Penetrating Trauma of the Neck

Jd, Saletta; Rj, Lowe; Lt, Lim; Thornton, Joseph P.; Delk, Sam; Gs, Moss

doi:10.1097/00005373-197607000-00011

Cited by 82 publications

(28 citation statements)

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“…Patients were considered to have evidence for a signifi¬ cant injury if they had any of the following clinical signs on admission: (1) subcutaneous or retropharyngeal air; (2) hoarseness or stridor; (3) active external hemorrhage; (4) active oropharyngeal hemorrhage; (5) large, expanding, or pulsatile hematoma; (6) sucking neck wound; (7) absent Table 3, columns 3 through 6. Finally, the accuracy of the combined assessment (the preoperative clinical assessment plus the data from all preoperative diagnostic studies) was determined and is listed in Table 3, column 7.…”

Section: Evaluation Of the Accuracy Of The Nonoperative Assessmentmentioning

confidence: 99%

Mandatory vs Selective Exploration for Penetrating Neck Trauma

Meyer¹,

Barrett²,

Schuler³

et al. 1987

Arch Surg

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Section: Evaluation Of the Accuracy Of The Nonoperative Assessmentmentioning

confidence: 99%

Mandatory vs Selective Exploration for Penetrating Neck Trauma

Meyer¹,

Barrett²,

Schuler³

et al. 1987

Arch Surg

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“…Da es sich bei den penetrierenden Weichteilverletzungen des Halses um heterogene Verletzungen handelt und ein einheitliches diagnostisches und thera- [16,17].Die häu-figsten Verletzungen finden sich im mittleren Abschnitt des Halses in der Zone II, wie auch in dem hier präsentierten Fall. Nach einer körperlichen Untersuchung, konventioneller radiologischer Diagnostik und ggf.einer endoskopischen Untersuchung wird insbesondere nach transzervikalen Verletzungen die operative Exploration empfohlen [7].…”

Section: Pfählungsverletzung Des Halsesunclassified

“…Da die häufigsten Todesursachen bei penetrierenden Halsverletzungen Blutungen mit daraus resultierendem Schock sowie Ersticken bei einer Mitbeteiligung des Larynx und der Trachea sind [17],ist eine rasche präklinische Stabilisierung der Hä-modynamik und Sicherung der Atemwege durch einfache Sofortmaßnahmen für den Patienten lebensnotwendig [7]. Für das weitere diagnostische und therapeutisch Vorgehen hat sich eine Einteilung der Halspenetrationsverletzungen in 3 Zonen [3,13,16,17] Bei hämodynamisch stabilen wie instabilen Patienten sollte zunächst eine konventionelle Röntgenaufnahme des Areals und des Thorax durchgeführt werden.…”

Section: Introductionunclassified

“…Für das weitere diagnostische und therapeutisch Vorgehen hat sich eine Einteilung der Halspenetrationsverletzungen in 3 Zonen [3,13,16,17] Bei hämodynamisch stabilen wie instabilen Patienten sollte zunächst eine konventionelle Röntgenaufnahme des Areals und des Thorax durchgeführt werden. Der stark blutende Patient macht dann die sofortige operative Revision notwendig [17]. Obwohl bei allen Halsverlet-H ie r st e h t e in e A n z e ig e M ü ll e r G ö p p in g e n…”

Section: Introductionunclassified

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Pf�hlungsverletzung des Halses

Oestreicher

Koch

Brücher

2003

HNO

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In comparison to the United States or South Africa, penetrating injuries of the neck are rare in Europe. Most of these traumas are due to sharp perforation mechanisms. We report on a 43-year-old man who was admitted to the emergency room because of an impressive transcervical penetrating neck trauma inflicted by a chisel. He survived the trauma since the chisel missed all important structures of the neck. The diagnostic strategy to evaluate the dimension of the trauma was primarily based on endoscopic and surgical exploration.

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“…Options vary from conservative clinical observation with selective surgical exploration (1)(2)(3) to a more aggressive approach with exploration of all cases (4). Angiography plays a large role in the decision to perform surgical exploration in many instances, but even this procedure, with its own morbidity and mortality, may be controversial.…”

mentioning

confidence: 99%

Evaluation of vertebral artery injury from ballistic trauma to the neck

Bear

Zoarski

Rothman

1997

Emergency Radiology

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This study was conducted to assess the likelihood of vertebral artery injury after gunshot wounds to the neck in patients without and with fracture of the cervical spine. All patients presenting to the emergency department with cervical gunshot wounds were evaluated with cervical spine radiographs; if a fracture was suspected, a computed tomographic scan was obtained. All patients with cervical gunshot wounds underwent selective an. giography of the cervical vessels. The images were retrospectively reviewed by three American Board of Radiology boardcertified radiologists, assessing for the presence of fracture and vascular injury.Of the 50 patients presenting with ballistic trauma to the neck, 21 patients had sustained a cervical spine fracture; of these, 9 patients had a vertebral artery injury. Only 1 of the 29 patients without a cervicalspine fracture had vascular damage. In that patient, however, the bullet was lodged between the transverse processes of the cervical vertebrae at the level of vascular injury. In the absence of a cervical spine fracture or evidence that the missile's trajectory has crossed the vertebral artery, injury to the vertebral artery is unlikely after a gunshot wound to the neck. A computed tomographic scan of the neck may help in tailoring the angiogram performed after ballistic injury.

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Penetrating Trauma of the Neck

Cited by 82 publications

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Mandatory vs Selective Exploration for Penetrating Neck Trauma

Mandatory vs Selective Exploration for Penetrating Neck Trauma

Pf�hlungsverletzung des Halses

Evaluation of vertebral artery injury from ballistic trauma to the neck

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