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Updated: Jul 13, 2026
07:30
A Test Bed to Examine Helmet Fit and Retention and Biomechanical Measures of Head and Neck Injury in Simulated Impact
Published on: September 21, 2017
Gunshot wounds to the head and neck
Vishal S Doctor1, D Gregory Farwell
1Department of Otolaryngology-Head and Neck Surgery, UC Davis Medical Center, Sacramento, California, USA.
Summary
Ballistic head and neck injuries require specialized reconstruction. Early repair with vascularized tissue flaps improves outcomes, reducing operations and hospital stays.
Area of Science:
- Reconstructive surgery
- Trauma surgery
- Head and neck surgery
Background:
- Ballistic injuries to the head and neck cause substantial bone and soft tissue loss.
- Reconstructing these defects presents a significant challenge for surgeons.
Purpose of the Study:
- To review current literature on managing ballistic head and neck injuries.
- To present a treatment algorithm for these complex injuries.
Main Methods:
- Review of current literature on ballistic injuries.
- Outline of a proposed treatment algorithm.
Main Results:
- Advances in free tissue transfer enable early, definitive reconstruction using vascularized flaps.
- Computed tomography angiography (CTA) is a safe and effective tool for identifying vascular injuries.
Conclusions:
- Management starts with advanced trauma life support.
- CTA provides rapid and accurate vascular evaluation.
- Early reconstruction with vascularized tissue improves function, reduces operations, and shortens hospital stays.
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