<- Home <- Arhive <- Vol. 26, Issue 1, March 2018

Rom J Leg Med26(1)16-20(2018)
© Romanian Society of Legal Medicine

Self-inflicted laryngeal penetrating wounds with suicidal intention: two clinical cases

D. Vrînceanu, B. Bănică, R. Papacocea, T. Papacocea,

Abstract: Laryngeal opened trauma through cut penetrating wounds represent a major emergency due to the risk of inundation of the airways and the haemorrhagic shock secondary to large neck vessels damage. Emergency surgery is mandatory and the aims are the control of haemostasis, lower airway protection, and the restoration of the laryngeal continuity.
We present two clinical cases of laryngeal penetrating wounds by self-aggression. The first case is a 26-year-old, hallucinogenic substances consumer. The second case is a 43-year-old man with paranoid schizophrenia. In both cases the thyroid membrane was injured. We present therapeutic attitude and complications in evolution. We are discussing about emergency surgery in situations when the patient cannot express his or her valid written consent, forensic, ethical and psychological aspects in self-injured patients.
Keywords: Informed consent, medical facilities, ethics, patient, healthcare professional.

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