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Operative Strategies in Penetrating Trauma to the Neck

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Penetrating Trauma
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Abstract

This chapter is a review of the pertinent anatomical considerations and tricks of the trade for neck explorations. The neck has a high density of vital structures that can make an expedient exploration and definitive control difficult. However, there are basic and fairly straightforward methods to safely navigate the neck and gain control of the penetrating injury. The basic approach to laryngeal/tracheal, esophageal, and vascular injuries are discussed. In addition, techniques for damage control surgery are discussed and summarized. These suggestions are based on the author’s personal experience and certainly are not an all inclusive list of tricks. It is the intention of the author to supplement a basic general surgical and trauma-training program.

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References

  1. Demetriades D, Asensio JA, Velmahos G et al (1996) Complex problems in penetrating neck trauma. Surg Clin North Am 6:661–683

    Article  Google Scholar 

  2. Monson DO, Saletta JD, Freeark RJ (1969) Carotid vertebral trauma. J Trauma 9:987–999

    Article  PubMed  CAS  Google Scholar 

  3. Roon AJ, Christensen N (1979) Evaluation and treatment of penetrating cervical injuries. J Trauma 19:391–397

    Article  PubMed  CAS  Google Scholar 

  4. Saletta JD, Lowe RJ, Lim LT et al (1976) Penetrating trauma of the neck. J Trauma 16:579–587

    Article  PubMed  CAS  Google Scholar 

  5. Elerding SC, Manart FD, Moore EE (1980) A reappraisal of penetrating neck injury management. J Trauma 20:695–697

    Article  PubMed  CAS  Google Scholar 

  6. Bishara RA, Pasch AR, Douglas DD et al (1986) The necessity of mandatory exploration of penetrating zone II neck injuries. Surgery 100:655–660

    PubMed  CAS  Google Scholar 

  7. Nance FC, Cohn I Jr (1969) Surgical judgement in the management of stab wounds of the abdomen: a retrospective and prospective analysis based on a study of 600 stabbed patients. Ann Surg 170:569–645

    Article  PubMed  CAS  Google Scholar 

  8. Shirkey AL, Beall AC Jr, Debakey ME (1963) Surgical management of penetrating wounds of the neck. Arch Surg 86:955–963

    PubMed  CAS  Google Scholar 

  9. Biffl WL, Moore EE, Rehse DH et al (1997) Selective management of penetrating neck trauma based on cervical level of injury. Am J Surg 174:678–682

    Article  PubMed  CAS  Google Scholar 

  10. Sriussadaporn S, Pak-Art R, Tharavej C et al (2001) Selective management of penetrating neck injuries based on clinical presentations is safe and practical. Int Surg 86:90–93

    PubMed  CAS  Google Scholar 

  11. Nason RW, Assuras GN, Gray PR et al (2001) Penetrating neck injuries: analysis of experience from a Canadian trauma centre. Can J Surg 44:122–126

    PubMed  CAS  Google Scholar 

  12. Velmahos GC, Souter I, Degiannis E et al (1994) Selective surgical management in penetrating neck injuries. Can J Surg 37:487–491

    PubMed  CAS  Google Scholar 

  13. Golueke PF, Goldstein AS, Sclafani SJ et al (1984) Routine versus selective exploration of penetrating neck injuries: a randomized prospective study. J Trauma 24:1010–1014

    Article  PubMed  CAS  Google Scholar 

  14. Atteberry LR, Dennis JW, Menawat SS, Frykberg ER (1994) Physical examination alone is safe and accurate for evaluation of vascular injuries in penetrating zone II neck trauma. J Am Coll Surg 179:657–662

    PubMed  CAS  Google Scholar 

  15. Sekharan J, Dennis JW, Veldenz HC, Miranda F, Frykberg ER (2000) Continued experience with physical examination alone for evaluation and management of penetrating zone 2 neck injuries: results of 145 cases. J Vasc Surg 32(3):483–489

    Article  PubMed  CAS  Google Scholar 

  16. Demetriades D, Theodorou D, Cornwell E III, Berne TV, Asensio J, Belzberg H, Velmahos G, Weaver F, Yellin A (1997) Evaluation of penetrating injuries of the neck: prospective study of 223 patients. World J Surg 21:41–48

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Marc de Moya .

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© 2012 Springer Berlin Heidelberg

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de Moya, M. (2012). Operative Strategies in Penetrating Trauma to the Neck. In: Velmahos, G., Degiannis, E., Doll, D. (eds) Penetrating Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-20453-1_26

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  • DOI: https://doi.org/10.1007/978-3-642-20453-1_26

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-20452-4

  • Online ISBN: 978-3-642-20453-1

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