Kite String Injury: Our Experience at a Teriary Care Center

Indian Journal of Applied Basic Medical Sciences
Year: 2020, Volume: 22(A), Issue. (1)
First page: (196) Last page: (209)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:10.48165/ijabms.2020.22119

Kite String Injury: Our Experience at a Teriary Care Center 
Meeta Bathla 1, Dhvani Shah2,  Hiren Doshi 3, Atul Kansara4
1Associate Professor), 2(3rd year resident), 3(Assistant Professor), 4 HOD, Department of ENT surgery , L.G Hospital, AMC MET Medical College. Ahmedabad Pin 380008
Corresponding author email id:

Online Published on 02-Jan-2020

ABSTRACT

BACKGROUND: Kite flying is a popular sport in many cultures around the world. In India, Makar Sankranti or  Uttarayan is celebrated on 14th January. This festival is dedicated to the ‘Sun God’, ‘Surya’ in  Hindu religion. These kite festivals include a game of kite fighting, in which participants  attempt to use their kite to cut the string of a rival kite. Injuries related to kite flying commonly  range from mild injuries to severe disability and death; and may manifest with varied clinical  presentations with chemical, metallic strings. Kite flying is very common in India and we feel  that trauma caused by the kite thread is grossly underreported. OBSERVATIONS AND RESULTS: In our study, there were total 40 cases reported during the period of 2 months, December  and January. 39(97.5%) of cases were reported during 13th to 15th January and 1(2.5%) case  in December 2018. 35(87.5%) were male patients and 5(12.5%) female patients. 4(10%)  patients were below 12 years and the rest were above 12 years. Protective measures wise,  26(65%) patients did not use any protective device out of these 10(38.5%) had severe injuries.  While 5(12.5%) of them used either muffler or dupatta around their neck, 2(50%) patients  had severe injury. 6(15%) patients used helmets and 3(7.5%) patients used wire frame in front  of the vehicle; none of them had severe injuries. 12(30%) of the 40 patients had severe  injuries involving neck muscles, major vessels and upper airway compromise, sclera,  conjunctiva, eyelid, out of which 3(7.5%) patients required tracheostomy as a lifesaving  procedure of which one succumbed to death. Out of 40 patients, 1(2.5%) patient succumbed  to injuries and 39(97.5%) survived. CONCLUSION: A seemingly harmless game of kite flying can cause grievous harm even death not only to the  flyers but also to innocent others. This study highlights that protection such as helmet,  muffler, dupatta around the neck can reduce the grievousness of injury over head and neck  but not give complete protection from innocent looking kite threads. Awareness programmes  regarding the safety measures to protect oneself from grievous injuries can be conducted  using pictorial depictions, minimal usage of two wheelers during those peak hours of kite  flying can reduce the incidence of casualties caused by killer manja. Banning of Chinese  threads and glass coatings on the threads by government can also reduce injuries.

Keywords

Kite string, head and neck injuries.