Lethal kite threads: Near-decapitation of a motorcyclist

Kite flying is a popular recreation in many countries. However, the use of synthetic manja string has led to increased injuries, particularly among motorcyclists and pedestrians. We present the case of a 17-year-old male motorcyclist who sustained a deep cut-throat injury from a manja kite string. Despite emergency surgical intervention, which included vascular reconstruction and tracheostomy, the patient remained unresponsive and died two days later. Autopsy findings revealed extensive damage to the carotid arteries, internal jugular vein, thyroid gland and trachea, with cerebral infarction due to shock and haemorrhage as the cause of death. In motorcycle accidents, the high relative momentum of the rider increases the severity of injuries which occur due to the lack of enforcement of regulatory bans on manja in India. Medico-legal challenges arise when classifying these wounds as either blunt or sharp force trauma, complicating forensic investigations. Strict enforcement of regulations, public awareness campaigns, and improved disposal practices are essential to prevent further injuries and fatalities.