Penetrating Neck Trauma: Review of 192 Cases
نویسندگان
چکیده
BACKGROUND The neck region contains a high density of vital organ structures within a relatively small and unprotected anatomic region, making it one of the most vulnerable areas of the body for all types of injuries. OBJECTIVES In this article, we studied penetrating neck trauma cases in Alzahra Hospital over a 10-year period. PATIENTS AND METHODS In this retrospective, descriptive, analytical study, penetrating neck trauma cases admitted to Alzahra Hospital between April 2000 and April 2010 were analyzed for epidemiology, mechanism of trauma, zone of trauma, therapeutic method, injuries to other organs, complications, and mortality. RESULTS Among 192 penetrating neck injuries, the mean age at the time of injury was 25.08 ± 15.02 years. Of these cases, 96.4% occurred in men. The most common mechanisms of trauma was stab wounds (85.93%). In 56.3% of penetrating neck injuries, zone 2 was involved. Neck exploration was positive in 84.4% of cases, and 52.1% of patients underwent surgery. Vascular exploration was the most common cause of surgery (67.2% of patients). The most common surgical intervention was vein ligation (50.8% of cases). In 11.98% of cases, another organ injury occurred simultaneously, and chest injury was the most common coexisting problem (65.2%). Complications were reported in 9.3% of patients, and the need for intubation was the most common complication (5.2% of patients). Mortality rate was 1.5%. CONCLUSIONS According to the findings of this study, the most common cause of penetrating neck injuries was stab wounds, and the majority of patients were young men, therefore, preventive measures should be implemented. Because of fatal complications associated with neck injuries, we recommend early neck exploration in unstable cases or when injuries are deeper than the platysma.
منابع مشابه
Management of Laryngotracheal Trauma: A Five-Year Single Institution Experience
Introduction: Laryngotracheal trauma is a rare life-threatening emergency that requires early identification and immediate intervention. Here, we present 26 patients with laryngotracheal trauma from a tertiary hospital in India. The aim was to describe the clinical presentation and management of laryngotracheal trauma patients. Materials and Methods: This was a retrospective study of laryngot...
متن کاملUnusual Presentation of Metallic Foreign Body Aspiration after Penetrating Neck Trauma
A 25 year-old Construction worker underwent neck laceration following penetrating neck trauma in a falling incident. The 3rd tracheal ring was injured which was initially repaired and the patient was discharged in good general condition. (Figure 1 shows the patient’s neck view after discharge from hospital).Two months later the patient was again admitted due to provocative coughing and a metal ...
متن کاملPenetrating Carotid Artery Injuries Treated by an Urgent Endovascular Stent Technique: Report of Two Cases
Penetrating neck injuries are potentially dangerous and require emergent management because of the presence of vital structures in the neck. Penetrating vascular trauma to zone I and III of the neck is potentially life-threatening. An accurate diagnosis and adequate surgical intervention are critical to the successful outcome of penetrating trauma in the neck. We experienced some cases with ext...
متن کاملA review on cardiac penetrating trauma emphasizing on five cases with cardiac chambers injury referred to Khorramabad Shohada Ashayer hospital during one year (2001-2003)
Introduction: Trauma is the 3rd major cause of death in urban areas, and cardiac penetrating injury is one of the most important causes of it. Vital signs, mechanism of injury and cardiac tamponad are the important prognostic factors in this patients. At about 70% of alive injured patients have not any clinical symptoms related to cardiac injury, for this reason early diagnosis according to c...
متن کاملManagement of an Unusual Tracheoesophageal Party Wall Foreign Body
Introduction: Penetration injury to the neck constitutes 5–10% of all trauma cases. Penetration of a foreign body into the trachea with subsequent impaction into the tracheoesophageal party wall is extremely rare. We present a patient with an unusual penetrating injury of the neck caused by a metallic foreign body embedded into the tracheoesophageal party wall, and its management. Case Repor...
متن کامل