1,714 results match your criteria Penetrating Neck Trauma


Penetrating spinal cord injury causing paraplegia in a bird hunter in rural Tanzania.

Spinal Cord Ser Cases 2019 May 21;5(1):49. Epub 2019 May 21.

Department of Orthopaedics and Traumatology, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.

Introduction: Cultural and socioeconomic factors influence the risk of sustaining a Traumatic Spinal Cord Injury (TSCI). The standard of management and rehabilitation available to TSCI patients differs greatly between high-income and low-income countries.

Case Presentation: We report a 17-year-old male bird hunter, with no prior medical history, presenting with paraplegia and sensory loss from the xiphoid process down after being struck by an arrow in the left lateral side of the neck. Read More

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http://dx.doi.org/10.1038/s41394-019-0195-7DOI Listing

Evidence-Based Nursing Care for Spinal Nursing Immobilization: A Systematic Review.

J Emerg Nurs 2020 May;46(3):318-337

Introduction: A high degree of suspicion for spinal injury after trauma is commonplace in an emergency department, and spinal immobilization is considered an accepted intervention to prevent the progression of a potential injury. This systematic review was conducted to gain insight into the best research evidence related to nursing interventions for patients with trauma presenting with a suspected spinal injury.

Methods: A systematic search of online databases was conducted in April 2019 for relevant research using specific search terms. Read More

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http://dx.doi.org/10.1016/j.jen.2020.02.007DOI Listing

Penetrating Traumas to the Parotid Region.

Sisli Etfal Hastan Tip Bul 2019 22;53(3):310-313. Epub 2019 Aug 22.

Department of Otorhinolaryngology Head and Neck Surgery, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey.

Penetrating trauma to the parotid gland is a rare condition. Mostly, gunshot wounds to the parotid area are seen. Facial paralysis and sialocele formation are particular concerns and may cause significant morbidities. Read More

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http://dx.doi.org/10.14744/SEMB.2017.68077DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192272PMC

Stingray spear injury to the pediatric spinal cord: case report and review of the literature.

Childs Nerv Syst 2020 May 2. Epub 2020 May 2.

Servicio de Neurocirugía, Hospital Nacional de Niños, "Dr. Carlos Sáenz Herrera", San José, Costa Rica.

Stingray injuries are rare, mostly causing injuries to the lower extremities but occasionally fatal if there is direct puncture of the thorax, abdomen, or neck. Direct combined stingray injury to the central nervous system has not been reported in the literature. Herein we present the case of a 12-year-old boy who, while wading at the seashore of the Costa Rica's Pacific Ocean, sustained a combined oblique penetrating injury to the C6 vertebra caused by a Stingray. Read More

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http://dx.doi.org/10.1007/s00381-020-04629-zDOI Listing

Potential resuscitative endovascular balloon occlusion of aorta candidates: defining the potential need using the National Trauma Registry.

ANZ J Surg 2020 Apr;90(4):477-480

Hospital Administration, Hillel Yaffe Medical Center, Hadera, Israel.

Background: Most of the trauma patients who die in the first 24 h from arrival to the hospital do so as a result of haemorrhagic shock. Resuscitative endovascular balloon occlusion of the aorta (REBOA) facilitates expedient proximal aortic control, potentially bridging a needed gap for partial or non-responders to traditional resuscitation en route to emergent definitive haemostasis. This resuscitation tool continues to evolve and has recently achieved some consensus defined indications for its use. Read More

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http://dx.doi.org/10.1111/ans.15771DOI Listing

War trauma in Homer's Iliad: a trauma registry perspective.

Eur J Trauma Emerg Surg 2020 Apr 18. Epub 2020 Apr 18.

Department of Emergency Surgery, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Headley Way, Headington, Oxford, OX3 9DU, UK.

Purpose: Homer's Iliad reports detailed descriptions of war traumas, with precise anatomical references, so that the Iliad can be considered the first trauma registry. We aimed to analyse the Iliad from the perspective of a modern trauma registry: that is, to find historical and local prognostic factors through the epidemiological study of the reported traumas.

Methods: Two different editions of Homer's Iliad-one in English and one in Italian-were thoroughly studied and epidemiological data were statistically analysed. Read More

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http://dx.doi.org/10.1007/s00068-020-01365-6DOI Listing

An Update on Foley Catheter Balloon Tamponade for Penetrating Neck Injuries.

World J Surg 2020 Apr 3. Epub 2020 Apr 3.

Trauma Center, Groote Schuur Hospital, Faculty of Health Sciences, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, South Africa.

Background: Foley catheter balloon tamponade (FCBT) for bleeding penetrating neck injuries (PNIs) is effective. This study aims to audit the technique and outcomes of FCBT.

Methods: Adult patients with PNIs requiring FCBT presenting to Groote Schuur Hospital (GSH) within a 22-month study period were prospectively captured on an approved electronic registry. Read More

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http://dx.doi.org/10.1007/s00268-020-05497-zDOI Listing

Penetrating Injury to the Carotid Artery: Characterizing Presentation and Outcomes from the National Trauma Data Bank.

Ann Vasc Surg 2020 Mar 23. Epub 2020 Mar 23.

R Adams Cowley Shock Trauma Center, University of Maryland, Baltimore, MD.

Background: Penetrating injury to the neck can be devastating because of the multiple vital structures in close proximity. In the event of injury to the carotid artery, there is a significantly increased likelihood of morbidity or mortality. The purpose of this study was to assess presenting characteristics associated with penetrating injury to the carotid artery and directly compare approaches to surgical management. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.03.013DOI Listing

Shrapnel Injuries on Regions of Head and Neck in Syrian War.

Authors:
Murat Ucak

J Craniofac Surg 2020 Mar 23. Epub 2020 Mar 23.

Plastic and Reconstructive Surgery, Defne Research State Hospital, Hatay, Turkey.

Background: Perforating and cutting injuries to the head and neck due to shrapnels are largely life-threatening and require immediate medical attention. In the present article, the surgical conditions in the war-related head and neck injuries were presented in terms of war surgery with mortality rates.

Materials And Methods: The study was designed as a retrospective clinical case-control study including primarily 179 head and neck injuries that occurred due to shrapnels in the Syrian Civil War. Read More

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http://dx.doi.org/10.1097/SCS.0000000000006345DOI Listing

Pneumorrhachis and hyponatremia after a neck hack-A case report.

Int J Surg Case Rep 2020 3;68:174-177. Epub 2020 Mar 3.

Department of Neurosurgery, Neurospine Division, Faculty of Medicine, Diponegoro University, Semarang, Indonesia. Electronic address:

Introduction: Penetrating cervical spinal cord injury (SCI) is a rare clinical entity that requires a multitude of health care specialists for proper management. The unpredictable nature of penetrating SCI and complex systemic sequela contribute to the high mortality rates of penetrating SCI.

Presentation Of Case: An 18-year-old-male patient was admitted to the emergency department with tetraparesis following a penetrating injury to the neck. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.02.063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068042PMC

Barely benign: The dangers of BB and other nonpowder guns.

J Pediatr Surg 2020 Feb 19. Epub 2020 Feb 19.

Division of Pediatric Surgery, Department of Surgery, Baylor College of Medicine and Texas Children's Hospital, Houston, TX. Electronic address:

Objective: To characterize the risks of nonpowder guns commonly used by children for recreation.

Methods: We conducted a retrospective review of children ≤18 years of age treated for nonpowder gun injuries at a pediatric level I trauma center during 2013-2017. Demographics, injury characteristics, treatments, and outcomes were reviewed and analyzed using descriptive statistics. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.02.010DOI Listing
February 2020

Value of clinical examination in the assessment of penetrating neck injuries: a retrospective study of diagnostic accuracy test.

BMC Emerg Med 2020 03 9;20(1):17. Epub 2020 Mar 9.

Escuela de Medicina y Ciencias de la Salud. Grupo de Investigación Clínica, Universidad del Rosario, Carrera 24 No 63C-69 Barrio Siete de Agosto, Bogotá, DC, Colombia.

Background: There are many high-volume trauma centers in limited resource environments where a thorough clinical examination of patients may contribute to a more economical, accurate, and widely applicable method of determining the proper management of patients with penetrating neck injuries. The purpose of this study was to validate thorough physical examination as a reliable diagnostic tool in these patients.

Methods: We performed an observational retrospective study of a diagnostic accuracy test where we compared clinical findings (symptoms and soft signs on admission of the patient) with the definitive findings according to the gold standard test for each particular situation (selective studies, clinical observation and surgical exploration). Read More

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http://dx.doi.org/10.1186/s12873-020-00311-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063736PMC

Superficial Stab Wound to Zone I of the Neck Resulting in Thyrocervical Trunk Pseudoaneurysm Presented as Recurrent Hemothorax and Successfully Managed by Coil Embolization.

Am J Case Rep 2020 Mar 8;21:e920196. Epub 2020 Mar 8.

Department of Surgery, Kendall Regional Medical Center, Miami, FL, USA.

BACKGROUND Thyrocervical trunk pseudoaneurysms are rare complications that have been documented after internal jugular or subclavian venous cannulation. Even less common, these pseudoaneurysms can arise after blunt or penetrating trauma. Clinical hallmarks include an expanding supraclavicular mass with local compressive symptoms such as paresthesias, arterial steal syndrome, and Horner's syndrome. Read More

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http://dx.doi.org/10.12659/AJCR.920196DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081952PMC

Unusual Mechanism of Facial Nerve Palsy Caused by Penetrating Neck Trauma.

Case Rep Otolaryngol 2020 14;2020:1391692. Epub 2020 Feb 14.

University of Split, School of Medicine, Šoltanska 2, 21000 Split, Croatia.

We present a case of a low energy penetrating neck injury with only facial nerve (FN) palsy in the clinical finding. A 32-year-old male patient was admitted to the emergency department with a penetrating injury on the right side of the neck just behind the right ear, accompanied by evident right (FN) palsy, evaluated as House Brackmann grade IV. Computed tomography demonstrated an isolated soft tissue injury in the right retroauricular region without bone fracture, parotid gland lesion, or vascular structure involvement. Read More

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http://dx.doi.org/10.1155/2020/1391692DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044475PMC
February 2020

Traumatic Injury of Major Cerebral Venous Sinuses Associated with Traumatic Brain Injury or Head and Neck Trauma: Analysis of National Trauma Data Bank.

J Vasc Interv Neurol 2020 Jan;11(1):27-33

Department of Neurology, University of Missouri, Columbia, MO, USA.

Background: The natural history and epidemiological aspects of traumatic injury of major cerebral venous sinuses are not fully understood. We determined the prevalence of traumatic injury of major cerebral venous sinuses and impact on the outcome of patients with traumatic brain injury, and/or head and neck trauma.

Methods: All the patients who were admitted with traumatic brain injury or head and neck trauma were identified by ICD-9-CM codes from the National Trauma Data Bank (NTDB), using data files from 2009 to 2010. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6998802PMC
January 2020

Outcomes following penetrating neck injury during the Iraq and Afghanistan conflicts: A comparison of treatment at US and United Kingdom medical treatment facilities.

J Trauma Acute Care Surg 2020 May;88(5):696-703

From the Royal Centre for Defence Medicine (J. Breeze); University Hospital Birmingham (J. Breeze, D.M.B., J. Baden, L.O.), Birmingham; Royal Surrey County Hospital (J.G.C.), Guildford; Surgical Research Laboratory (A.B.), Institute of Cancer and Genomic Science, University of Birmingham, Birmingham, United Kingdom; Center for the Sustainment of Trauma and Readiness Skills (J.D.), R Adams Cowley Shock Trauma Center, Baltimore, Maryland; and Duke University Medical Center (D.B.P.), Durham, North Carolina.

Introduction: The United States and United Kingdom (UK) had differing approaches to the surgical skill mix within deployed medical treatment facilities (MTFs) in support of the military campaigns in Iraq and Afghanistan.

Methods: The US and UK combat trauma registries were scrutinized for patients with penetrating neck injury (PNI) at deployed coalition MTF between March 2003 and October 2011. A multivariate mixed effects logistic regression model (threshold, p < 0. Read More

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http://dx.doi.org/10.1097/TA.0000000000002625DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7182242PMC

Primary blast wave protection in combat helmet design: A historical comparison between present day and World War I.

PLoS One 2020 13;15(2):e0228802. Epub 2020 Feb 13.

Department of Biomedical Engineering, Duke University, Durham, North Carolina, United States of America.

Since World War I, helmets have been used to protect the head in warfare, designed primarily for protection against artillery shrapnel. More recently, helmet requirements have included ballistic and blunt trauma protection, but neurotrauma from primary blast has never been a key concern in helmet design. Only in recent years has the threat of direct blast wave impingement on the head-separate from penetrating trauma-been appreciated. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0228802PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7018002PMC

Resolution of Chronic Shoulder Pain after Repair of a Posttraumatic Diaphragmatic Hernia: A 22-Year Delay in Diagnosis and Treatment.

Case Rep Orthop 2020 6;2020:7984936. Epub 2020 Jan 6.

Tanner Clinic, Layton, Utah, USA.

Diagnosing traumatic diaphragmatic rupture (TDR) due to penetrating rib fractures is challenging because the lesions are often too small to be detected and may present years after injury. Patients with delays in diagnosis of TDR rarely present with orthopaedic-related complaints of pain. We report the case of a 52-year-old female who presented with chronic left shoulder pain following a motor vehicle accident (MVA). Read More

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http://dx.doi.org/10.1155/2020/7984936DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6970479PMC
January 2020

Trends and patterns in homicides in Italy: A 34-year descriptive study.

Forensic Sci Int 2020 Feb 3;307:110141. Epub 2020 Jan 3.

Department of Human Neurosciences, Sapienza, University of Rome, P.le A. Moro 5, 00185, Roma, Italy.

Aims: We aimed at analyzing homicide trends and patterns in Italy over the period 1980-2014.

Methods: We collected data from the Italian Mortality Database (Italian National Institute of Statistics), for the study period. Temporal trends were analyzed using joinpoint regression analysis, with estimated annual percentage change computed for each detected trend. Read More

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http://dx.doi.org/10.1016/j.forsciint.2020.110141DOI Listing
February 2020

[Diagnosis and treatment of cervical migratory foreign bodies caused by sharp esophageal foreign bodies].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2019 Nov;33(11):1068-1071

Department of Otolaryngology Head and Neck Surgery,Affiliated Hospital of Guangdong Medical University,Zhanjiang,524001,China.

Imaging findings and treatment of sharp foreign bodies penetrating the esophagus to migrate in the neck were collected. All of 9 cases were determined by CT imaging. The foreign bodies were removed in 8 cases through the lateral cervical approach. Read More

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http://dx.doi.org/10.13201/j.issn.1001-1781.2019.11.015DOI Listing
November 2019

A systematic review of penetrating extracranial vertebral artery injuries.

J Vasc Surg 2020 Jun 2;71(6):2161-2169. Epub 2020 Jan 2.

Department of Surgery, Creighton University School of Medicine, Omaha, Neb.

Background: Penetrating vertebral artery injuries (VAIs) are rare. Because of their rarity, complex anatomy, and difficult surgical exposures, few surgeons and trauma centers have developed significant experience with their management. The objectives of this study were to review their incidence, clinical presentation, radiologic identification, management, complications, and outcomes and to provide a review of anatomic exposures and surgical techniques for their management. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.10.084DOI Listing

Axillo-subclavian dissection and pseudoaneurysm following inferior glenohumeral dislocation: Case report and literature review.

Int J Surg Case Rep 2020 6;66:130-135. Epub 2019 Dec 6.

Department of Surgery, Aventura Hospital and Medical Center, Miami, FL, USA.

Introduction: Axillo-subclavian arterial injuries are generally associated with penetrating trauma. On rare occasion, blunt mechanisms can cause these injuries in the setting of high-energy trauma, humeral head or neck fractures, and severe glenohumeral dislocations. Glenohumeral dislocations sustained from ground-level falls are generally reduced in the emergency department without associated morbidity. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.11.058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6920307PMC
December 2019

Rigid esophagoscopy combined with angle endoscopy for treatment of superior mediastinal foreign bodies penetrating into the esophagus caused by neck trauma: A case report.

World J Clin Cases 2019 Dec;7(23):4130-4136

Department of Otorhinolaryngology Head and Neck, First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China.

Background: Herein, we report a case in whom two foreign bodies entered the upper mediastinal cavity from the cervical root and subsequently the esophagus. Surgery is the preferred treatment method, and operational procedures depend on the size and location of the foreign body relative to the mediastinal vessels. Rigid esophagoscopy combined with angle endoscopic surgery was selected to avoid surgical trauma and complications. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i23.4130DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6906559PMC
December 2019

Management of Post-Traumatic Subglottic Stenosis and Pharyngosubglottic Fistula.

Indian J Otolaryngol Head Neck Surg 2019 Oct 4;71(Suppl 1):537-541. Epub 2018 May 4.

Department of ENT, Head and Neck Surgery, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, 600038 India.

Injury to the aerodigestive tract following external laryngeal trauma is rare. Reports of acquired laryngopharyngeal fistula are very few. We report a very rare presentation of penetrating neck trauma presenting with fracture of the cricoid cartilage, subglottic stenosis and pharyngosubglottic fistula. Read More

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http://dx.doi.org/10.1007/s12070-018-1390-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848672PMC
October 2019

Penetrating Neck Injuries: from ER to OR.

Indian J Otolaryngol Head Neck Surg 2019 Oct 12;71(Suppl 1):352-357. Epub 2018 May 12.

Department of E.N.T, IMS BHU, Santpath Vachaspatinagar, Kumhrar, Patna, Bihar 800006 India.

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. Read More

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http://dx.doi.org/10.1007/s12070-018-1307-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848707PMC
October 2019

Brown-Séquard Syndrome Caused by Acute Traumatic Cervical Disc Herniation.

Korean J Neurotrauma 2019 Oct 2;15(2):204-208. Epub 2019 Sep 2.

Department of Neurosurgery, Chungdam Wooridul Spine Hospital, Seoul, Korea.

Brown-Séquard syndrome (BSS) is an incomplete spinal cord injury caused by damage to one-half of the spinal cord. Most cases of BSS result from penetrating trauma or tumors, and acute cervical disc herniation is a relatively rare cause of BSS. In this case, a 34-year-old man with a sudden onset posterior neck pain and left side motor weakness was admitted to the local spine hospital. Read More

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http://dx.doi.org/10.13004/kjnt.2019.15.e21DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6826085PMC
October 2019

Management of Life-Threatening Hemorrhage from Maxillofacial Firearm Injuries Using Foley Catheter Balloon Tamponade.

Craniomaxillofac Trauma Reconstr 2019 Dec 16;12(4):301-304. Epub 2019 Apr 16.

Department of Oral and Maxillofacial Surgery, Research and Referral, New Delhi, India.

The aim of this study is to evaluate the efficacy of Foley catheter in the management of hemorrhage from penetrating maxillofacial injuries in austere environment. This retrospective cohort study evaluated all penetrating head and neck trauma caused by firearm injuries reported to a military hospital at a forward aid location during 2015-2017. Foley catheter was used in the emergency management of bleeding in 11 cases. Read More

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http://dx.doi.org/10.1055/s-0039-1685461DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839975PMC
December 2019

A comparison of digital subtraction angiography and computed tomography angiography for the diagnosis of penetrating cerebrovascular injury.

Neurosurg Focus 2019 11;47(5):E16

4Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City, Utah.

Objective: Penetrating cerebrovascular injury (PCVI) is a subset of traumatic brain injury (TBI) comprising a broad spectrum of cerebrovascular pathology, including traumatic pseudoaneurysms, direct arterial injury, venous sinus stenosis or occlusion, and traumatic dural arteriovenous fistulas. These can result in immediate or delayed vascular injury and consequent neurological morbidity. Current TBI guidelines recommend cerebrovascular imaging for detection, but there is no consensus on the optimum modality. Read More

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http://dx.doi.org/10.3171/2019.8.FOCUS19495DOI Listing
November 2019
4 Reads

Penetrating spinal cord injury causing paraplegia in a bird hunter in rural Tanzania.

Spinal Cord Ser Cases 2019 21;5:49. Epub 2019 May 21.

3Department of Orthopaedics and Traumatology, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.

Introduction: Cultural and socioeconomic factors influence the risk of sustaining a Traumatic Spinal Cord Injury (TSCI). The standard of management and rehabilitation available to TSCI patients differs greatly between high-income and low-income countries.

Case Presentation: We report a 17-year-old male bird hunter, with no prior medical history, presenting with paraplegia and sensory loss from the xiphoid process down after being struck by an arrow in the left lateral side of the neck. Read More

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http://dx.doi.org/10.1038/s41394-019-0195-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786419PMC

Synchondral Fracture of the Posterior "Hemiarch" of Pediatric Atlas with Cerebrospinal Fluid Fistula following a Penetrating Neck Injury.

Pediatr Neurosurg 2019 10;54(6):424-427. Epub 2019 Oct 10.

Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

Introduction: As such, the incidence of spinal fractures in young children is less than that of adults due to an increased pliability of the immature bones. The presence of unfused synchondroses in these children predisposes them to an infrequent pattern of fractures that traverse through ossification centers. Such synchondral injuries are uncommonly reported in the C1 and C2 vertebrae. Read More

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http://dx.doi.org/10.1159/000503109DOI Listing
April 2020
1 Read

Traumatic Neck and Skull Base Injuries.

Radiographics 2019 Oct;39(6):1796-1807

From the Division of Neuroradiology, Department of Radiology, Keck School of Medicine, University of Southern California, Los Angeles, Calif, and LAC+USC Medical Center, 1983 Marengo Street, D and T Tower, Room 3D321, Los Angeles, CA 90033.

Patients with blunt and penetrating traumatic injuries to the skull base and soft tissues of the neck present to the emergency department every day. Fortunately, truly life-threatening injuries to these regions are relatively uncommon. However, when encountered and not correctly diagnosed, these entities may result in severe morbidity or mortality. Read More

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http://dx.doi.org/10.1148/rg.2019190177DOI Listing
October 2019
1 Read

Anesthetic Considerations for Oral, Maxillofacial, and Neck Trauma.

Otolaryngol Clin North Am 2019 Dec 17;52(6):1019-1035. Epub 2019 Sep 17.

Department of Anesthesiology, Case Western Reserve University School of Medicine, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.

Blunt, penetrating trauma to the ear, nose, and throat, and related structures are striking. Injuries may range from simple soft tissue wounds to complex injuries of the face, neck, and brain. Proximity of the cervical spine and airway complicate anesthetic management. Read More

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http://dx.doi.org/10.1016/j.otc.2019.08.004DOI Listing
December 2019
2 Reads

Management of Hemorrhage From Craniomaxillofacial Injuries and Penetrating Neck Injury in Tactical Combat Casualty Care: iTClamp Mechanical Wound Closure Device TCCC Guidelines Proposed Change 19-04 06 June 2019.

J Spec Oper Med 2019 ;19(3):31-44

The 2012 study Death on the battlefield (2001-2011) by Eastridge et al.1 demonstrated that 7.5% of the prehospital deaths caused by potentially survivable injuries were due to external hemorrhage from the cervical region. Read More

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October 2019
22 Reads

Nail Gun Injury of the Spine: Case Report and Review of the Literature.

World Neurosurg 2019 Dec 27;132:321-325. Epub 2019 Aug 27.

Department of Orthopedics, Xijing Hospital, The Fourth Military Medical University, Xi'an, People's Republic of China. Electronic address:

Background: Since the first report about nail gun injuries in 1959, there has been an average of approximately 37,000 patients hurt by nail guns and treated in emergency departments. Carotid arterial injury by nail gun has been reported, but vertebral artery damage is extremely rare.

Case Description: A 42-year-old man was transported to the emergency department after suffering an accidental self-inflicted nail gun injury to the left lateral aspect of his neck. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.08.125DOI Listing
December 2019

No. 2 in zone 2: a case report of penetrating neck trauma in a child.

Trauma Surg Acute Care Open 2019 12;4(1):e000333. Epub 2019 Aug 12.

Pediatric Surgery, Arnold Palmer Hospital for Children, Orlando, Florida, USA.

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http://dx.doi.org/10.1136/tsaco-2019-000333DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6699721PMC
August 2019
1 Read

[Penetrating neck injury caused by stabbing: a rare but complex problem in the Netherlands].

Ned Tijdschr Geneeskd 2019 08 9;163. Epub 2019 Aug 9.

Universitair Medisch Centrum Utrecht, afd. Heelkunde, Utrecht.

Penetrating neck injuries (PNIs) as a result of stabbing or deliberate self-harm are complex and potentially life-threatening. Nowadays, selective non-operative management of PNI has become common practice. Diagnostic and treatment algorithms originating from high-volume trauma centres in South-Africa and North-America are used in Dutch clinical practice. Read More

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August 2019
2 Reads

Ned Tijdschr Geneeskd 2019 08 9;163. Epub 2019 Aug 9.

Universitair Medisch Centrum Utrecht, afd. Heelkunde, Utrecht.

Penetrating neck injuries (PNIs) as a result of stabbing or deliberate self-harm are complex and potentially life-threatening. Nowadays, selective non-operative management of PNI has become common practice. Diagnostic and treatment algorithms originating from high-volume trauma centres in South-Africa and North-America are used in Dutch clinical practice. Read More

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August 2019
3 Reads

Accidental neck and chest penetration by a metal sliver derived from an axe for wood chopping: a case report.

J Med Case Rep 2019 Aug 17;13(1):255. Epub 2019 Aug 17.

University Hospital of Siena, Strada di Renaccio 43/B, 53100, Siena, Italy.

Background: Penetrating neck and chest trauma is a very common entity in emergency medicine that usually requires surgical treatment. Our case report illustrates the case of a 27-year-old Arabian man with hemopneumothorax associated with pneumomediastinum due to an unusual occupational injury.

Case Presentation: A metal sliver, coming from an axe using for wood chopping, penetrated the neck of a 27-year-old Arabian man in the left supraclavicular region mimicking a gun bullet; the entrance hole was at the left pleural dome where the sliver had just penetrated the apex of the lung passing through the upper lobe of his left lung creating an exit wound in the dorsal segment of the same lobe arriving in the posterior thoracic wall. Read More

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http://dx.doi.org/10.1186/s13256-019-2184-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6697975PMC
August 2019
2 Reads

A child in shock: carotid blowout syndrome.

Arch Dis Child Educ Pract Ed 2020 Jun 10;105(3):177-184. Epub 2019 Aug 10.

General and Adolescent Paediatric Unit, Institute of Child Health, London, UK.

Paediatricians commonly encounter neck lumps during their routine clinical practice; vascular abnormalities, such as (pseudo)aneurysms, are a rare cause of these. Pseudoaneurysms of the carotid artery in children are usually the result of blunt or penetrating trauma, infection or vasculitis/connective tissue disorders. They can present with a variety of symptoms including neck pain, as a pulsatile neck mass or with compressive symptoms (for example, cranial nerve palsies or dyspnoea). Read More

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http://ep.bmj.com/lookup/doi/10.1136/archdischild-2019-31705
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http://dx.doi.org/10.1136/archdischild-2019-317052DOI Listing
June 2020
4 Reads

Trans-oral penetrating trauma to the neck: the innocuous pen cap and the value of CT Scan.

Authors:
M Nathie S Maharaj

S Afr J Surg 2019 Sep;57(3):59

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

Summary: A significant number of otorhinolaryngological emergency visits are caused by foreign bodies, and occasionally they can result in life-threatening injury. This report highlights the value of neck CT in the evaluation of suspected radiolucent foreign bodies penetrating the neck from the oral cavity. This guided the surgical approach to remove the foreign body safely without complication. Read More

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September 2019
2 Reads

The spectrum of animal related injuries managed at a major trauma centre in South Africa.

S Afr J Surg 2019 Sep;57(3):54

Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa and Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.

Background: Humans come into contact and interact with an array of animals in a number of areas and environments. We set out to review our experience with animal-related injuries in Pietermaritzburg, KwaZulu-Natal, South Africa.

Method: All patients who sustained an injury secondary to an interaction with an animal in the period December 2012-December 2017 were identified from the Hybrid Electronic Medical Registry (HEMR). Read More

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September 2019
6 Reads

Diagnosis, management and treatment of neck trauma.

Cir Esp 2019 Nov 27;97(9):489-500. Epub 2019 Jul 27.

Department of Surgery, NYU Winthrop Hospital, NYU Long Island School of Medicine, Mineola, Nueva YorkEE. UU.

Trauma injuries to the neck account for 5-10% of all trauma injuries and carry a high rate of morbidity and mortality, as several vital structures can be damaged. Currently, there are several treatment approaches based on initial management by zones, initial management not based on zones and conservative management of selected patients. The objective of this systematic review is to describe the management of neck trauma. Read More

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http://dx.doi.org/10.1016/j.ciresp.2019.06.001DOI Listing
November 2019

Management of chest impalement injury.

Int J Surg Case Rep 2019 23;61:123-126. Epub 2019 Jul 23.

Monaldi Hospital - Anesthesia and ICU, Italy.

Presentation Of Case: We will describe the case of a man who impaled himself on a greenhouse pole by falling off a ladder.

Discussion: The belated radiological exclusion of any spine and neck lesions forced the surgeons to operate with the patient supine and on a spine board, which prevented them from performing the classic thoracotomy and reaching the entry hole in the right scapula area.

Conclusion: A double thoracotomy and the expedient of a haemostatic plug, positioned simultaneously with the extraction of the pole, allowed to control bleeding with absolute safety margins. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.07.043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664164PMC
July 2019
4 Reads

Facial Nerve Hematoma After Penetrating Middle Ear Trauma: A Cause of Delayed Facial Palsy.

Pediatr Emerg Care 2019 Jul 25. Epub 2019 Jul 25.

From the Department of Otorhinolaryngology-Head and Neck Surgery.

Penetrating middle ear injury may cause hearing loss, vertigo, or facial nerve injury, although facial nerve paralysis followed by head trauma is a rare condition. In this study, we report a case of a 3-year-old patient with delayed facial palsy on the left side that developed 4 days after an accidental tympanic membrane perforation caused by a cotton-tipped swab. Otoendoscopic examination revealed a perforation in the posterosuperior quadrant of the tympanic membrane. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001875DOI Listing
July 2019
2 Reads

Challenges in acute care surgery: Zone III neck stab wound.

J Trauma Acute Care Surg 2019 Aug;87(2):508-509

From the Division of Gastrointestinal, Trauma and Endocrine Surgery (F.M.P., C.C.B), Department of Surgery, Division of Otorhinolaryngology (M.E.), Department of Surgery, and Department of Emergency Medicine (B.S., R.B.), University of Colorado School of Medicine/Denver Health Medical Center, Denver, Colorado.

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http://dx.doi.org/10.1097/TA.0000000000002306DOI Listing

COMMENTARY.

J Trauma Acute Care Surg 2019 08;87(2):507

Los Angeles, California.

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http://dx.doi.org/10.1097/TA.0000000000002211DOI Listing
August 2019
27 Reads