Diagnosis, Management and Treatment of Neck Trauma

Petrone, Patrizio; Velaz-Pardo, Leyre; Gendy, Amir; Velcu, Laura; Brathwaite, Collin; Joseph, D’Andrea

doi:10.1016/j.cireng.2019.10.011

Cited by 3 publications

(3 citation statements)

References 123 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Recently, most authors advocate a “no zone management” [ 11 , 12 ] and recommend searching for signs that correspond to the underlying injury. “Major or Hard signs” include pulsatile hematoma, expanding hematoma, massive subcutaneous oedema, air bubbling through the wound, severe hematemesis or hemoptysis, or focal neurological deficit.…”

Section: Discussionmentioning

confidence: 99%

External laryngotracheal trauma: a case series and an algorithmic management strategy

Pincet,

Lecca,

Chrysogelou

et al. 2024

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Objectives External laryngotracheal trauma (ELT), blunt or penetrating, is a rare but potentially life-threatening injury. Immediate care in the emergency department can be challenging because it requires managing a potentially unstable airway and may have associated vascular injuries with massive bleeding. Here, we look at the details of injury, treatment measures, and outcomes in patients following ELT. Methods We retrospectively analyzed 22 patients treated at our center for ELT from January 2005 up to December 2021 with varying grades of injury. We looked at their status at presentation, management strategy and functional status. Results In our report, we include 18 men and 4 women having varying Schaefer injury grades. Eight patients had tracheostomy at presentation and eight had vocal fold immobility. Two patients were treated endoscopically, 12 had open surgery and 8 received no treatment. Of the patients undergoing open surgery, thyroid cartilage fracture was seen in 9 patients, thyroid plus cricoid fracture and cricotracheal separation were seen in 3 patients each. All patients were safely decannulated and spontaneous recovery of vocal cord palsy was seen in some patients. Conclusion The success of managing ELT relies on fast decision-making, correct patient evaluation, securing the airway and maintaining the hemodynamic stability. Early surgical intervention must be aimed at optimally treating the larygotracheal injuries to prevent long-term disastrous consequences.

show abstract

Section: Discussionmentioning

confidence: 99%

External laryngotracheal trauma: a case series and an algorithmic management strategy

Pincet,

Lecca,

Chrysogelou

et al. 2024

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…El pronóstico depende de la detección a tiempo de la localización y extensión de los traumas a nivel craneoencefálico, tórax y abdomen. Es decir, mientras más tiempo se demore el médico en la determinación de estas, aumenta proporcionalmente la mortalidad, siendo contrario este resultado en el diagnóstico temprano (35).…”

Section: Pronósticounclassified

Traumatismos (Craneoencefálico, Tórax, Abdomen)

Narváez¹,

León²,

Lozano³

et al. 2022

Suturando Conocimientos en El Arte De La Cirugía

View full text Add to dashboard Cite

Dentro de los múltiples tipos de traumatismos encontramos el Traumatismo craneoencefálico (TCE) el cual es una afectación cerebral que involucra las capacidades cognitivas y físicas de los pacientes, el traumatismo torácico el cual incluye diferentes aparatos vitales del cuerpo como el aparato respiratorio y circulatorio. Y finalmente, el traumatismo abdominal en el cual se ven implicados varios órganos como el colon, páncreas, hígado, entre otros más. De todos los traumatismos antes mencionados los más frecuentes son los toracoabdominales con una prevalencia del 67.7% en el tórax anterior, mientras que, el traumatismo con mayor morbi-mortalidad a nivel mundial es el TCE siendo más habitual en el sexo masculino. El diagnóstico se lo establece por medio de pruebas de imagen como la resonancia magnética, prueba de elección para detectar TCE, la radiografía, la tomografía computarizada (TAC), y el eco FAST pruebas que son de gran utilidad al momento de diagnosticar traumatismos toracoabdominales. Finalmente, en la mayoría de los casos el tratamiento es quirúrgico con un pronóstico directamente proporcional a la detección inmediata del sitio afecto, por ello, a lo largo de este capítulo abordaremos la epidemiología, fisiopatología, manifestaciones clínicas, exámenes complementarios y tratamiento.

show abstract

“…The neck is an especially hazardous area for traumatic injuries. Penetrating neck injuries comprise 5-10% of traumatic injuries in adults [ 1 ]. Although countries like South Africa and other countries in Central and South America have the highest reported rates, countries in Europe have reported increasing levels of interpersonal violence over the last decade [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Airway Management for Penetrating Neck Trauma: A Case Report

Oliveira¹,

Maia²,

Gonçalves³

et al. 2023

Cureus

View full text Add to dashboard Cite

Penetrating neck injuries comprise 5-10% of traumatic injuries in adults and can cause immediate lifethreatening compromise. Performing awake fibreoptic intubation in cooperative patients when airway management is not time critical has been suggested as a method of securing these potentially complicated airways. We report a case of a male in his 20s who presented to the emergency service with neck trauma following a bicycle road accident. With the exception of a wound in the neck region, there were no alarming distress signs or symptoms of airway endangerment. Imagiological evaluation revealed a rupture of the right lateral tracheal wall. He was referred for urgent surgery. We performed intubation with video laryngoscopy assisted by a neck surgery team, keeping the patient breathing spontaneously and under deep sedation. After advancing the tube through the vocal cords, the surgeon explored the cervical wound, guiding the tube through the trachea. Keeping spontaneous ventilation and advancing the tracheal tube beyond the lesion under visualization is essential when managing a traumatized airway. Tracheal intubation using video laryngoscopy, assisted by a neck surgeon guiding the tube, and avoiding creation of a false passage can be a safe alternative to fibreoptic intubation in selected cases of tracheal laceration.

show abstract

Diagnosis, Management and Treatment of Neck Trauma

Cited by 3 publications

References 123 publications

External laryngotracheal trauma: a case series and an algorithmic management strategy

External laryngotracheal trauma: a case series and an algorithmic management strategy

Traumatismos (Craneoencefálico, Tórax, Abdomen)

Airway Management for Penetrating Neck Trauma: A Case Report

Contact Info

Product

Resources

About