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Penetrating neck injury: a review

Emergency Medical Services Training, Gauteng Provincial Government Department of Health and Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa

Carol Ann Benn

Chris Hani Baragwanath Hospital, Johannesburg and Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa

Penetrating injury to the neck has inspired considerable controversy with regard to its management, owing to the large number of important, susceptible structures contained in this area. Mandatory exploration of all wounds has generally given way to selective operative management. Clinical assessment has, once again, become the prime diagnostic tool. This review describes the evolution of management and the value of various diagnostic modalities. It concludes with a summary of appropriate operative techniques.

Key Words: trauma • penetrating injury • anatomy • stable/unstable • mandatory/elective exploration • clinical evaluation • imaging • carotid repair • subclavian injury • airway injury • oesophageal injury • cervical spine injury • operative management

Trauma, Vol. 4, No. 2, 79-90 (2002)
DOI: 10.1191/1460408602ta226oa


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