Penetrating Neck Injuries: from ER to OR.
Cut throat
Foreign body neck
Penetrating neck injury
Resuscitation
Journal
Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India
ISSN: 2231-3796
Titre abrégé: Indian J Otolaryngol Head Neck Surg
Pays: India
ID NLM: 9422551
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
05
12
2015
accepted:
14
03
2018
entrez:
20
11
2019
pubmed:
20
11
2019
medline:
20
11
2019
Statut:
ppublish
Résumé
Neck contains several vital structures, in a small close space, in complex relationship to each other, and unprotected by any bony framework. Any injury to this crucial region, hence mostly becomes an acute emergency. Appropriately managing the same has always been a point of constant discussion amongst head and neck surgeons. The basic aim of the study was to discuss the management, comorbidities, prognosis and associated complications encountered in a series of patients with penetrating neck trauma (piercing platysma), presenting to the emergency over a period of 1 year. Combat injuries and patients declared as brought dead at the time of first examination were excluded. This was a retrospective study of patients with cut throat injury, managed at a tertiary center of northern India from June 2014 to September 2015. Following management in the ER as per ATLS guidelines, all patients were then operated for specific injuries. Graph pad software was used for statistical analysis. Of the 15 patients studied in total, 11 (73.3%) were males. The mean patient age was 33.67 years. Mean duration of presentation was 20.85 h. 60% patients had homicidal injuries. Tracheostomy and Ryle's tube insertion was done in 8 (53.3%) patients. Exploration and surgical repair was done in all patients without any mortality. 4 patients developed post-operative complications. Mean duration of hospital stay was 9.2 days. Immediate resuscitation followed by exploration and primary repair is a must in all patients of penetrating neck injury.
Identifiants
pubmed: 31741985
doi: 10.1007/s12070-018-1307-6
pii: 1307
pmc: PMC6848707
doi:
Types de publication
Journal Article
Langues
eng
Pagination
352-357Informations de copyright
© Association of Otolaryngologists of India 2018.
Déclaration de conflit d'intérêts
Conflicts of interestNo conflicts of interest is attached to any authors.
Références
J Trauma. 1979 Jun;19(6):391-7
pubmed: 448778
Arch Otolaryngol. 1971 Dec;94(6):558-65
pubmed: 5129226
J Clin Anesth. 1991 Mar-Apr;3(2):91-8
pubmed: 2039650
Am Surg. 2013 Jan;79(1):23-9
pubmed: 23317595
AJR Am J Roentgenol. 2001 May;176(5):1273-80
pubmed: 11312194
Arch Surg. 2001 Nov;136(11):1231-5
pubmed: 11695963
J Emerg Trauma Shock. 2015 Jul-Sep;8(3):154-8
pubmed: 26229299
J Trauma. 1995 Dec;39(6):1081-6
pubmed: 7500398
Niger J Med. 2010 Jul-Sep;19(3):264-6
pubmed: 20845627
J Emerg Med. 1993 Jul-Aug;11(4):381-5
pubmed: 8228098