Penetrating Neck Trauma in Operation Iraqi Freedom

Brennan, Joseph; Lopez, Manuel A.; Gibbons, M. David; Hayes, Donald F.; Faulkner, Jeffrey A.; Dorlac, Warren C.; Barton, Chester

doi:10.1177/0194599810391628

Cited by 37 publications

(36 citation statements)

References 28 publications

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“…4 Overall mortality rates for penetrating neck trauma are estimated at between 3 and 6 per cent, most commonly as a result of injury to vascular structures and exsanguination. [5][6][7] The management of penetrating neck trauma is highly variable, being influenced by region and local experience. 1,2,5 The development of modern medical, anaesthetic and surgical practice, along with military experience (most recently in Iraq and Afghanistan), has resulted in improved patient outcomes and more effective management.…”

Section: Introductionmentioning

confidence: 99%

Penetrating neck trauma and the need for surgical exploration: six-year experience within a regional trauma centre

et al. 2016

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Section: Introductionmentioning

confidence: 99%

Penetrating neck trauma and the need for surgical exploration: six-year experience within a regional trauma centre

et al. 2016

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“…10,[12][13][14][15] Multiple studies have described the incidence and man agement of head and neck trauma during various portions of the OIF/OEF conflicts.2^1, 16,17 The Joint Facial and Invasive Neck Trauma (J-FAINT) study recently reviewed the Joint Theater Trauma Registry database and described all service members treated for head and neck trauma during 8 years of the OIF/OEF conflicts (2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011) 4 The J-FAINT study confirmed the high prevalence of maxillofacial injuries in current conflicts and found that midface fractures, in particu *Department of Otolaryngology-Head and Neck Surgery, Naval Medical Center San Diego, San Diego, CA 92134.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of Maxillofacial Injuries and Safety of In-Theater Facial Fracture Repair in Severe Combat Trauma

et al. 2015

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The study objectives were to characterize maxillofacial injuries and assess the safety of in-theater facial fracture repair in U.S. military personnel with severe combat trauma from Iraq and Afghanistan. We performed a retrospective chart review of the Expeditionary Medical Encounter Database from 2004 to 2010. 1,345 military personnel with combat-related maxillofacial injuries were identified. Injury severity was quantified with the Abbreviated Injury Scale and Injury Severity Score. Service members with maxillofacial injury and severe combat trauma (Injury Severity Score ≥ 16) were included. The distribution of facial fractures, types, and outcomes of surgical repairs, incidence of traumatic brain injury, concomitant head and neck injuries, burn rate/severity, and rates of Acinetobacter baumannii colonization and surgical site infection were analyzed. The prevalence of maxillofacial injury in the Expeditionary Medical Encounter Database was 22.7%. The most common mechanism of injury was improvised explosive device (65.7%). Midface trauma and facial burns were common. Approximately 64% of the study sample sustained traumatic brain injury. Overall, 45.6% (109/239) had at least one facial bone fracture. Of those with facial fractures, 64.2% (n = 70) underwent surgical repair. None of the service members who underwent in-theater facial fracture repair developed A. baumannii facial wound infection or implant extrusion.

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“…11,14 Penetrating face and neck trauma accounted for more than 75% of the injuries that necessitated critical airway control in OIF. 15 High-velocity trauma causes acute hemorrhage, tissue prolapse, and massive edema that may result in significant airway obstruction necessitating emergent airway control. 11,16 A simple and efficient way to assess airway patency is for the surgeon to ask the patient to talk.…”

Section: Airway Managementmentioning

confidence: 99%

Management of Battlefield Injuries to the Skull Base

Stevens

Brennan

2016

J Neurol Surg B

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High velocity skull base injuries on the battlefield are unique in comparison to most civilian sector trauma. With more than 43,000 United States military personnel injuries during Operations Iraqi Freedom (OIF) and Enduring Freedom (OEF), the most recent conflicts in Iraq and Afghanistan have significantly expanded the understanding of the physiology of modern battlefield trauma and how to appropriately address these injuries. The acute care principles of effective triage, airway management, and hemorrhage control in these injuries can be life saving and are reviewed here. Specific injury patterns and battlefield examples are reviewed as well, with a review of some of the lessons learned while providing care in a deployed setting. Utilization of the knowledge learned in Iraq and Afghanistan, which have improved casualty care of deployed service members, can be used both in future military conflicts and in civilian trauma care.

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Penetrating Neck Trauma in Operation Iraqi Freedom

Abstract: The perioperative mortality and the positive exploration rate for high-velocity penetrating neck trauma by deployed surgeons in OIF are very comparable to those rates seen in civilian centers managing low-velocity penetrating neck trauma.

Cited by 37 publications

References 28 publications

Penetrating neck trauma and the need for surgical exploration: six-year experience within a regional trauma centre

Penetrating neck trauma and the need for surgical exploration: six-year experience within a regional trauma centre

Characteristics of Maxillofacial Injuries and Safety of In-Theater Facial Fracture Repair in Severe Combat Trauma

Management of Battlefield Injuries to the Skull Base

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