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Related Experiment Video

Updated: May 28, 2026

A Test Bed to Examine Helmet Fit and Retention and Biomechanical Measures of Head and Neck Injury in Simulated Impact
07:30

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Published on: September 21, 2017

Neck injuries.

Roberto García-Zornoza1, Carmelo Morales-Angulo, Rocío González-Aguado

  • 1Servicio de Otorrinolaringología, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España. robertozornoza@hotmail.com

Acta Otorrinolaringologica Espanola
|October 22, 2011
PubMed
Summary

Deep neck trauma, often caused by traffic accidents, can lead to severe complications or death. Prompt, specialized management is crucial for patients with these otolaryngology-related injuries.

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Area of Science:

  • Otolaryngology
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Deep neck injuries pose significant clinical challenges due to potential life-threatening consequences.
  • Prompt and accurate management is essential to prevent severe outcomes, including mortality.

Purpose of the Study:

  • To analyze the characteristics and outcomes of external deep cervical trauma involving otolaryngology structures.
  • To identify common causes, clinical presentations, and treatment patterns for these injuries.

Main Methods:

  • A 24-year retrospective study of patients with external deep neck injuries treated at a tertiary hospital.
  • Inclusion criteria focused on injuries affecting otolaryngology-related structures.

Main Results:

  • Twenty patients were analyzed, with traffic accidents (45%) being the leading cause, followed by knife assault (27%).
  • Hemorrhage (55%) and respiratory distress (23%) were common symptoms; subcutaneous emphysema (27%) was the most frequent sign.
  • Surgical intervention was required in 59% of cases, with 27% needing tracheotomy. Mortality was 9%, and 6% experienced permanent complications.

Conclusions:

  • External deep neck injuries involving ENT structures are infrequent but serious, with traffic accidents as the primary etiology.
  • Standardized management guidelines are vital for rapid and effective treatment to mitigate severe complications and mortality.