Penetrating Traumatic Neck Injury Radiology Reference Article Penetrating neck injury represents 5–10% of all trauma cases. 1 it is important for clinicians to be familiar with management principles, as mortality rates can be as high as 10%. 2 this can prove difficult however, as there are no international consensus guidelines and recent improvements in imaging modalities have altered the way in which. Young males are highly represented in patients with a traumatic neck injury. in one study, 11:1 ratio of males to females were identified in patients with penetrating neck injury 3. pathology classification. the neck has traditionally been divided into three anatomic zones when describing penetrating neck trauma, which guides clinical management 2:.
Penetrating Traumatic Neck Injury Radiology Reference Article Penetrating neck injuries are a significant source of morbidity and mortality. diagnostic imaging plays an integral role in the diagnosis and management of these injuries. although clinical management of penetrating injuries to the neck remains controversial, many institutions have shifted away from mandatory surgical exploration of most penetrating neck injuries toward use of endoscopy. Patients with blunt and penetrating traumatic injuries to the skull base and soft tissues of the neck present to the emergency department every day. fortunately, truly life threatening injuries to these regions are relatively uncommon. however, when encountered and not correctly diagnosed, these entities may result in severe morbidity or mortality. the radiologist plays a critical role. Teaching points. • mdcta is the first line imaging modality in penetrating trauma of the neck and, often, of the face. • the inherent deformability of a bullet is a significant factor in its tissue damaging capabilities. • mdcta can provide accurate assessment of visceral injury of the neck as well as vascular injury. Some studies from major trauma centers recommend that physical examination alone is adequate for evaluating penetrating neck injuries ; however, the authors suggest maintaining a high degree of suspicion and, if the patient’s physiological status is appropriate, performing a ct evaluation. this not only allows surgeons to formulate a plan beforehand but also enables the assembly of the ideal.
Penetrating Traumatic Neck Injury Radiology Reference Article Teaching points. • mdcta is the first line imaging modality in penetrating trauma of the neck and, often, of the face. • the inherent deformability of a bullet is a significant factor in its tissue damaging capabilities. • mdcta can provide accurate assessment of visceral injury of the neck as well as vascular injury. Some studies from major trauma centers recommend that physical examination alone is adequate for evaluating penetrating neck injuries ; however, the authors suggest maintaining a high degree of suspicion and, if the patient’s physiological status is appropriate, performing a ct evaluation. this not only allows surgeons to formulate a plan beforehand but also enables the assembly of the ideal. The 33 references cited in the acr appropriateness criteria ® penetrating neck injury document were published from 1995 to 2017. although there are references that report on studies with design limitations, 3 well designed or good quality studies provide good evidence. Venous injuries following penetrating neck trauma are seen in 16 18% of patients 19,25,36 and have historically been the most frequently missed such injuries on physical exam. 36 coupled with the overall decreasing prevalence of surgically diagnosed venous injuries due to increasing imaging utilization, this suggests that these injuries are of doubtful clinical significance. nonetheless.
Penetrating Traumatic Neck Injury Radiology Reference Article The 33 references cited in the acr appropriateness criteria ® penetrating neck injury document were published from 1995 to 2017. although there are references that report on studies with design limitations, 3 well designed or good quality studies provide good evidence. Venous injuries following penetrating neck trauma are seen in 16 18% of patients 19,25,36 and have historically been the most frequently missed such injuries on physical exam. 36 coupled with the overall decreasing prevalence of surgically diagnosed venous injuries due to increasing imaging utilization, this suggests that these injuries are of doubtful clinical significance. nonetheless.
Penetrating Traumatic Neck Injury Radiology Reference Article
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