Management of war-related neck injuries during the war in Croatia, 1991–1992

Prgomet, Drago; Đanić, Davorin; Miličić, Damir; Leović, Dinko

doi:10.1007/bf00171146

Cited by 12 publications

(3 citation statements)

References 19 publications

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“…In rare cases laryngocele is seen after a shotgun injury [12]. Fortunately, these cases were very rarely seen at our institutions, but they will remain of concern as long as gun-related violence continues [16]. Endolaryngeal granulomas after sharp trauma to the larynx should be excised early, since they may develop into additional scars [9].…”

Section: External Trauma Due To Sharp Objects or Gunshotsmentioning

confidence: 99%

External trauma to the larynx: classification, diagnosis, therapy

Kleinsasser¹,

Priemer

Schulze

et al. 2000

European Archives of Oto-Rhino-Laryngology

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In contrast to internal trauma to the larynx caused by endolaryngeal procedures, trauma to the larynx caused by external forces is relatively rare. Nevertheless, the great variety of these external traumata warrants a thorough diagnosis and understanding of each case as well as a standardized and accepted method for classifying these injuries. These preconditions will facilitate successful therapy. At our three institutions cases of external trauma to the larynx, including the mechanisms of trauma, were reviewed and analyzed. Cases were classified according to the mechanisms and the sequelae of trauma. The three major categories were (a) external trauma due to the impact of blunt objects, (b) trauma after tearing of the neck and the larynx longitudinally, and (c) external trauma caused by sharp objects and gunshots. In the great majority of cases external trauma to the larynx was caused by blunt pressure and was most often due to strangulation in the course of (attempted) suicide or homicide. In a smaller number of cases sharp instruments caused external traumata. In patients surviving the immediate trauma a meticulous laryngological assessment is necessary. In addition to indirect laryngoscopy, we consider microlaryngoscopy as being indicated for investigating the soft tissues of the endolarynx. The status of the laryngeal skeleton can be determined more precisely via high-resolution computed tomography and ultrasound. Early diagnosis and appropriate therapy have a significant impact on the patient's condition later, especially as regards scar formation, ease of breathing, and voice quality.

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Section: External Trauma Due To Sharp Objects or Gunshotsmentioning

confidence: 99%

External trauma to the larynx: classification, diagnosis, therapy

Kleinsasser¹,

Priemer

Schulze

et al. 2000

European Archives of Oto-Rhino-Laryngology

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“…При цьому пошкодження магістральних судин шиї виявлено у 40 випадках. Летальність серед пацієнтів з вогнепальними пораненнями шиї становила 2,1% [14].…”

unclassified

Аналіз Ушкодження Магістральних Судин Шиї

Руденко

2023

Перспективи та інновації науки

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This article deals with the analysis of damage to the main vessels of the neck. A detailed review of foreign research was carried out in order to adapt and study the existing world experience in the direction of research for the opportunity to provide timely and high-quality assistance to the victims. In particular, this article is devoted to a detailed analysis of damage to the main vessels of the neck, which is a serious medical case. The causes and consequences of such injuries were studied, the methods of diagnosis and treatment were considered. The author reveals the clinical importance of this pathological condition.The work examines the causes and mechanisms leading to such injuries, clinical manifestations and diagnostic methods. The authors also discuss possible approaches to the treatment and surgical correction of such injuries, taking into account modern methods and technologies. The results of the study may be useful for the medical community and specialists involved in the treatment of such injuries. The study is aimed at improving the quality of medical care for patients with injuries of the main vessels of the neck and increasing the awareness of medical personnel in this matter.Aim. The purpose of the work is the analysis of studies of gunshot injuries of the main vessels of the neck.Scientific novelty. For the first time, a detailed analysis of damage to the main vessels of the neck was carried out.Materials and methods: analysis of theoretical sources, comparison, induction of isolated data Derivation of the hypothesis of consequences with clarification of its content. Experimental verification of the consequences derived from the hypothesis.Conclusions. The study of vascular damage to the neck from gunshot wounds makes it possible to develop better methods of treatment and rehabilitation for victims. The improvement of treatment methods is aimed at reducing the number of deaths from neck vessel injuries.Key words: gunshot wounds, gunshot combat injury, wound channel, main vessels of the neck, injuries of the vascular bed.

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“…Before modern rapid imaging capabilities, surgical dogma mandated surgical exploration in all traumatic cases of platysmal penetration, which decreased deaths but led to a high rate (Ն50%) of nontherapeutic neck explorations. [4][5][6][7] The presence of hard signs of vascular injury on physical examination warrants immediate exploration. However, the accuracy and availability of computed tomography (CT) and CT arteriography (CTA) scans in busy civilian trauma centers altered this traditional approach in patients without hard signs.…”

mentioning

confidence: 99%

Diagnosis and management of evacuated casualties with cervical vascular injuries resulting from combat-related explosive blasts

Meghoo

Dennis

Tuman

et al. 2012

Journal of Vascular Surgery

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Penetrating cervical wounds from war-related blast trauma are associated with potentially life-threatening vascular injuries. The presenting physical examination, availability of CT/CTA, local surgical expertise, and tactical combat situation all contribute to surgical decision making in these patients. In patients without hard signs of vascular trauma and a normal CT/CTA of the neck, there is no evidence to support mandatory surgical neck explorations or further immediate diagnostic studies to exclude cervical vascular injury.

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Management of war-related neck injuries during the war in Croatia, 1991–1992

Cited by 12 publications

References 19 publications

External trauma to the larynx: classification, diagnosis, therapy

External trauma to the larynx: classification, diagnosis, therapy

Аналіз Ушкодження Магістральних Судин Шиї

Diagnosis and management of evacuated casualties with cervical vascular injuries resulting from combat-related explosive blasts

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