Complex Problems in Penetrating Neck Trauma

Δημητριάδης, Δημήτριος; Asensio, Juan A.; Velmahos, George C.; Thal, Erwin R.

doi:10.1016/s0039-6109(05)70475-8

Cited by 138 publications

(96 citation statements)

References 73 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Gonzalez et al in a prospective blinded study, showed that dynamic CT scan in penetrating neck injury was sensitive in diagnosing associated injuries. 17 They however concluded that the majority of these injuries do not require identification or surgical intervention.…”

mentioning

confidence: 99%

A study of incidence, causes and management of cut throat injuries

Chappidi

Chilukuri

2018

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

Background: Cut throat injuries is trauma that needs prolonged hospitalization, high cost of health care and reduced quality of life and above all death. The aim of the study was to study on cut throat of injuries including its incidence factors provoked and management.Methods: it is prospective study conducted for a period of 2 years. A total of 30 cases of cut throat injuries were included in the study of patients from age group 5-70 yrs. Results: Male to female ratio was (9:1). Cut throat injury was more common in males who came from rural area. Most of them were unemployed and of low socioeconomic group and of low education level. Cut throat injuries were common in Hindu religion followed by Muslims. The most common cause of cut throat injury in our study was homicidal 17(56.6%) followed by suicidal 9 (30%) and accidental 4(13.3%). In our study 11(36.6%) cut throats were superficial and 19 (63.33%) were deep. 19 (63.33) cases sustained grieveous injury with 7 patients were dead. In all the cases (100%) skin, soft tissue and small vessels were severed. The laryngotracheal injury was present in 12 cases. The majority of patients reached the hospital between 6-10 hours. Simple wound closure was done in 17 cases. 30 patients 23 patients had improved in follow up with no complaint of alteration in voice. 12 (40%) patients had stay of around 0–10 days and with only 10 (33.33%).Conclusions: with the advent of newer diagnostic modalities management of cut throat injuries which allow more precise and better management of cut throat injuries. The management of cut throat injuries require a multidisciplinary approach requiring the close collaboration of the otolaryngologist, the anaesthetist and the psychiatrist.

show abstract

mentioning

confidence: 99%

A study of incidence, causes and management of cut throat injuries

Chappidi

Chilukuri

2018

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…6,7 Mortality is even higher when PNI includes penetrating laryngotracheal trauma (20%) or pharyngoesophageal injuries (22%). [8][9][10] When discussing PNI, standardized nomenclature divides the neck into three anatomic zones. Zone I extends from the thoracic inlet to the cricoid cartilage.…”

Section: Discussionmentioning

confidence: 99%

Airway management of an open penetrating neck injury

Youssef

Raymer

2015

CJEM

View full text Add to dashboard Cite

Although penetrating neck injuries (PNIs) represent a small subset of patients presenting to the emergency department (ED), they can result in significant morbidity and mortality. The approach to airway management in PNI varies widely according to clinical presentation and local practice, such that global management statements are lacking. Although rapid sequence intubation (RSI) may be safe in most patients with PNI, the high-risk subset (10%) of patients with laryngotracheal injury require particularly judicious airway management. It is not known if RSI is safe in such patients, nor has there been reported use of videolaryngoscopy in patients with open PNI. Established principles of airway management in patients with an open airway injury include the avoidance of both positive pressure bag-mask ventilation and blind tube passage and the early consideration of a surgical airway. Because this high-risk subset may not be clinically apparent on initial presentation in the ED, such guiding principles apply to all patients with PNI until the nature of the injury is more accurately defined. In this report, we present the case of a patient who presented to the ED with a zone II open PNI, which occurred as a result of a stab wound. RÉ SUMÉBien que les plaies pé né trantes du cou (PPC) repré sentent un faible pourcentage des cas traité s dans les services d'urgence (SU), elles peuvent né anmoins entraîner une forte morbidité et une forte mortalité . Les interventions en vue du maintien de la permé abilité des voies aé riennes dans les cas de PPC varient é normé ment selon le tableau clinique et les pratiques locales, au point que les dé clarations sur la prise en charge gé né rale manquent. Si l'intubation en sé quence rapide (ISR) est sans danger chez la plupart des patients souffrant d'une PPC, le maintien de la permé abilité des voies aé riennes dans le sous-groupe de patients à risque é levé (10%) pré sentant des lé sions laryngotraché ales exige des interventions particuliè rement judicieuses. On ne sait pas si l'ISR est sû re chez ces patients, et la documentation ne fait pas é tat non plus de l'utilisation de la vidé olaryngoscopie chez les patients souffrant d'une PPC bé ante. Les principes dé jà é tablis du maintien de la permé abilité des voies aé riennes dans les cas de blessure bé ante des voies aé riennes comprennent le non-recours à la ventilation par masque et ballon à pression positive et à l'intubation à l'aveugle ainsi que la possibilité d'une ouverture chirurgicale pré coce des voies aé riennes. Comme les lé sions dans ce sous-groupe de patients à risque é levé peuvent ê tre non dé celables cliniquement à la premiè re consultation au SU, ces principes de conduite s'appliquent à tous les blessé s pré sentant une PPC jusqu'à ce que la nature du trauma soit davantage pré cisé e. Sera exposé ici le cas d'une patiente traité e au SU pour une PPC bé ante de la zone II, par suite d'une agression à l'arme blanche.

show abstract

“…It may cause life-threatening complications if pneumomediastinum is missed and have not been evaluated by CT scan. Some of these complications of deep cervical emphysema and pneumomediastinum are retropharyngeal abscess, mediastinitis, sepsis and collapse of great vessels and heart [5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Deep cervicofacial emphysema and pneumomediastinum due to penetrant oral trauma

Ezerarslan¹,

Ataç²,

Kaplan³

et al. 2014

IJCRI

View full text Add to dashboard Cite

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. IJCRI publishes Review

show abstract

Complex Problems in Penetrating Neck Trauma

Cited by 138 publications

References 73 publications

A study of incidence, causes and management of cut throat injuries

A study of incidence, causes and management of cut throat injuries

Airway management of an open penetrating neck injury

Deep cervicofacial emphysema and pneumomediastinum due to penetrant oral trauma

Contact Info

Product

Resources

About