INTRODUCTION A total of 17 cases of penetrating neck injury were managed by the otolaryngology team at King's College Hospital over a 3-year period in the 1980s. In April 2010 King's College Hospital became the major trauma centre for South East London. This prospective cohort study compares the incidence, changing demographic features and treatment outcomes of penetrating neck trauma in South...

OBJECTIVE To evaluate the role of physical examination in decision making for exploring patients with penetrating zone II neck injury. METHODS This was a cross-sectional study being performed in a level I trauma center between 2006 and 2010. The present study reviewed the records of 150 patients with penetrating neck injuries. Of 46 cases with zone II deep platysma neck injuries, 3 patients d...

BACKGROUND The American College of Surgeons' Committee on Trauma's recent prehospital trauma life support recommendations against prehospital spine immobilization (PHSI) after penetrating trauma are based on a low incidence of unstable spine injuries after penetrating injuries. However, given the chronic and costly nature of devastating spine injuries, the cost-utility of PHSI is unclear. Our h...

We present a case of penetrating head injuries caused by blast fragmentation, along with other serious injuries (including to the arms, face and neck), where a good recovery was made despite an Injury Severity Score (ISS) of 75. We suggest that survival and outcome are reliant on several factors and cannot be predicted from ISS, velocity of penetrating injury or presenting Glasgow Coma Scale (G...

Penetrating neck injuries can be a fatal event and they are difficult to manage for both surgeons and anesthesiologists. So, adequate preoperative evaluation is important to improve the patients' outcomes, but this can not be done for hemodynamically unstable or uncooperative patient. Here we present our clinical experience with a patient with a penetrating neck injury and who was hemodynamical...

a 25 year-old construction worker underwent neck laceration following penetrating neck trauma in a falling incident. the 3rd tracheal ring was injured which was initially repaired and the patient was discharged in good general condition. (figure 1 shows the patient’s neck view after discharge from hospital).two months later the patient was again admitted due to provocative coughing and a metal ...

Hypopharyngeal perforation following minor trauma: a case report and literature review c A rare complication of non-penetrating blunt neck trauma, hypopharyngeal perforation is mainly reported in association with high velocity road traffic accidents. The proposed injury mechanism is neck hyperextension associated with airway closure due to cervical compression against the steering wheel. Low ve...