role of physical examination in decision making for selective exploration in patients with penetrating zone ii neck injury
نویسندگان
چکیده
objective: to evaluate the role of physical examination in decision making for exploring patients with penetrating zone ii neck injury. methods: this was a cross-sectional study being performed in a level i trauma center between 2006 and 2010. the present study reviewed the records of 150 patients with penetrating neck injuries. of 46 cases with zone ii deep platysma neck injuries, 3 patients died before taking any significant medical measure. results: thirty of 43 patients (70%) presented with hard sings while 13 (30%) did not show these sings. all patients underwent neck exploration. two patients (4.6%) without hard sings exhibited positive findings, whereas 29 cases (67%) with hard sings reported positive on exploration. conclusion: briefly, we hold the view that it seems reasonable to follow an algorithmic approach by using physical examination of the patients with zone ii penetrating neck injuries. this prevents unnecessary exploration for management of such patients.
منابع مشابه
Role of Physical Examination in Decision Making for Selective Exploration in Patients with Penetrating Zone II Neck Injury.
OBJECTIVE To evaluate the role of physical examination in decision making for exploring patients with penetrating zone II neck injury. METHODS This was a cross-sectional study being performed in a level I trauma center between 2006 and 2010. The present study reviewed the records of 150 patients with penetrating neck injuries. Of 46 cases with zone II deep platysma neck injuries, 3 patients d...
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BACKGROUND Selective management of penetrating neck injuries has been considered the standard of care with minimal risks to patient safety. In a previous non-randomized prospective study conducted at our center, selective management proved to be safe and reduced unnecessary exploratory cervicotomies. In the present study, the role of clinical examination and selective diagnostic tests were asse...
متن کاملSelective observational management of penetrating neck injury in northern Nigeria.
BACKGROUND The most appropriate management of penetrating neck injury (PNI) remains controversial. This study was conducted to determine the accuracy and safety of physical examination as the basis of selective observational management of PNI at our institution. METHODS The study was conducted between 1991 and 2006. Patients whose injuries penetrated platysma were included. Following resuscit...
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عنوان ژورنال:
bulletin of emergency and traumaجلد ۱، شماره ۲ APR، صفحات ۹۰-۹۲
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