2015
DOI: 10.1590/0100-69912015004004
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Evaluation of the use of tomography in penetrating neck trauma

Abstract: besides the great use of CT for the diagnosis of penetrating neck injuries we can say that this is an exam with low accuracy for the diagnosis of lesions of aerodigestive tract, therefore it is important a clinical correlation for a good diagnosis.as for the vascular lesions and of other structures, the CT had high sensibility and specificity, thus a good exam to be used in overall.

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Cited by 15 publications
(26 citation statements)
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“…Given the current rise of MDCT-A use in PNIs, it's genuine that most high-volume trauma centres recommend its routine use in their recent management protocols. 7,8,13 In our study, MDCT-A carried specificity of 97%, sensitivity of 77%, positive predictive value of 93% and negative predictive value of 89% in detection of injuries. These results are comparable to many published studies.…”
Section: Discussionsupporting
confidence: 49%
See 1 more Smart Citation
“…Given the current rise of MDCT-A use in PNIs, it's genuine that most high-volume trauma centres recommend its routine use in their recent management protocols. 7,8,13 In our study, MDCT-A carried specificity of 97%, sensitivity of 77%, positive predictive value of 93% and negative predictive value of 89% in detection of injuries. These results are comparable to many published studies.…”
Section: Discussionsupporting
confidence: 49%
“…However, the number of published protocols which rely on MDCT-A are still scare. 4,[8][9][10][11] In our institution, we have a high flow of trauma cases (nearly 9,000-12,000 cases/year). PNIs represent about 0.1-0.4% of all trauma cases (nearly 40-50 cases/year).…”
mentioning
confidence: 99%
“…Las lesiones penetrantes del cuello representan alrededor del 5-10% de todos los casos de trauma que se presentan en el Servicio de Urgencias y dan como resultado una mortalidad significativa. [1][2][3] Los componentes cervicales con más frecuencia lesionados en traumatismos penetrantes están relacionados con las lesiones vasculares (21-27%), seguido de la médula espinal (16%) y el tracto aero-digestivo (6-10%), como la laringe o la tráquea y de la faringe o el esófago. 1 Lo más común es que estas lesiones sean secundarias a heridas por arma blanca y de fuego.…”
Section: Antecedentesunclassified
“…These refer to neck injuries resulting from injuries by firearms, stabbing or penetrating fragments, such as glass or shrapnel, which go beyond the platysma muscle. PCT's can cause damage to the respiratory, digestive and neurovascular systems (Chapman et al, 2020).Mandatory surgical exploration of PCTs remained widely accepted until the 1990s, when it was realized that, despite the best results, mandatory surgery had unacceptably high negative rates of exploration -approximately 58% of the patients approached did not have serious injuries (Nasr et al, 2015).…”
Section: Introductionmentioning
confidence: 99%