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Penetrating Neck Injuries: from ER to OR.
Indian J Otolaryngol Head Neck Surg. 2019 Oct; 71(Suppl 1):352-357.IJ

Abstract

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. The basic aim of the study was to discuss the management, comorbidities, prognosis and associated complications encountered in a series of patients with penetrating neck trauma (piercing platysma), presenting to the emergency over a period of 1 year. Combat injuries and patients declared as brought dead at the time of first examination were excluded. This was a retrospective study of patients with cut throat injury, managed at a tertiary center of northern India from June 2014 to September 2015. Following management in the ER as per ATLS guidelines, all patients were then operated for specific injuries. Graph pad software was used for statistical analysis. Of the 15 patients studied in total, 11 (73.3%) were males. The mean patient age was 33.67 years. Mean duration of presentation was 20.85 h. 60% patients had homicidal injuries. Tracheostomy and Ryle's tube insertion was done in 8 (53.3%) patients. Exploration and surgical repair was done in all patients without any mortality. 4 patients developed post-operative complications. Mean duration of hospital stay was 9.2 days. Immediate resuscitation followed by exploration and primary repair is a must in all patients of penetrating neck injury.

Authors+Show Affiliations

Department of E.N.T, IMS BHU, Flat no 114, Ambrosia Apartments, Lanka, Varanasi, Uttar Pradesh 221005 India.Department of E.N.T, IMS BHU, Room No-215, Susruta Hostel, Trauma center campus, Varanasi, Uttar Pradesh 221005 India.Department of E.N.T, IMS BHU, Room No.-5, Ladies Doctors Hostel, Varanasi, Uttar Pradesh 221005 India.Department of E.N.T, IMS BHU, Room No-130, Susruta Hostel, Trauma Center Campus, Varanasi, Uttar Pradesh 221005 India.Department of E.N.T, IMS BHU, Santpath Vachaspatinagar, Kumhrar, Patna, Bihar 800006 India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31741985

Citation

Jain, Rajiv Kumar, et al. "Penetrating Neck Injuries: From ER to OR." Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India, vol. 71, no. Suppl 1, 2019, pp. 352-357.
Jain RK, Chakraborty P, Joshi P, et al. Penetrating Neck Injuries: from ER to OR. Indian J Otolaryngol Head Neck Surg. 2019;71(Suppl 1):352-357.
Jain, R. K., Chakraborty, P., Joshi, P., Pradhan, S., & Kumari, R. (2019). Penetrating Neck Injuries: from ER to OR. Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India, 71(Suppl 1), 352-357. https://doi.org/10.1007/s12070-018-1307-6
Jain RK, et al. Penetrating Neck Injuries: From ER to OR. Indian J Otolaryngol Head Neck Surg. 2019;71(Suppl 1):352-357. PubMed PMID: 31741985.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Penetrating Neck Injuries: from ER to OR. AU - Jain,Rajiv Kumar, AU - Chakraborty,Priyanko, AU - Joshi,Purnima, AU - Pradhan,Sidharth, AU - Kumari,Rakhi, Y1 - 2018/05/12/ PY - 2015/12/05/received PY - 2018/03/14/accepted PY - 2020/10/01/pmc-release PY - 2019/11/20/entrez PY - 2019/11/20/pubmed PY - 2019/11/20/medline KW - Cut throat KW - Foreign body neck KW - Penetrating neck injury KW - Resuscitation SP - 352 EP - 357 JF - Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India JO - Indian J Otolaryngol Head Neck Surg VL - 71 IS - Suppl 1 N2 - 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. The basic aim of the study was to discuss the management, comorbidities, prognosis and associated complications encountered in a series of patients with penetrating neck trauma (piercing platysma), presenting to the emergency over a period of 1 year. Combat injuries and patients declared as brought dead at the time of first examination were excluded. This was a retrospective study of patients with cut throat injury, managed at a tertiary center of northern India from June 2014 to September 2015. Following management in the ER as per ATLS guidelines, all patients were then operated for specific injuries. Graph pad software was used for statistical analysis. Of the 15 patients studied in total, 11 (73.3%) were males. The mean patient age was 33.67 years. Mean duration of presentation was 20.85 h. 60% patients had homicidal injuries. Tracheostomy and Ryle's tube insertion was done in 8 (53.3%) patients. Exploration and surgical repair was done in all patients without any mortality. 4 patients developed post-operative complications. Mean duration of hospital stay was 9.2 days. Immediate resuscitation followed by exploration and primary repair is a must in all patients of penetrating neck injury. SN - 2231-3796 UR - https://www.unboundmedicine.com/medline/citation/31741985/Penetrating_Neck_Injuries:_from_ER_to_OR DB - PRIME DP - Unbound Medicine ER -
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