medigraphic.com
SPANISH

Trauma. La urgencia médica de hoy

  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2004, Number 2

<< Back Next >>

Trauma 2004; 7 (2)

Structural injuries in neck trauma: a two-year report in a Mexico CityEmergency Hospital

Carreón BRM, González BRE
Full text How to cite this article

Language: Spanish
References: 12
Page: 47-52
PDF size: 79.01 Kb.


Key words:

Cervical trauma, neck trauma, penetrating injuries, trauma.

ABSTRACT

Introduction: Neck trauma exists in 5-10% of general trauma cases. It arises problems such as sudden death and complications related to surgical and non surgical therapy. A study was performed to know the rate of cervical structure involvement in patients with penetrating neck injuries. Methods: a prospective, descriptive and observational study, including all penetrating neck trauma patients from September 1996 to September 1998. Study variables were zone, organ involvement and agent. Patients with cervical spine injury and contusions were excluded. Results: 70 patients were included, 57 (81.4%) had organ involvement, 65.7% were caused by a sharp agent. Zone II was the most commonly involved (71%); veins and airway were the most commonly affected structures (27.1% each). The morbidity was 5.7% and mortality 2.9%. Discussion: There was a high rate of organ involvement in penetrating neck trauma; most frequently affected organs were vessels and airway.


REFERENCES

  1. Flores J, Ortiz PJ, Cervantes J. Trauma penetrante de cuello ¿es confiable la exploración física para el diagnóstico de lesiones? An Med Asoc Med Hosp ABC 2000; 45: 6-12

  2. Demetriades D, Asensio JA, Velamos G, Thal E. Problemas complejos en traumatismos penetrantes del cuello. Surg Clin N Am 1997; 76: 659-682.

  3. Shearer VE, Giesecke AH. Airway management for patients with penetrating neck trauma: a retrospective study. Anesth Analg 1993; 77:1135-1138.

  4. Mejía Consuelos G. Trauma de cuello, capítulo 14; en: Moreno Fernández, CG. (ed). Manual de Trauma. México D.F., Ed. Masson-Salvat; 1996: 47-52.

  5. Roden DM, Pomerantz RA. Penetrating injuries to the neck a safe, selective approach to management. Am Surg 1993; 59: 750-753.

  6. Elerding SC, Manart FD, Moore EE. A reappraisal of penetrating neck injury management. J Trauma 1980; 20: 695-697.

  7. Magaña-Sánchez I, Cabello PR, Melgoza MD, Galván RJ. Chávez RJ. Patrón de lesiones de cuello en el Hospital Central Militar. Cir Gen 2001; 23: 240-244.

  8. Demetriades D, Charalambides D, Lakhoo M. Physical examination and selective conservative management in patients with penetrating injuries of the neck. Br J Surg 1993; 80: 1534-1536.

  9. Vicencio Tovar A, Rivera M, Ugarte BS. Exploración temprana de las heridas de cuello. Cir Ciruj 1980; 48: 209-214.

  10. Asencio JA, Valenziano CP, Falcone RE, Grosh JD. Management of penetrating neck injuries. The controversy surrounding zone II injuries. Surg Clin N Am 1991; 71: 267-296.

  11. Fry WR, Dort JA, Smith S, Sayers DV, Morabito DJ. Duplex scanning replaces arteriography and operative exploration in the diagnosis of potential cervical vascular injury. Am J Surg 1994; 168: 693-695.

  12. Biffl WL, Moore EE, Rehse DH, Offner PJ, Franciose RJ, Burch JM. Selective management of penetrating neck trauma based on cervical level of injury. Am J Surg 1997; 174: 678-682.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Trauma. 2004;7