Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Outcomes of open neck injuries

  • Noh, Dongsub (Department of Thoracic and Cardiovascular Surgery, Daejeon Eulji Medical Center, Eulji University) ;
  • Choi, Jin Ho (Department of Thoracic and Cardiovascular Surgery, Daejeon Eulji Medical Center, Eulji University)
  • Received : 2021.07.27
  • Accepted : 2021.11.22
  • Published : 2022.09.30
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Abstract

Purpose: The neck is a particularly critical region for penetrating injuries due to the close proximity of the trachea, esophagus, blood vessels, and the spinal cord. An open neck injury has the potential for serious morbidity and mortality. The purpose of this study is to evaluate the assessment and management of open neck injuries. Methods: In this retrospective study, open neck injury patients who were admitted to the Trauma Center of Daejeon Eulji Medical Center, Eulji University between December 2015 and December 2017 were analyzed for epidemiology, the mechanism of trauma, the injured organ, complications, and mortality. Results: Thirty-two patients presented with open neck injuries. All patients underwent computed tomographic angiography to evaluate their injuries once their vital signs stabilized. Among these patients, 27 required surgical treatment. The most commonly injured organ was the airway. There were five deaths, and the main cause of death was bleeding. Mortality was associated with the initial systolic blood pressure at the hospital and Glasgow Coma Scale. Conclusions: Mortality from open neck injuries was associated with initial systolic blood pressure at the hospital and Glasgow Coma Scale.

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Acknowledgement

The present research was supported by the research fund of Dankook University in 2020 (No. R202001203).

References

  1. Kasbekar AV, Combellack EJ, Derbyshire SG, Swift AC. Penetrating neck trauma and the need for surgical exploration: six-year experience within a regional trauma centre. J Laryngol Otol 2017;131:8-12. https://doi.org/10.1017/S0022215116009506
  2. Mahmoodie M, Sanei B, Moazeni-Bistgani M, Namgar M. Penetrating neck trauma: review of 192 cases. Arch Trauma Res 2012;1:14-8. https://doi.org/10.5812/atr.5308
  3. Thompson EC, Porter JM, Fernandez LG. Penetrating neck trauma: an overview of management. J Oral Maxillofac Surg 2002;60:918-23. https://doi.org/10.1053/joms.2002.33863
  4. Monson DO, Saletta JD, Freeark RJ. Carotid vertebral trauma. J Trauma 1969;9:987-99. https://doi.org/10.1097/00005373-196912000-00003
  5. Burgess CA, Dale OT, Almeyda R, Corbridge RJ. An evidence based review of the assessment and management of penetrating neck trauma. Clin Otolaryngol 2012;37:44-52. https://doi.org/10.1111/j.1749-4486.2011.02422.x
  6. Bell RB, Osborn T, Dierks EJ, Potter BE, Long WB. Management of penetrating neck injuries: a new paradigm for civilian trauma. J Oral Maxillofac Surg 2007;65:691-705. https://doi.org/10.1016/j.joms.2006.04.044
  7. Chhabra A, Rudingwa P, Selvam SR. Pathophysiology and management of airway trauma. Trends Anaesth Crit Care 2013;3:216-9. https://doi.org/10.1016/j.tacc.2013.02.004
  8. Oyetunji T, Crompton JG, Efron DT, et al. Simplifying physiologic injury severity measurement for predicting trauma outcomes. J Surg Res 2010;159:627-32. https://doi.org/10.1016/j.jss.2009.08.026
  9. Shiroff AM, Gale SC, Martin ND, et al. Penetrating neck trauma: a review of management strategies and discussion of the 'No Zone' approach. Am Surg 2013;79:23-9. https://doi.org/10.1177/000313481307900113
  10. Ayuyao AM, Kaledzi YL, Parsa MH, Freeman HP. Penetrating neck wounds: mandatory versus selective exploration. Ann Surg 1985;202:563-7. https://doi.org/10.1097/00000658-198511000-00005
  11. Klyachkin ML, Rohmiller M, Charash WE, Sloan DA, Kearney PA. Penetrating injuries of the neck: selective management evolving. Am Surg 1997;63:189-94.
  12. Brennan J. Head and neck trauma in Iraq and Afghanistan: different war, different surgery, lessons learned. Laryngoscope 2013;123:2411-7. https://doi.org/10.1002/lary.24096