Advertisement

Penetrating Neck Trauma

  • Mariana F. Jucá Moscardi
  • Silvania Klug Pimentel
  • Fernanda Cristina Silva
  • Jean Raitz Novais
  • Antonio Marttos
Chapter

Abstract

The trauma of the cervical region is characterized by its high complexity and high morbidity. It contains respiratory, digestive, vascular, neurologic, lymphatic, and endocrine systems. The first step is to evaluate and manage the airway, ensuring a safe airway. Once the airway is secured, the neck should be fully evaluated. Shock, active hemorrhage, expanding or pulsatile hematoma, airway compression, or dyspnea, air bubbling through wound and instrument in situ indicate that the patient should be taken immediately to the operating room. The neck is divided into three zones anatomically delimited: Zone I, Zone II, and Zone III. Injuries in Zone I should be evaluated for esophagus or airway problems. Injuries in Zone III might require expertise from ENT or vascular/neurosurgery. Zone II traumas require CT angiogram to evaluate the carotid and vertebral arteries.

Keywords

Penetrating neck trauma Airway Trauma Neck trauma Shock Neck zones 

Bibliography

  1. 1.
    Cassimiro AD, et al. Abordagem do Trauma Cervical Penetrante na zona II. Rev Med Minas Gerais. 2010;20(4 Suppl 2):S1–S147.Google Scholar
  2. 2.
    Britt LD, Weireter LJ, Cole JF. Management of acute neck injuries. In: Mattox KL, Feliciano DV, Moore EE. Trauma. 6ª ed. New York: McGraw-Hill; 2007.Google Scholar
  3. 3.
    David BH, Maisel RH. Penetrating and blunt trauma of the neck. Cummings otolaryngology – head and neck surgery. 5th ed. Philadelphia, PA: Mosby; 2010. p. 1625–35.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Mariana F. Jucá Moscardi
    • 1
  • Silvania Klug Pimentel
    • 2
  • Fernanda Cristina Silva
    • 2
  • Jean Raitz Novais
    • 3
  • Antonio Marttos
    • 4
  1. 1.University of Miami, Ryder Trauma CenterMiamiUSA
  2. 2.Department of SurgeryHospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  3. 3.Iwan Collaço Trauma Research Group, Department of SurgeryHospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  4. 4.William Lehman Injury Research Center, Division of Trauma & Surgical Critical Care, Dewitt Daughtry Department of SurgeryLeonard M. Miller School of Medicine Miami, University of MiamiMiamiUSA

Personalised recommendations