Unusual Evolution-Case Report
Authored by Cristina Otilia Laza*
Hanging is the most common suicide
method that is used by men and women also. The mechanisms of death recognized
are airway obstruction, carotid sinus compression with vagal inhibition (and
reflex cardiac arrest), arterial blockage with brain ischemia, blockage of both
IJV, with edema of the face, brain, tongue, larynx pharynx, fractures in
cervical vertebral column with the cord injury. We present an extreme case of
an 62 year-old man, who try to suicide by hanging, but he was discovered by the
family still breathing. They call 911. SMURD resuscitate him and rush him to
the hospital there was admitted in ICU-ENT unit. The patient was comatose, with
giant edema of the head, and cyanosis, brain edema and ischemia with possible
decerebration. We present this case because of a few unique particularities
first the fact that he was a person with a permanent tracheostomy -5 years ago
was diagnose with laryngeal carcinoma and treated with total laryngectomy and
neck dissection followed by radiotherapy the extended period of time between
hanging and salvage -was discovered hanging by the rope 2 days after the event
still breathing -unique in cases reports all over the world. Also It example
that mechanism of death can be other than respiratory asphyxia in hanging
cases. Also is important to discuss the suicidal attempt in patients with
cancer, and the quality of life after a mutilating surgery. even till now there
are no signs of recurrence.
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