Abstract
Pediatric neck trauma is an uncommon entity in the United States. Whether the mechanism of injury is blunt or penetrating, there is a significant risk to the upper aerodigestive tract and the surrounding critical neurovascular structures. The National Trauma Data Bank between the years 2008–2012 for children less than 15 years old with penetrating neck trauma (Advances in pediatric neck trauma: What’s New in assessment and management? In: Relias Media—Continuing Medical Education Publishing. https://www.reliasmedia.com/articles/146681-advances-in-pediatric-neck-trauma-whats-new-in-assessment-and-management. Accessed 5 Oct 2021). A total of 1238 pediatric patients were identified among 434,780 children. The most common mechanisms of injury within this group were stabbings and gunshot/firearm. Many blunt injuries are the result of sports participation and play activities. This chapter will focus on blunt and penetrating injuries to the neck, including injuries to the vasculature, digestive tract and larynx and airway management; cervical spine injuries will be addressed separately (Chapter 17).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Bailey BJ, Johnson JT, Jordan JR, Stringer SP. Laryngeal Trauma. In: Head & neck surgery, otolaryngology. Philadelphia, PA: Lippincott Williams & Wilkins; 2006. p. 949–59.
Stone ME, Farber BA, Olorunfemi O, Kalata S, Meltzer JA, Chao E, Reddy SH, Teperman S. Penetrating neck trauma in children. J Trauma Acute Care Surg. 2016;80:604–9.
Bluestone CD, Stool SE, Kenna MA. Injuries of the Neck. In: Pediatric otolaryngology. 3rd ed. Philadelphia, PA: Saunders; 1996. p. 1546–56.
Coleman KC, Hudnall A, Grabo DJ, Pillai L, Borgstrom DC, Wilson A, Bardes JM. Penetrating trauma to the neck: Using your vascular toolkit. J Trauma Acute Care Surg. 2021;91(2):e51–4. https://doi.org/10.1097/ta.0000000000003159.
Gold SM, Gerber ME, Shott SR, Myer CM. Blunt laryngotracheal trauma in children. Arch Otolaryngol Head Neck Surg. 1997;123:83–7.
Monnier P. Pediatric airway surgery management of laryngotracheal stenosis in infants and children. Berlin Heidelberg, Berlin, Heidelberg: Springer; 2011.
Wootten CT, Bromwich MA, Myer CM. Trends in Blunt laryngotracheal trauma in children. Int J Pediatr Otorhinolaryngol. 2009;73:1071–5.
Fenton SJ, Bollo RJ. Blunt cerebrovascular injury in children. Semin Pediatr Surg. 2017;26(1):2–7. https://doi.org/10.1053/j.sempedsurg.2017.01.003.
Schaefer SD. Management of acute blunt and penetrating external laryngeal trauma. Laryngoscope. 2013;124:233–44.
Hazer DB, Çorapçı OE, Reyhanlı G. How do we Handle Traumatic Pediatric Carotid Artery Dissection? J Neurol Stroke. 2017;7(3):00239. https://doi.org/10.15406/jnsk.2017.07.00239.
Savoie KB, Shi J, Wheeler K, Xiang H, Kenney BD. Pediatric blunt cerebrovascular injuries: A national trauma database study. J Pediatr Surg. 2020;55(5):917–20. https://doi.org/10.1016/j.jpedsurg.2020.01.043.
Advances in pediatric neck trauma: What’s New in assessment and management? In: Relias Media—Continuing Medical Education Publishing. https://www.reliasmedia.com/articles/146681-advances-in-pediatric-neck-trauma-whats-new-in-assessment-and-management. Accessed 5 Oct 2021.
Brommeland T, Helseth E, Aarhus M, Moen KG, Dyrskog S, Bergholt B, Olivecrona Z, Jeppesen E. Best practice guidelines for blunt cerebrovascular injury (BCVI). Scand J Trauma Resusc Emerg Med. 2018;26(1):90. https://doi.org/10.1186/s13049-018-0559-1.
Herbert JP, Venkataraman SS, Turkmani AH, Zhu L, Kerr ML, Patel RP, Ugalde IT, Fletcher SA, Sandberg DI, Cox CS, Kitagawa RS, Day AL, Shah MN. Pediatric blunt cerebrovascular injury: the McGovern screening score. J Neurosurg Pediatr. 2018;21(6):639–49. https://doi.org/10.3171/2017.12.PEDS17498.
Shahi N, Phillips R, Meier M, Nehler M, Jacobs D, Recicar J, Bensard D, Moulton S. Anti-coagulation management in pediatric traumatic vascular injuries. J Pediatr Surg. 2020;55(2):324–30. https://doi.org/10.1016/j.jpedsurg.2019.10.009.
Sudarshan M, Cassivi SD. Management of traumatic esophageal injuries. J Thorac Dis. 2019;11(Suppl 2):S172–6. https://doi.org/10.21037/jtd.2018.10.86.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Penn, E.B., Lake, C.M., Ignacio, R.C. (2022). Neck Injuries. In: Kennedy Jr, A.P., Ignacio, R.C., Ricca, R. (eds) Pediatric Trauma Care . Springer, Cham. https://doi.org/10.1007/978-3-031-08667-0_16
Download citation
DOI: https://doi.org/10.1007/978-3-031-08667-0_16
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-08666-3
Online ISBN: 978-3-031-08667-0
eBook Packages: MedicineMedicine (R0)