1,802 results match your criteria Penetrating Neck Trauma


A case report of cervicothoracic penetrating injury with retention of foreign body.

BMC Surg 2021 May 3;21(1):232. Epub 2021 May 3.

Departments of Otolaryngology-Head and Neck Surgery, Affiliated Hospital of Jining Medical University, Jining, 272029, Shandong, China.

Background: Cervicothoracic penetrating injury, considered to be relatively rare, has a complicated mechanism that is difficult to treat. In this report, a special case of cervicothoracic injury caused by foreign body penetration was elucidated. In this case, the injury location and the involved foreign body were exceptionally particular, which induced a challenging process of diagnosis and treatment. Read More

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Challenges in acute care surgery: penetrating vertebral artery injury in 'extremis' patient.

Trauma Surg Acute Care Open 2021 5;6(1):e000684. Epub 2021 Apr 5.

Unidad de Trauma y Urgencias, Complejo Asistencial Doctor Sotero del Rio, Puente Alto, Chile.

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Laryngotracheal and pharyngoesophageal traumatic injuries from US military operations in Iraq and Afghanistan, 2003-2017.

BMJ Mil Health 2021 Apr 28. Epub 2021 Apr 28.

Otolaryngology-Head & Neck Surgery, Naval Medical Center San Diego, San Diego, California, USA.

Introduction: Laryngotracheal and pharyngo-oesophageal trauma present military providers with especially difficult, life-threatening challenges. Although effective treatment strategies are crucial, there is no clear consensus. This study of combat injuries from Iraq and Afghanistan describes initial treatment outcomes. Read More

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Feel the Burn! Fireworks-related Otolaryngologic Trauma.

Ann Otol Rhinol Laryngol 2021 Apr 9:34894211008100. Epub 2021 Apr 9.

Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, School of Medicine and Health Sciences, George Washington University, Washington, DC, USA.

Objectives: Fireworks are used commonly for celebrations in the United States, but can lead to severe injury to the head and neck. We aim to assess the incidence, types, and mechanisms of head and neck injuries associated with fireworks use from 2010 to 2019.

Methods: A retrospective cross-sectional study, using data from the National Electronic Injury Surveillance System, of individuals presenting to United States Emergency Departments with head and neck injuries caused by fireworks and flares from 2010 to 2019. Read More

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Damage control of laryngotracheal trauma: the golden day.

Colomb Med (Cali) 2020 Dec 30;51(4):e4124599. Epub 2020 Dec 30.

Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.

Laryngotracheal trauma is rare but potentially life-threatening as it implies a high risk of compromising airway patency. A consensus on damage control management for laryngotracheal trauma is presented in this article. Tracheal injuries require a primary repair. Read More

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December 2020

[Comparison of clinical efficacy of two different pin arrangements for external fixation of femoral neck fracture].

Zhongguo Gu Shang 2021 Mar;34(3):208-14

The First Department of Surgery, Pingquan Traditional Chinese Medicine Hospital, Pingquan 067500, Hebei, China.

Objective: To retrospectively analyze the clinical efficacy of external fixation in the treatment of femoral neck fracture with two different pin layout.

Methods: From April 2000 to April 2018, 140 cases of femoral neck fracture were treated with closed reduction and percutaneous pin external fixation, among them 121 cases were followed up for more than 1 year, including 31 cases in traditional group, 12 males and 19 females, aged 45 to 74(65.4±8. Read More

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Traumatic contralateral chylothorax in a patient with penetrating neck injury: a case report.

J Surg Case Rep 2021 Mar 22;2021(3):rjab031. Epub 2021 Mar 22.

Department of Surgery, Ascension St. John Hospital, Detroit, MI, USA.

Chylothorax is defined as a collection of chyle within the pleural cavity secondary to injury of the thoracic duct. We describe a rare case of a contralateral chylothorax resulting from a penetrating wound to the left lower anterior neck region. A 37-year-old male presented to the emergency room with a penetrating stab wound of the left neck. Read More

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Pediatric penetrating cervical trauma in HCUP: Associations with hospital length of stay and cost.

Int J Pediatr Otorhinolaryngol 2021 Apr 25;143:110661. Epub 2021 Feb 25.

Department of Otolaryngology, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, NY, United States.

Objective: To describe pediatric penetrating cervical trauma (PCT) and determine factors associated with increased length of stay (LOS) and total hospital charges.

Study Design: Retrospective review of Healthcare Cost and Utilization Project (HCUP) from the Kids' Inpatient Database (KID) for 2016.

Setting: Public database. Read More

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Vertebral artery injury due to air rifle: A case report.

Ann Med Surg (Lond) 2021 Mar 5;63:102149. Epub 2021 Feb 5.

General Practitioner, Tangerang District General Hospital, Tangerang, Indonesia.

Introduction: This case report presents a rare case of vertebral artery and spinal cord injury due to air rifle pellet.

Case Presentation: A previously healthy 19-year-old male was shot on his left neck incidentally during recreational air rifle game. He was taken to the other hospital before being referred to our hospital. Read More

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Penetrating Trauma Rapid Estimated Disability Scale: Assessing Facial Self-Inflicted Gunshot Wounds.

Facial Plast Surg Aesthet Med 2021 Mar 3. Epub 2021 Mar 3.

Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of Utah Hospital, Salt Lake City, Utah, USA.

Self-inflicted facial gunshot wounds (GSWs) result in complex but consistent injuries that are often survivable. We suggest a novel method for rapid stratification into groups that may be associated with hospital course and cost after self-inflicted facial GSWs. This is retrospective review of self-inflicted facial GSWs between January 1, 2009, and December 31, 2018, at a tertiary academic center. Read More

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Dynamic monitoring of cardiac foreign body by perioperative echocardiography: A case study.

Echocardiography 2021 Apr 1;38(4):676-680. Epub 2021 Mar 1.

Department of Ultrasound, Changzheng Hospital, Second Military Medical University, Shanghai, China.

Cardiac foreign bodies, especially those with sharp tips, may lead to unpredictable complications, such as penetrating cardiac injuries. Yet there have not been many reports of penetrating cardiac injuries caused by a needle that migrates from the neck to the heart. We herein present a review of such a case, focusing on the dynamic monitoring by perioperative echocardiography. Read More

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An unusual case of a penetrating neck injury (PNI) illustrating the use of a "no zone" approach for the management of this injury and a review of the literature.

Trauma Case Rep 2021 Apr 9;32:100402. Epub 2021 Feb 9.

Department of Vascular Surgery, Royal North Shore Hospital, St Leonards, NSW 2056, Australia.

We present an unusual case of a young male with a penetrating neck injury (PNI) due to a work-related injury. A metallic foreign body traversed from entry at surgical Zone 2 to Zone 1 in the neck and resulted in a transection of the left thyrocervical trunk at the origin with the left subclavian artery. Computed Tomographic Angiography (CTA) of the aortic arch and major branch vessels demonstrated haemorrhage anterior to the left subclavian artery and left thyrocervical trunk. Read More

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Damage Control Laparotomy in the Cirrhotic Trauma Patient is Highly Lethal: A Matched Cohort Study.

Am Surg 2021 Feb 26:3134821998673. Epub 2021 Feb 26.

Division of Trauma and Surgical Critical Care, Department of Surgery, Los Angeles County + University of Southern California Medical Center, University of Southern California Los Angeles, USA.

Introduction: Damage control laparotomy (DCL) has revolutionized trauma care and is considered the standard of care for severely injured patients requiring laparotomy. The role of DCL in cirrhotic patients has not been investigated.

Methods: A matched cohort study using American College of Surgeons Trauma Quality Improvement Program database including patients undergoing DCL within 24 hours of admission. Read More

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February 2021

Imaging foreign bodies in head and neck trauma: a pictorial review.

Insights Imaging 2021 Feb 15;12(1):20. Epub 2021 Feb 15.

Department of Radiology, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, Berlin, 13353, Germany.

Open injuries bear the risk of foreign body contamination. Commonly encountered materials include gravel debris, glass fragments, wooden splinters or metal particles. While foreign body incorporation is obvious in some injury patterns, other injuries may not display hints of being contaminated with foreign body materials. Read More

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February 2021

About an unusual penetrating cervical wound:Iron bar.

Ann Med Surg (Lond) 2021 Feb 20;62:197-199. Epub 2021 Jan 20.

University Hospital Center Mohamed VI, Oujda, Morocco.

Introduction: The majority of cervical wounds are linked to aggressions and attempted autolysis by knives or firearms.

Case Presentation: the story is about a 35 -year-old man admitted to the emergency room for a penetrating cervical wound following an accidental fall in the workplace. The extremely long iron bar (concrete)has penetrated its neck on the right side. Read More

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February 2021

Chronic respiratory dysfunction due to diaphragmatic paralysis following penetrating neck trauma: A case report.

Medicine (Baltimore) 2021 Jan;100(4):e24043

Department of Critical Care Medicine, the First Affiliated Hospital, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, China.

Rationale: Respiratory dysfunction resulting from unilateral diaphragmatic paralysis during neck trauma is very rare in adults. We describe the symptoms, diagnosis and treatment of 1 patient with chronic respiratory insufficiency, in whom the diaphragmatic paralysis was associated with phrenic nerve injury due to penetrating neck trauma.

Patient Concerns: A 50-year-old worker was admitted because of left penetrating neck trauma. Read More

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January 2021

Forceful sneeze: An uncommon cause of laryngeal fracture.

Radiol Case Rep 2021 Mar 20;16(3):742-743. Epub 2021 Jan 20.

Department of Otolaryngology Head and Neck Surgery, Rabin Medical Center, Petach Tikva, Israel.

Laryngeal fractures are generally induced by direct blunt or penetrating trauma to the neck. Coughing vigorously or sneezing forcefully is extremely rare causes of laryngeal fractures, with only 4 cases found after thorough literature search. Herein we present a case of a 34-year-old male presenting to the ENT emergency room with throat pain, odynophagia, dysphagia, and hoarseness. Read More

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Penetrating Arrow Injuries of the Head-and-Neck Region: Case Series and Review of Literature.

Niger Med J 2020 Sep-Oct;61(5):276-280. Epub 2020 Oct 13.

Department of Otorhinolaryngology, Aminu Kano Teaching Hospital/Bayero University, Kano, Nigeria.

Penetrating arrow injuries of the head-and-neck region are rare in the developed countries, but they are common in the rural communities of our country. Arrow shot to the head-and-neck region can be life-threatening due to the presence of major vessels and vital organs. Management of arrow injury to the head-and-neck region is seriously challenging, extraction of the arrows are usually difficult due to the proximity to vital structures, unskilled removal may worsen the existing injury or result in inadvertent damage to the vital structures. Read More

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October 2020

'No zone' approach to the management of stable penetrating neck injuries: a systematic review.

ANZ J Surg 2021 Jan 22. Epub 2021 Jan 22.

Department of General Surgical Specialties, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.

Background: Aim: to review outcomes of the 'no zone' approach to penetrating neck injuries (PNIs) with the advent of high-fidelity computed tomography-angiography (CT-A) in order to determine the most appropriate management for stable PNIs.

Design: Systematic review.

Population: Retrospective and prospective cohort studies of patients who sustained penetrating neck trauma, as defined by an injury which penetrates the platysma, and whose initial management involved CT-A evaluation. Read More

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January 2021

Penetrating Vertebral Artery Injuries: A Literature Review and Proposed Treatment Algorithm.

World Neurosurg 2021 Apr 15;148:e518-e526. Epub 2021 Jan 15.

Department of Neurosurgery, University of South Florida, Tampa, Florida, USA.

Background: Penetrating vertebral artery injuries (VAIs) are rare but devastating trauma for which the approach to treatment varies greatly. The literature on treatment modalities is limited to case reports, case series, and 1 review, with the majority of cases being treated surgically. However, with the advent of digital subtraction angiography, treatment has shifted toward less invasive endovascular modalities that allows one to assess the flow and risks of sacrificing the vertebral artery (VA). Read More

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Detectability of foreign body materials using X-ray, computed tomography and magnetic resonance imaging: A phantom study.

Eur J Radiol 2021 Feb 28;135:109505. Epub 2020 Dec 28.

Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Diagnostic and Interventional Radiology and Nuclear Medicine, Augustenburger Platz 1, 13353 Berlin, Germany. Electronic address:

Purpose: To evaluate the effectiveness of plain radiography (X-ray. XR), computed tomography (CT) and magnetic resonance imaging (MR) in visualising commonly seen foreign bodies. A special focus was put on objects relevant to head and neck surgery. Read More

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February 2021

CT-based assessment of laryngeal fracture patterns and associated soft tissue abnormality.

Eur Radiol 2021 Jan 6. Epub 2021 Jan 6.

Department of Radiology, Boston Medical Center, Boston University School of Medicine, FGH Building, 3rd Floor, 820 Harrison Avenue, Boston, MA, 02118, USA.

Objective: Acute traumatic injuries to the larynx, including fractures of the hyoid bone, cricoid, and thyroid cartilage, are uncommon injuries. The purpose of this study was to assess fracture and soft tissue patterns associated with laryngeal trauma.

Methods: This was a retrospective review of patients with laryngeal fractures who presented to two level I trauma centers and underwent CT imaging. Read More

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January 2021

Scapulothoracic dissociation and blunt vertebral vascular injury: case report.

Colomb Med (Cali) 2020 Sep 30;51(3):e504386. Epub 2020 Sep 30.

Department of General Surgery, Clínica Reina Sofía, Colsanitas, Bogotá, Colombia.

Case Description: A 24-year-old male suffers from a motor vehicle accident with penetrating neck trauma and concomitant closed left cervicothoracic trauma.

Clinical Findings: High impact trauma causing hypovolemic shock, left zone I penetrating neck trauma, ischemia due to blunt trauma to the axillary vessels, and brachial plexus injury. Transection of the vertebral artery on angiotomography. Read More

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September 2020

Traumatic pseudoaneurysm of the cavernous carotid: a lethal complication of craniofacial trauma.

J Surg Case Rep 2020 Dec 26;2020(12):rjaa500. Epub 2020 Dec 26.

Department of Otolaryngology, Alexandria University, Alexandria, Egypt.

Pseudoaneurysm of the cavernous carotid artery is a rare, yet life-threatening complication of craniofacial trauma. It may well present itself with delayed massive epistaxis up to several months after the initial insult. Early recognition and prompt treatment are the key in management and a high index of clinical suspicion is always required. Read More

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December 2020

Traumatic penetrating arteriovenous fistulas: a collective review.

Eur J Trauma Emerg Surg 2021 Jan 2. Epub 2021 Jan 2.

Department of Surgery, Creighton University School of Medicine, Creighton University Medical Center, 7500 Mercy Road, Suite 2871, Omaha, NE, 68124, USA.

Introduction: Traumatic penetrating arteriovenous fistulas (AVFs) are very rare. The majority of these injuries occur secondary to penetrating trauma. Objectives of this study: review their incidence, clinical presentation, radiologic identification, management, complications and outcomes. Read More

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January 2021

Shot in the dark: three patients successfully treated with onabotulinumtoxin A injections for relief of post-traumatic chronic headaches and dystonia induced by gunshot wounds.

BMJ Case Rep 2020 Dec 22;13(12). Epub 2020 Dec 22.

College of Osteopathic Medicine, University of New England, Biddeford, Maine, USA

Three patients ranging from 49 to 61 years-old presented to our pain clinic after failing multiple treatment attempts for debilitating, chronic post-traumatic headaches, neck pain and involuntary muscle spasm following gunshot wounds to the head, neck and face. Concurrent cervical dystonia was noted in each patient on presentation. All patients were treated with onabotulinumtoxin A (ONA) injections in the head and neck. Read More

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December 2020