Zusammenfassung
Penetrierende Schussverletzungen im Halsbereich stellen eine besondere Herausforderung für den erstversorgenden Chirurgen dar. Anhand eines Fallbeispiels aus dem deutschen Einsatzlazarett in Mazar-e-Sharif (Nordafghanistan) und einer Literaturübersicht werden Diagnostik und Therapie von penetrierenden Schuss- und Splitterverletzungen der Zone II dargestellt.
Abstract
Penetrating gunshot neck injuries present a serious challenge for the primary attending surgeon. By means of a case treated in the German Field Hospital in Mazar-e-Sharif (northern Afghanistan) and a review of the literature, the principles of diagnosis and treatment of penetrating zone II neck injuries due to gunshots or shrapnel are presented.
Literatur
Asensio JA, Berne J, Demetriades D et al (1997) Penetrating esophageal injuries: time intervall of safety for preoperative evaluation – how long is safe? J Trauma 43:319–323. doi:10.1097/00005373-199708000-00018
Cox MW, Whittaker DR, Martinez C et al (2007) Traumatic pseudoaneurysms of the head and neck: Early endovascular intervention. J Vasc Surg 46:1227–1233. doi:10.1016/j.jvs.2007.08.021
Degiannis E, Bonanno F, Titius W et al (2005) Behandlung von penetrierenden Verletzungen an Hals, Thorax und Extremitäten. Chirurg 76:945–958. doi:10.1007/s00104-005-1095-x
Doctor VS, Farwell DG (2007) Gunshot wounds to the head and neck. Curr Opin Otolaryngol Head Neck Surg 15:213–218
Ernst A, Herzog M, Seidl RO (Hrsg) (2003) Traumatologie des Kopf-Hals-Bereichs. Georg Thieme, Stuttgart New York, S 208–211
Hwang SY, Yeak SCL (2004) Management dilemmas in laryngeal trauma. J Laryngol Otol 118:325–328. doi:10.1258/002221504323086471
Juutilainen M, Vintturi J, Robinson S et al (2008) Laryngeal fractures: clinical findings and consideration on suboptimal outcome. Acta Otolaryngol 128:213–218
Kim DH, Murovic JA, Tiel RL, Kline DG (2004) Penetrating injuries due to gunshot wounds involving the brachial plexus. Neurosurg Focus 16(5):E3
LeMay SR (1971) Penetrating wounds of the larynx and the cervical trachea. Arch Otolaryngol 94:558–564
Minard K, Kudsk KA, Croce MA et al (1992) Laryngeotracheal trauma. Am J Surg 58:181–187
Mulder DS, Barkun JS (1991) Injury to the trachea, bronchus and esophagus. In: Moore EE, Mattox KL, Feliciano DV (eds) Trauma. Appelton & Lange, Norwalk, pp 343–355
Murray CK (2008) Infectious disease complications of combat-related injuries. Crit Care Med 36:358–364 doi:10.1097/CCM.0b013e31817e2ffc
Petersen K, Hayes DK, Blice JP, Hale RG (2008) Prevention and management of infections associated with combat-related head and neck injuries. J Trauma 64:265–276. doi:10.1097/TA.0b013e318163d2a6
Rezende-Neto J, Marques AC, Guedes LJ, Teixeira LC (2008) Damage control principles applied to penetrating neck and mandibular injury. J Trauma 64:1142–1143. doi:10.1097/TA.0b013e318166d2d2
Rustemeyer J, Kranz V, Bremerich A (2007) Injuries in combat from 1982 – 2005 with particular reference to those to the head and neck: a review. Br J Oral Maxillofac Surg 45:556–560. doi:10.1016/j.bjoms.2007.01.003
Sasaki CT, Marotta JC, Lowlicht RA et al (2003) Efficacy of resorbable plates for reduction and stabilization of laryngeal fractures. Ann Otol Rhinol Laryngol 112:325–328
Schaefer SD (1992) The acute management of external laryngeal trauma: a 27-year experience. Arch Otolaryngol Head Neck Surg 118:598–604
Velmahos GC, Souter I, Degiannis E et al (1994) Selective surgical management in penetrating neck injuries. Can J Surg 37:487–491
Wade AL, Dye JL, Mohrle CR, Galarneau MR (2007) Head face,and neck injuries during Operation Iraqi Freedom II: results from the US Navy – Marine Corps Combat Trauma Registry. J Trauma 63:836–840. doi:10.1097/01.ta.0000251453.54663.66
Xydakis MS, Fravell MD, Nasser KE, Casler JD (2005) Analysis of battlefield head and neck injuries in Iraq and Afghanistan. Otolaryngol Head Neck Surg 133:497–504. doi:10.1016/j.otohns.2005.07.003
Yugueros P, Sarmiento JM, Garcia AF, Ferrada R (1996) Conservative management of penetrating hypopharyngeal wounds. J Trauma 40:267–269. doi:10.1097/00005373-199602000-00016
Interessenkonflikt
Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Maier, H., Tisch, M., Steinhoff, S. et al. Penetrierende Schussverletzung im Halsbereich. HNO 57, 839–844 (2009). https://doi.org/10.1007/s00106-009-1945-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00106-009-1945-9