scholarly journals Correlation between the level of the external wound and the internal injury in penetrating neck injury does not favour an initial zonal management approach

BJS Open ◽  
2020 ◽  
Vol 4 (4) ◽  
pp. 704-713 ◽  
Author(s):  
A. S. Madsen ◽  
J. L. Bruce ◽  
G. V. Oosthuizen ◽  
W. Bekker ◽  
M. Smith ◽  
...  
Keyword(s):  
Neck Injury ◽  
Management Approach ◽  
Penetrating Neck Injury ◽  
External Wound

The Use of the Anatomic ‘Zones’ of the Neck in the Assessment of Penetrating Neck Injury

2014 ◽  
Vol 80 (10) ◽  
pp. 970-974 ◽  
Author(s):  
Garren M. I. Low ◽  
Kenji Inaba ◽  
Konstantinos Chouliaras ◽  
Bernardino Branco ◽  
Lydia Lam ◽  
...  
Keyword(s):  
Gunshot Wounds ◽  
Neck Injury ◽  
Neck Trauma ◽  
External Zone ◽  
Penetrating Neck Injury ◽  
Internal Structures ◽  
High Incidence ◽  
Penetrating Neck Trauma ◽  
External Wound

The traditional classification of neck injuries uses an anatomic description of Zones I through III. The objective of this article was to characterize the association between external wounds and the corresponding internal injuries after penetrating neck trauma to identify the clinical use of the anatomic zones of the neck. Patients who sustained penetrating neck trauma from December 2008 to March 2011 were analyzed. All patients underwent structured clinical examination documenting the external zone where the wound(s) were located. All internal injuries were then correlated with the external wounds. An internal injury was defined as “unexpected” if it was located outside the borders of the neck zone corresponding to the external wound. In total, 146 patients sustaining a penetrating neck injury were analyzed; 126 (86%) male. The mechanism of injury was stab wounds in 74 (51%) and gunshot wounds in 69 (47%). Mean age was 31 years (range, nine to 62 years). Thirty-seven (25%) patients sustained had a total of 50 internal injuries. There was a high incidence of noncorrelation between the location of the external injury and the internal structures that were damaged in patients with hard signs of vascular or aerodigestive injury. The use of the anatomic zones and their role in the workup of penetrating neck injury are questionable.

scholarly journals Penetrating neck injury: Selective surgery versus urgent exploration?

2016 ◽  
Vol 1 (1) ◽  
pp. 106-109
Author(s):  
Jasmine Pei Ying Kho ◽  
Ernest Cun Wang Ong ◽  
Ing Ping Tang
Keyword(s):  
Neck Injury ◽  
Penetrating Neck Injury ◽  
Selective Surgery

The Management of Penetrating Neck Injury With Retained Knife: 15-Year Experience From a Major Trauma Center in South Africa

2021 ◽  
pp. 000313482110651
Author(s):  
Victor Kong ◽  
Cynthia Cheung ◽  
Jonathan Ko ◽  
William Xu ◽  
John Bruce ◽  
...  
Keyword(s):  
South Africa ◽  
Operating Room ◽  
Trauma Center ◽  
Major Trauma ◽  
Length Of Hospital Stay ◽  
Neck Injury ◽  
Neck Exploration ◽  
Anterior Neck ◽  
Penetrating Neck Injury ◽  
Posterior Neck

Background This study reviews our cumulative experience with the management of patients presenting with a retained knife following a penetrating neck injury (PNI). Methods A retrospective cohort study was conducted at a major trauma center in South Africa over a 15-year period from July 2006 to December 2020. All patients who presented with a retained knife in the neck following a stab wound (SW) were included. Results Twenty-two cases were included: 20 males (91%), mean age: 29 years. 77% (17/22) were retained knives and 23% (5/22) were retained blades. Eighteen (82%) were in the anterior neck, and the remaining 4 cases were in the posterior neck. Plain radiography was performed in 95% (21/22) of cases, and computed tomography (CT) was performed in 91% (20/22). Ninety-five percent (21/22) had the knife or blade extracted in the operating room (OR). Formal neck exploration (FNE) was undertaken in 45% (10/22) of cases, and the remaining 55% (12/22) underwent simple extraction (SE) only. Formal neck exploration was more commonly performed for anterior neck retained knives than the posterior neck, although not statistically significant [56% (10/18) vs 0% (0/18), P = .096]. There were no significant differences in the need for intensive care admission, length of hospital stay, morbidities, or mortalities between anterior and posterior neck retained knives. Discussion Uncontrolled extraction of a retained knife in the neck outside of the operating room may be dangerous. Retained knives in the anterior neck commonly required formal neck exploration but not for posterior neck retained knives.

scholarly journals Cutaneous fistula due to remaining foreign bodies after penetrating neck injury

2013 ◽  
Vol 2013 (oct04 1) ◽  
pp. bcr2013201278-bcr2013201278 ◽  
Author(s):  
W. M. P. F. Bosman ◽  
E. D. Ritchie ◽  
S. A. da Costa
Keyword(s):  
Foreign Bodies ◽  
Neck Injury ◽  
Cutaneous Fistula ◽  
Penetrating Neck Injury

5-Year management and outcomes of penetrating neck injury in a trauma center. Penetrating neck injury

2021 ◽  
Author(s):  
Francisco Reyna-Sepúlveda ◽  
Daniel Cantu-Alejo ◽  
Adrian Martinez-Fernandez ◽  
Jaime Rodriguez-Garcia ◽  
Asdrubal Guevara-Charles ◽  
...  
Keyword(s):  
Trauma Center ◽  
Neck Injury ◽  
Penetrating Neck Injury

Penetrating neck injury (an unusual automobile accident)

1972 ◽  
Vol 86 (12) ◽  
pp. 1253-1259 ◽  
Author(s):  
B. M. Abrol ◽  
B. M. L. Kapur ◽  
M. Raveendran
Keyword(s):  
Neck Injury ◽  
Automobile Accident ◽  
Penetrating Neck Injury
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