Update Halstraumata

Vielsmeier, Veronika; Hackenberg, S.; Schelzig, Hubert; Knapsis, A.

doi:10.1007/s00106-022-01214-5

Cited by 1 publication

(2 citation statements)

References 37 publications

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“…The medical management of complex cervical trauma has turned into a conservative approach over time. The necessity for surgical examinations in patients with penetrating traumatic lesions of the aerodigestive tract or large vessels should be founded on clinical evidence, which is a credible indicator for an open examination [15].…”

Section: Discussionmentioning

confidence: 99%

“…This approach to management is preferable to be performed only in hospital units with the necessary logistical support [3][4][5][6]. The mortality and morbidity of negative surgical examinations are rarely higher than the traumatic injuries themselves [5][6][7][8][9][10][11][12][13][14][15]. In our research, we collected information from medical records regarding epidemiological elements, clinical and paraclinical exploration, as well as an indication for surgical exploration, processed by statistical tools to establish the sensibility and sensitivity of each parameter to establish the type of risk factor, either positive or negative, involved in determining the prognosis of complex aerodigestive cervical trauma.…”

Section: Introductionmentioning

confidence: 99%

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Prognostic Significance of Multifactorial Analysis in Complex Cervical Aero-Digestive Trauma Cases

Severin,

Danila,

Nicolau

et al. 2024

Medicina

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Background and Objectives: In the context of complex aerodigestive cervical traumas, the prognosis and outcome heavily depend on risk factors, particularly injuries to the larynx, trachea, major digestive tissues, cervical vertebrae, and vascular structures. With the increasing prevalence of trauma as a public health concern, there is a pressing need for epidemiological research and the implementation of preventative measures. The purpose of this research is to establish the profile of the predictable impact factors that determine the prognosis of patients with complex cervical trauma. Methods and Methods: The study group consisted of 106 patients with complex cervical trauma pathology developed by various mechanisms such as car accidents, home-related accidents, aggression, gunshot wounds, and self-inflicted attempts, resulting in hospitalization in the E.N.T. Clinic at “St. Spiridon” Iași Hospital, from 2012 to 2016; medical records were the source of the collected data. Results: Hemodynamic instability upon admission associated with age, muscle and laryngeal injuries, and anemia were identified as negative prognostic factors. Additionally, the utilization of imaging-based paraclinical investigations for diagnosing traumatic lesions emerged as a positive prognostic factor in managing this pathology. The management of penetrating cervical trauma remains a subject of debate, with some advocating for surgical exploration beyond the platysma layer in all cases, while others argue for a more selective conservative approach due to a high rate of negative explorations. Conclusions: The statistical evaluation of epidemiological, clinical, lesion, paraclinical, and therapeutic parameters is needed to establish predictable risk factors in the prognosis of complex aerodigestive cervical trauma.

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Section: Discussionmentioning

confidence: 99%