Penetrating injuries of the visceral compartment of the neck

Bumpous, Jeffrey M.; Whitt, Paul D.; Ganzel, Toni M; McClane, Stacie D.

doi:10.1016/s0196-0709(00)85023-1

Cited by 31 publications

(11 citation statements)

References 9 publications

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“…Prolonged hospitalization is associated with an unacceptable burden on resources for health and undermines the productive capacity of the population through time lost during hospitalization and disability [1,2,9]. The median duration of hospital stay in this study was found to be longer than that reported by other authors [3,9].…”

Section: Discussionmentioning

confidence: 56%

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Cut throat injuries at a university teaching hospital in northwestern Tanzania: a review of 98 cases

2014

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BackgroundCut throat injuries though rarely reported in literature pose a great therapeutic challenge because multiple vital structures are vulnerable to injuries in the small, confined unprotected area. A sudden increase in the number of cut throat patients in our centre in recent years prompted the authors to analyze this problem. This study was conducted in our local setting to describe the etiology, patterns and treatment outcome of these injuries.MethodsThis was a combined retrospective and prospective study of cut throat injury patients who were managed at Bugando Medical Centre between February 2009 and January 2013. Statistical data analysis was done using SPSS software version 17.0.ResultsA total of 98 patients with cut throat injuries were studied. Males outnumbered females by a ratio of 2.4: 1. The median age of patients was 26 years (range 8 to 78 years). Majority of patients (79.6%) had no employment and most of them (65.3%) came from rural community. Homicide was the commonest (55.1%) cause, followed by suicidal attempts (34.7%) and accidental (10.2%) injuries. Interpersonal conflict (24.4%) was the most common motivating factor for homicidal injury whereas psychiatric illness (16.2%) and road traffic accidents (9.2%) were the most frequent motivating factors of suicidal attempt and accidental injuries respectively. The majority of injuries were in Zone II accounting for 65.3% of cases and most of them had laryngeal (57.1%) injury. Surgical debridement, laryngeal/hypopharynx repair and tracheostomy were the most common surgical procedures performed in 93.9%, 73.5% and 70.4% of patients respectively. Postoperative complication rate was 57.1%, the commonest being surgical site infections in 28.1% of patients and it was significantly associated with late presentation and anatomical zones (P < 0.001). The overall median duration of hospitalization was 12 days. Patients who had postoperative complications stayed longer in the hospital and this was statistically significant (p = 0.011). Mortality rate was 11.2% and was significantly associated with co-morbidities, delayed presentation and presence of complications (p < 0.001). The follow up of patients was poor.ConclusionsCut throat injuries are a major cause of morbidity and mortality among young adult males in our setting. Addressing the root causes of violence such as poverty, unemployment, and substance abuse will reduce the incidence of these injuries in our environment.

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Section: Discussionmentioning

confidence: 56%

“…Cut throat injuries causes profound morbidity due to prolonged hospitalization, high cost of health care, loss of productivity and reduced quality of life and above all death [1,2]. …”

Section: Introductionmentioning

confidence: 99%

Cut throat injuries at a university teaching hospital in northwestern Tanzania: a review of 98 cases

2014

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“…If these findings are not directly seen, direct radiography, computerized tomography, observation or surgical exploration options using imaging methods should be preferred [5]. After the physical examination, if the vital signs are stable, fiberoptic laryngeal examination must be made [6]. The sound examination gives information on the vocal cords and laryngeal nerve injury [7].…”

Section: Discussionmentioning

confidence: 99%

Penetrating neck trauma from a metal object: a late diagnosed case

Demirkiran¹,

Gür²,

Selçuk³

et al. 2016

Med-Science

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The head and neck region contains many vital anatomical structures. Knife and gunshot wounds are the most common cause of penetrating trauma, although many objects may cause an injury with the characteristics of a stab wound. In this case, a metal object of approximately 3 cm penetrated the deep neck structures with no serious damage to neurovascular structures. The distance between the entry area and the area where the foreign body was seen caused a delay in diagnosis in the Emergency Department.

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Section: Cut Throat Injuries At a Tertiary Referral Hospital In Guwahmentioning

confidence: 99%

“…Cut throat injuries causes profound morbidity due to prolonged hospitalization, high cost of health care, loss of productivity and reduced quality of life and above all death, [1,2] .Globally cut throat injuries account for approximately 5% to 10% of all traumatic injuries with multiple structures being injured in 30% of patients, [3][4][5][6][7] .Cut throat injuries pose a great challenge because multiple vital organs for phonation, deglutition, vascular and neurological structures vulnerable to injuries are present in the small, confined unprotected area. A sudden increase in the number of admissions of patients with cut throat injuries in our setting prompted the authors to analyse this problem.…”

Section: Introductionmentioning

confidence: 99%