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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Demetriades D, Asensio JA, Velmahos G et al (1996) Complex problems in penetrating neck trauma. Surg Clin North Am 6:661–683
Monson DO, Saletta JD, Freeark RJ (1969) Carotid vertebral trauma. J Trauma 9:987–999
Roon AJ, Christensen N (1979) Evaluation and treatment of penetrating cervical injuries. J Trauma 19:391–397
Saletta JD, Lowe RJ, Lim LT et al (1976) Penetrating trauma of the neck. J Trauma 16:579–587
Elerding SC, Manart FD, Moore EE (1980) A reappraisal of penetrating neck injury management. J Trauma 20:695–697
Bishara RA, Pasch AR, Douglas DD et al (1986) The necessity of mandatory exploration of penetrating zone II neck injuries. Surgery 100:655–660
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
Shirkey AL, Beall AC Jr, Debakey ME (1963) Surgical management of penetrating wounds of the neck. Arch Surg 86:955–963
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
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
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
Velmahos GC, Souter I, Degiannis E et al (1994) Selective surgical management in penetrating neck injuries. Can J Surg 37:487–491
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
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
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
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
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer Berlin Heidelberg
About this chapter
Cite this chapter
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
Download citation
DOI: https://doi.org/10.1007/978-3-642-20453-1_26
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-20452-4
Online ISBN: 978-3-642-20453-1
eBook Packages: MedicineMedicine (R0)