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Prevention of accidental childhood strangulation: where is the site of obstruction?

R R Stevens1, G A Lane, S M Milkovich

  • 1Department of Otolaryngology, University of Colorado, Denver 80218, USA.

International Journal of Pediatric Otorhinolaryngology
|November 30, 1999
PubMed

Insights

Accidental strangulation in children is a serious concern. This study found that pressure on the neck can obstruct the airway at the larynx, offering insights into prevention.

Area of Science:

  • Pediatric Safety
  • Anatomy
  • Emergency Medicine

Background:

  • Accidental strangulation in children is a preventable injury with limited scientific understanding.
  • Children's clothing and household items can pose strangulation risks.
  • Identifying the specific obstruction site is crucial for prevention strategies.

Purpose of the Study:

  • To investigate the precise location of airway obstruction during simulated strangulation in children.
  • To enhance understanding of the mechanisms involved in accidental strangulation injuries.

Main Methods:

  • Flexible endoscopy was utilized in eight pediatric patients.
  • Pressure was applied to the submental and suprahyoid regions to simulate strangulation.
  • Endoscopic evaluation determined the site of airway occlusion.

Main Results:

  • Application of submental pressure led to occlusion of the nasopharynx and oropharynx.
  • Suprahyoid pressure resulted in obstruction at the laryngeal level.
  • The epiglottis and arytenoids were identified as key structures involved in laryngeal obstruction.

Conclusions:

  • Airway obstruction in suspension strangulation primarily occurs at the larynx, involving the epiglottis and arytenoids.
  • Understanding the specific site of airway occlusion can inform the development of preventative measures.
  • This research contributes to reducing the risks associated with accidental strangulation in children.
Abstract

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