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Penetrating Neck Injuries: from ER to OR
Rajiv Kumar Jain1, Priyanko Chakraborty2, Purnima Joshi3
1Department of E.N.T, IMS BHU, Flat no 114, Ambrosia Apartments, Lanka, Varanasi, Uttar Pradesh 221005 India.
Summary
Penetrating neck trauma requires prompt management. Immediate resuscitation, surgical exploration, and primary repair are crucial for all patients, ensuring no mortality in this study.
Area of Science:
- Trauma Surgery
- Emergency Medicine
- Head and Neck Surgery
Background:
- The neck contains vital structures in a confined space, making injuries acute emergencies.
- Management of penetrating neck trauma is a complex surgical challenge.
Purpose of the Study:
- To discuss the management, comorbidities, prognosis, and complications of penetrating neck trauma.
- To analyze outcomes in patients presenting to an emergency department with neck injuries.
Main Methods:
- Retrospective study of 15 patients with penetrating neck trauma (cut throat injury).
- Management followed Advanced Trauma Life Support (ATLS) guidelines.
- Statistical analysis performed using GraphPad software.
Main Results:
- 11 (73.3%) patients were male, with a mean age of 33.67 years.
- 60% of injuries were homicidal; mean presentation time was 20.85 hours.
- All patients underwent exploration and primary repair without mortality; 4 developed post-operative complications.
Conclusions:
- Immediate resuscitation followed by surgical exploration and primary repair is essential for penetrating neck injuries.
- Effective management can lead to favorable outcomes despite potential complications.
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