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Related Concept Videos

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Related Experiment Video

Updated: Jan 24, 2026

Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture
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Penetrating paediatric neck trauma.

Monica Abdelmasih1, Ahmed Kayssi2, Graham Roche-Nagle3

  • 1Division of Vascular Surgery, University of Toronto, Toronto, Ontario, Canada.

BMJ Case Reports
|May 17, 2019
PubMed
Summary

A pencil injury caused a devastating internal carotid artery injury in an 11-year-old girl. Management guidelines for pediatric zone II neck injuries are discussed.

Keywords:
accidents, injuriespaediatric surgerypaediatricstraumavascular surgery

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Area of Science:

  • Vascular Surgery
  • Pediatric Trauma

Background:

  • Penetrating injuries to the internal carotid artery (ICA) are rare but critical surgical emergencies.
  • These injuries pose significant challenges due to potential for severe neurological deficits and mortality.

Observation:

  • An 11-year-old girl sustained a severe vascular injury to the internal carotid artery after falling on a pencil.
  • This case highlights an unusual mechanism of injury in a pediatric patient.

Findings:

  • The case underscores the vulnerability of pediatric cervical vasculature to penetrating trauma.
  • Management strategies for zone II neck injuries in children require careful consideration.

Implications:

  • Optimal management of pediatric ICA injuries is crucial to prevent long-term morbidity.
  • This case and discussion contribute to updated clinical recommendations for managing complex pediatric neck trauma.