1,888 results match your criteria Penetrating Neck Trauma


[Pneumomediastinum after minor wound to the neck].

Ned Tijdschr Geneeskd 2022 04 14;166. Epub 2022 Apr 14.

Albert Schweitzer Ziekenhuis, afd. Keel-, Neus, en Oorheelkunde, Dordrecht.

A 47-year old male presented to the emergency department with a pneumomediastinum following a small penetrating wound to the neck. Read More

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A Bull Gore Penetrating Injury to the Neck Presenting With Esophageal Perforation: A Case Report.

Cureus 2022 Mar 28;14(3):e23563. Epub 2022 Mar 28.

Department of General Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.

Bull gore injuries are not uncommon in regions where bulls are commonly used for agriculture or as part of sporting culture. Most bull gore injuries occur in the trunk and extremities. Cervical bull gore injury might be due to penetrating or blunt trauma. Read More

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Quality Indicators Targeting Low-Value Clinical Practices in Trauma Care.

JAMA Surg 2022 Apr 27. Epub 2022 Apr 27.

Departments of Critical Care Medicine, Medicine and Community Health Sciences, O'Brien Institute for Public Health, University of Calgary, Calgary, Alberta, Canada.

Importance: The use of quality indicators has been shown to improve injury care processes and outcomes. However, trauma quality indicators proposed to date exclusively target the underuse of recommended practices. Initiatives such as Choosing Wisely publish lists of practices to be questioned, but few apply to trauma care, and most have not successfully been translated to quality indicators. Read More

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Penetrating foreign body in the larynx presenting as hoarseness.

Ear Nose Throat J 2022 Mar 24:1455613221084040. Epub 2022 Mar 24.

Department of Otolaryngology-Head and Neck Surgery, 125573Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.

Penetrating neck injuries are not uncommon, while penetrated foreign bodies involving the larynx are rare, which can be critical and challenging even for experienced physicians. We presented a case of a 64-year-old man with a piece of grinder blade penetrating through the subglottic region, visiting our outpatient department with hoarseness persisting for 3 weeks. The flexible fiberoptic laryngoscope, CT and direct laryngoscope were used to establish the right diagnosis. Read More

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Post-Mortem CT Delivers Fast and Accurate Injury Identification in Trauma Patients.

Am Surg 2022 May 20;88(5):973-980. Epub 2022 Mar 20.

Department of Surgery, 10848WakeMed Health and Hospitals, Raleigh, NC, USA.

Background: Accurate and timely injury identification is critical but difficult to achieve in trauma patients who die shortly after arrival to the hospital. Autopsy has historically been used to detect injuries, but few undergo formal autopsy. This study investigates the utility of post-mortem computed tomography (PMCT) for injury identification in a diverse trauma population. Read More

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Early versus delayed extraction of intraorbital wooden foreign body.

Trauma Case Rep 2022 Apr 1;38:100629. Epub 2022 Mar 1.

Rhinology Division, Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine Universitas Indonesia, Dr. Cipto Mangunkusumo National Hospital, Jakarta, Indonesia.

Orbital trauma caused by wooden foreign bodies are relatively uncommon. Both immediate admission and late presentation of wooden trauma may pose a medical challenge to diagnose and manage due to wood can be easily missed on initial imaging. All organic types of intraorbital foreign bodies (IOrbFBs) should be extracted by surgical removal. Read More

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Foley Catheter Balloon Tamponade for Actively Bleeding Wounds Following Penetrating Neck Injury is an Effective Technique for Controlling Non-Compressible Junctional External Haemorrhage.

World J Surg 2022 May 24;46(5):1067-1075. Epub 2022 Feb 24.

Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.

Background: The foley catheter balloon tamponade (FCBT) has been widely employed in the management of trauma. This study reviews our cumulative experience with the use of FCBT in the management of patients presenting with a penetrating neck injury (PNI).

Methods: A retrospective study was conducted at a major trauma centre in South Africa over a 9-year period from January 2012 to December 2020. Read More

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External penetrating laryngeal trauma caused by a metal fragment: A Case Report.

World J Clin Cases 2022 Feb;10(4):1394-1400

Department of Otolaryngology Head and Neck Surgery, Peking University Third Hospital, Beijing 100191, China.

Background: Although external penetrating laryngeal trauma is rare in the clinic, such cases often result in a high mortality rate. The early recognition of injury, protection of the airway, one-stage laryngeal reconstruction with miniplates and interdisciplinary cooperation are important in the treatment of such patients.

Case Summary: A 58-year-old male worker sustained a penetrating injury in the left neck. Read More

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February 2022

Vascular Injury to the Neck by a Bamboo Stick: A Case Report.

JNMA J Nepal Med Assoc 2022 Jan 15;60(245):90-92. Epub 2022 Jan 15.

Department of Surgery, Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Dhulikhel, Kavre, Nepal.

Penetrating neck injuries causing rupture of sternocleidomastoid muscle along with transection of major vessels of the neck have significant morbidity and mortality due to the risk of severe hemorrhage and cerebral infarction. However, there are no universal guidelines for the management of penetrating neck injuries. Here, we report a case of a 67-year-old female with a lacerated wound on the left side of the neck with a complete transection of the left sternocleidomastoid muscle along with transection of internal jugular vein and two superficial branches of internal carotid artery following penetrating injury to the neck by a bamboo stick. Read More

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January 2022

Embolism of a Piece of Iron after Penetrating Neck Injury: From Right Internal Jugular Vein to Left Lower Lobe of the Lung.

Acta Med Acad 2021 Dec;50(3):387-391

Department of Cardiovascular Surgery, İlhan Varank Education and Research Hospital, Istanbul, Turkey. ORCID ID: 0000-0001-9217-1314.

Objective: This case report of a 40-year-old male patient describes the embolization of a piece of iron trapped in the jugular vein following an industrial injury.

Case Report: The 40-year-old male patient was admitted to the emergency service for bleeding from the neck. In contrast to the first X-ray image, no foreign body was observed at the injury site or aspiration of fluid during emergency surgery. Read More

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December 2021

The perplexing postsurgical complication of carotid-jugular fistula: A bitter experience.

Surg Neurol Int 2022 5;13. Epub 2022 Jan 5.

Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.

Background: Vascular injuries occur in approximately 25% of all penetrating neck traumas, with carotid artery injuries being particularly lethal. Penetrating neck injuries are potentially fatal. Vascular injuries occur in approximately 25% of cases, which can lead to the formation of arteriovenous fistulas. Read More

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January 2022

Derivation and Validation of a Score Using Prehospital Data to Identify Adults With Trauma Requiring Early Laparotomy.

JAMA Netw Open 2022 01 4;5(1):e2145860. Epub 2022 Jan 4.

Division of Acute Care Surgery, University of Southern California, Los Angeles, California.

Importance: A scoring tool to identify which adults with traumatic injury will require early laparotomy could help improve prehospital triage and system readiness.

Objective: To develop and validate a prediction model using prehospital information for early laparotomy following trauma.

Design, Setting, And Participants: This retrospective cohort study analyzed data from the 2017 version of the American College of Surgeons Trauma Quality Improvement Program database. Read More

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January 2022

Advanced Bleeding Control in combat casualty care: an international, expert-based Delphi consensus.

J Trauma Acute Care Surg 2022 Jan 21. Epub 2022 Jan 21.

Department of Surgery, Alrijne Hospital, Leiderdorp, the Netherlands Trauma Research Unit, Department of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD, USA Naval Medical Research Unit San Antonio, JBSA-Ft. Sam Houston, Texas, USA San Antonio Military Medical Center, JBSA-Ft. Sam Houston, Texas, USA Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University Hospital, Örebro University, Örebro, Sweden Department of Surgery, Faculty of Medicine and Health, Örebro University Hospital, Örebro University, Örebro, Sweden Defense Healthcare Organization, Ministry of Defense, Utrecht, the Netherlands Department of Surgery, Leiden University Medical Centre, Leiden, the Netherlands.

Background: Hemorrhage from truncal and junctional injuries is responsible for the vast majority of potentially survivable deaths in combat casualties, causing most of its fatalities in the prehospital arena. Optimizing the deployment of the advanced bleeding control modalities required for the management of these injuries is essential to improve the survival of severely injured casualties. This study aimed to establish consensus on the optimal use and implementation of advanced bleeding control modalities in combat casualty care. Read More

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January 2022

The oblique triangle configuration of three parallel screws for femoral neck fracture fixation using computer-aided design modules.

Sci Rep 2022 01 10;12(1):325. Epub 2022 Jan 10.

Department of orthopedics, The fourth medical center, General Hospital of Chinese PLA, Beijing, China.

Closed reduction and internal fixation with three cannulated compression screws is a common method for treating femoral neck fractures in young and middle-aged patients. Protocols including the inverted triangle configuration and dispersion of the screws still needed further supports. The purpose of this study was to explore a novel oblique triangle configuration (OTC) of three screws in fixing femoral neck fractures based on the morphology of the femoral neck isthmus (FNI). Read More

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January 2022

Management of vascular trauma across Canada: A cohort study with implications for practice.

Injury 2022 May 2;53(5):1662-1666. Epub 2022 Jan 2.

London Health Sciences Centre, London, Ontario, Canada. Electronic address:

Background: The aim of this study was to provide a description of vascular trauma and its management at trauma centers across Canada.

Methods: This retrospective cohort study evaluated patients from 8 Canadian level 1 trauma centers (2011-2015). Medical records were queried to identify adult patients who survived to hospital with major vascular injury. Read More

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Tracheal tube misplacement in the thoracic cavity: A case report.

World J Clin Cases 2021 Dec;9(34):10733-10737

Day Surgery Center, Department of Anesthesiology, West China Hospital, Chengdu 610041, Sichuan Province, China.

Background: Penetrating neck injuries require prompt recognition, diagnosis and management of critical airways. This case demonstrates an emergent situation that a "medical negligence" was avoided with the aid of end-tidal carbon dioxide (ETCO) waveform.

Case Summary: We report a case of malposition of the endotracheal tube into the right hemithoracic cavity for cervical knife trauma, resulting in pneumothorax. Read More

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December 2021

Spontaneous Recovery of Penetrating Cervical Spinal Cord Injury with Physiotherapeutic Treatment: Case Report and Review of the Literature.

Case Rep Neurol Med 2021 26;2021:3741461. Epub 2021 Dec 26.

Department of Neurosurgery, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy Rabat, Rabat, Morocco.

Stab wounds to the cervical spine are less common than injuries from road accidents, sports injuries, and falls. The presence of vital, vascular, neural, respiratory, and digestive structures in the neck region mean that this kind of spinal injury is generally critical, and its management is a challenge. We report a unique case of a previously healthy 17-year-old adolescent admitted for quadriplegia secondary to a stab wound to the cervical spine at the C4C5 level. Read More

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December 2021

The Management of Penetrating Neck Injury With Retained Knife: 15-Year Experience From a Major Trauma Center in South Africa.

Am Surg 2021 Dec 29:31348211065127. Epub 2021 Dec 29.

Department of Surgery, 37707University of the Witwatersrand, Johannesburg, South Africa.

Background: This study reviews our cumulative experience with the management of patients presenting with a retained knife following a penetrating neck injury (PNI).

Methods: A retrospective cohort study was conducted at a major trauma center in South Africa over a 15-year period from July 2006 to December 2020. All patients who presented with a retained knife in the neck following a stab wound (SW) were included. Read More

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December 2021

Biomechanics of a previously unknown thyroid cartilage fracture in fatal strangulation.

Leg Med (Tokyo) 2022 Feb 1;54:101999. Epub 2021 Dec 1.

Institute for Forensic Medicine, University of Essen, Essen, Germany. Electronic address:

After the death of a 63-year-old woman following pressure against the neck, the injury was assessed forensically and a radiological-preparatory examination of the osseous structure of the larynx was conducted. We used fine preparation and, for further characterization of the fracture, radiological imaging in spiral CT, 3D reconstruction and fine-focus technique (mammography). While a skeletal injury with the basal fractures of the upper horns of the thyroid cartilage was clearly visible in the CT and 3D reconstruction, the radiological visualization of a 3-4mm wide wall-penetrating dehiscence in the upper part of the thyroid cartilage commissure required a higher sensitivity. Read More

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February 2022

Damage control in penetrating carotid artery trauma: changing a 100-year paradigm.

Colomb Med (Cali) 2021 Apr-Jun;52(2):e4054807. Epub 2021 Jun 30.

Fundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.

Carotid artery trauma carries a high risk of neurological sequelae and death. Surgical management of these injuries has been controversial because it entails deciding between repair or ligation of the vessel, for which there is still no true consensus either way. This article proposes a new management strategy for carotid artery injuries based on the principles of damage control surgery which include endovascular and/or traditional open repair techniques. Read More

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December 2021

Management of a penetrating injury to the carotid artery.

Trauma Surg Acute Care Open 2021 18;6(1):e000857. Epub 2021 Nov 18.

R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, Maryland, USA.

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November 2021

Incidence, Demographics, and Outcomes of Penetrating Trauma in Sweden During the Past Decade.

Front Neurol 2021 15;12:730405. Epub 2021 Nov 15.

Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Trauma injury is the sixth leading cause of death worldwide, and interpersonal violence is one of the major contributors in particular regarding injuries to the head and neck. The incidence, demographics, and outcomes of penetrating trauma reaching hospitals in Sweden are not known. We report the largest, nationwide epidemiological study of penetrating injuries in Sweden, using the Swedish Trauma Registry (SweTrau). Read More

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November 2021

Penetrating vertebral artery injury treated by combining the "zone" approach and imaging tests: A case report.

Clin Case Rep 2021 Nov 22;9(11):e05134. Epub 2021 Nov 22.

Department of Critical Care Center Toho University Medical Center Omori Hospital Ota-ku Japan.

Patients with vertebral artery injury from penetrating neck trauma may not present with signs of vascular injury because of anatomical characteristics and concomitant conditions, such as hypothermia and shock. If patients are hemodynamically stable, imaging tests should be performed to examine the posterior components, including the vertebral artery. Read More

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November 2021

Estimating Facet Joint Apposition with Specimen-Specific Computer Models of Subaxial Cervical Spine Kinematics.

Ann Biomed Eng 2021 Dec 17;49(12):3200-3210. Epub 2021 Nov 17.

Adelaide Spinal Research Group, Centre for Orthopaedic & Trauma Research, Adelaide Medical School, The University of Adelaide, Level 7, Adelaide Health and Medical Sciences Building, North Terrace, Adelaide, SA, 5000, Australia.

Computational models of experimental data can provide a noninvasive method to estimate spinal facet joint biomechanics. Existing models typically consider each vertebra as one rigid-body and assume uniform facet cartilage thickness. However, facet deflection occurs during motion, and cervical facet cartilage is nonuniform. Read More

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December 2021

Central Venous Catheter Penetrating the Spinal Canal via the Spinal Foramen: A Case Report and Literature Review.

Ann Vasc Surg 2022 Mar 12;80:393.e1-393.e4. Epub 2021 Nov 12.

Division of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address:

The insertion of a neck central venous catheter (CVC) is a common procedure in medical practice; however, malposition and complications frequently occur. A 66-year-old woman had CVC inserted through the right internal jugular vein. CVC malposition was observed on chest radiography and computed tomography. Read More

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Penetrating occipitocervical injury caused by a needlefish.

Cir Cir 2021 ;89(S1):106-108

Departamento de Cirugía Neurológica.

Penetrating injuries caused by needlefish are very uncommon. Most of them have been reported in the Indo-Pacific region. We report a case of an occipito-cervical penetrating injury that occurred in the Mexican Tropical Pacific, and we describe the treatment of this injury. Read More

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November 2021

Bilateral Maxillary Pseudoaneurysms as a Complication of Craniofacial Fracture: A Case Report.

Am J Case Rep 2021 Nov 9;22:e932443. Epub 2021 Nov 9.

Department of Pediatric Otolaryngology, Head and Neck Surgery, Chairs of Pediatric Surgery, The Independent Public Clinical Hospital No. 6 of the Medical University of Silesia in Katowice John Paul II Upper Silesian Child Health Centre, Katowice, Poland.

BACKGROUND Pseudoaneurysms of the head and neck region are relatively rare and consequently there are few reports in the literature. The main causes of pseudoaneurysms in the head and neck area are associated with blunt or penetrating injuries in this area or are iatrogenic, originating during surgical procedures. CASE REPORT The authors illustrate a case of a 16-year-old boy who had an accident on a scooter. Read More

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November 2021

A Rare Case of Craniocervical Penetrating Injury by a Steel Bar.

J Craniofac Surg 2021 Sep 21. Epub 2021 Sep 21.

Department of Neurosurgery, Shandong Provincial Qianfoshan Hospital, Cheeloo College of Medicine, Shandong University.

Rationale: Non-missile penetrating injuries caused by foreign bodies, such as knives or sharp wood, are infrequent. We report a 49-year-old male suffering from severe craniocervical penetrating injury by a steel bar was successfully treated by surgery.

Chief Complaint: The male patient was a 49-year-old builder. Read More

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September 2021