Penetrating Injuries of the Neck: Criteria for Exploration

One hundred thirty-six patients with penetrating injuries of the neck over a 4-year period were studied prospectively. Seventy-two patients (52.9%) had no major physical signs on admission, 56 were observed without complications, and 16 had a negative exploration. Injuries below the level of the cri...

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Veröffentlicht in:	The journal of trauma 1983-01, Vol.23 (1), p.47-49
Hauptverfasser:	RAO, PRAKASHCHANDRA M., BHATTI, M. FARRUKH KHAN, GAUDINO, JEAN, IVATURY, RAO R., AGARWAL, NANAKRAM, NALLATHAMBI, MANOHAR N., STAHL, WILLIAM M.
Format:	Artikel
Sprache:	eng
Schlagworte:	Brachial Plexus - injuries Causalgia - etiology Facial Nerve Injuries Female Horner Syndrome - etiology Humans Male Neck Injuries Salivary Glands - injuries Spinal Cord Injuries - etiology Spinal Nerve Roots - injuries Vocal Cord Paralysis - etiology Wounds, Penetrating - complications Wounds, Penetrating - mortality Wounds, Penetrating - surgery
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Zusammenfassung:	One hundred thirty-six patients with penetrating injuries of the neck over a 4-year period were studied prospectively. Seventy-two patients (52.9%) had no major physical signs on admission, 56 were observed without complications, and 16 had a negative exploration. Injuries below the level of the cricoid cartilage were associated with a very high mortality (12.12%). We recommend a policy of selective conservatism in the management of penetrating neck injuries.
ISSN:	0022-5282 1529-8809
DOI:	10.1097/00005373-198301000-00009