Neck Trauma

Objectives: To study clinical characteristics and treatment outcome of epistaxis in head and neck trauma. Methods: A prospective descriptive study of 71 cases of epistaxis managed at Hue Center Hospital and Hue Univesity Hospital from April 2015 to June 2016. Results: Most of bleeding times were at night (59.2%). Unilateral bleeding was seen in almost 72.9% cases. Anterior nasal bleeding was noted in majority of the patients (70.4%), anterior and posterior nasal was 18.3%, posterior nasal was 11.3%. There were three stage: mild (77.5%), moderate (15.5%), severe (7%). Anterior nasal packing (70.4%) were the most common methods, Posterior nasal packing were 25.4%, Local cauterization were 1.4%, Constriction of the blood vessels were 1.4%, Embolization procedure were 1.4%. Complication rate was 8.4% include: fever (5%), pressure necrosis (1.7%), scars (1.7%). The rate of good recovery after treatment was 91.7%, partial recovery was 8.3%. The overall mean of hospital stay was 6,33 ± 5,61 days (range 1 to 36 days). Key words: Epistaxis

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Eagles talons: Bilateral Eagle's syndrome and neck trauma. A case report

Otolaryngology Case Reports ◽

10.1016/j.xocr.2021.100303 ◽

2021 ◽

Vol 20 ◽

pp. 100303

Author(s):

Eric Farrell ◽

Richard Speaker ◽

Ronan Killeen ◽

Seng Guan Khoo

Keyword(s):

Case Report ◽

Neck Trauma ◽

Eagle’S Syndrome

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Hypoxic respiratory failure in an adolescent after blunt neck trauma

Journal of Paediatrics and Child Health ◽

10.1111/jpc.15327 ◽

2020 ◽

Author(s):

Carolina Vega ◽

Nehal Patel ◽

Nathan Gonik ◽

Usha Sethuraman

Keyword(s):

Respiratory Failure ◽

Neck Trauma ◽

Blunt Neck Trauma ◽

Hypoxic Respiratory Failure

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Management of head and neck trauma in a developing country

Indian Journal of Otolaryngology and Head & Neck Surgery ◽

10.1007/s12070-009-0015-7 ◽

2009 ◽

Vol 61 (S1) ◽

pp. 35-43 ◽

Cited By ~ 1

Author(s):

Kishore Chandra Prasad ◽

Sampath Chandra Prasad ◽

S. Vijendra Shenoy ◽

Abhijith Kumar

Keyword(s):

Head And Neck ◽

Developing Country ◽

Neck Trauma ◽

Head And Neck Trauma

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Current Concepts in the Epidemiology and Management of Battlefield Head, Face and Neck trauma

Journal of the Royal Army Medical Corps ◽

10.1136/jramc-155-04-07 ◽

2009 ◽

Vol 155 (4) ◽

pp. 274-278 ◽

Cited By ~ 20

Author(s):

J. Breeze ◽

D. Bryant

Keyword(s):

Neck Trauma

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Prevalence of midline cervical spine tenderness in the non-trauma population

Emergency Medicine Journal ◽

10.1136/emermed-2021-211288 ◽

2021 ◽

pp. emermed-2021-211288

Author(s):

J Scott Delaney ◽

Ammar Al-Kashmiri ◽

Abdulaziz Alalshaikh ◽

Saif Al-Ghafri ◽

Sanjeet Singh Saluja ◽

...

Keyword(s):

Cervical Spine ◽

Decision Rules ◽

Clinical Decision ◽

Neck Trauma ◽

Factors Associated ◽

Trauma Population ◽

Spine Imaging ◽

High Prevalence ◽

National Emergency ◽

Upper Third

ObjectiveThe Canadian C-Spine Rule (CCR) and the National Emergency X-Radiography Utilization Study (NEXUS) criteria are two commonly used clinical decision rules which use midline cervical spine (c-spine) tenderness on palpation as an indication for c-spine imaging post-trauma. This study was undertaken to determine the prevalence and location of midline c-spine tenderness in the non-trauma population.MethodsWe prospectively evaluated consenting adult patients presenting to an urban ED or university sport medicine clinic in Montreal, Canada between 2018 and 2020 for atraumatic non-head and neck-related reports over a 20-month period. The presence and location of pain during midline c-spine palpation as assessed by two examiners during separate evaluations was recorded. Patient information such as age, neck length and circumference, gender, body mass index (BMI) and scaphoid tenderness was also collected.ResultsOf 478 patients enrolled, 286 (59.8%) had midline c-spine tenderness on palpation with both examiners. The majority of those with tenderness were female (70.6%). When examining all patients, tenderness was present in the upper third of the c-spine in 128 (26.8%) patients, middle third in 270 (56.5%) patients and lower third in 6 (1.3%) patients. Factors associated with having increased odds of midline c-spine tenderness on palpation included a lower BMI and the presence of scaphoid tenderness on palpation.ConclusionsThere is a high prevalence of c-spine tenderness on palpation in patients who have not undergone head or neck trauma. This finding may help explain the low specificity in some of the validation studies examining the CCR and the NEXUS criteria.

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Asphyxia caused by delayed subglottic stenosis after neck trauma

Forensic Science Medicine and Pathology ◽

10.1007/s12024-021-00391-z ◽

2021 ◽

Author(s):

Yueyao Shen ◽

Kai Li ◽

Peng Chen ◽

Youjia Yu ◽

Feng Chen

Keyword(s):

Subglottic Stenosis ◽

Neck Trauma

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Injuries to the Neck

10.2310/neuro.2132 ◽

2015 ◽

Author(s):

David H. Wisner ◽

Joseph M. Galante

Keyword(s):

Vertebral Artery ◽

Carotid Arteries ◽

Life Support ◽

Jugular Vein ◽

Penetrating Trauma ◽

Operative Management ◽

Advanced Trauma Life Support ◽

Neck Trauma ◽

Anatomical Structures ◽

Initial Management

Injuries to the neck can be the result of blunt and penetrating trauma. Both mechanisms can cause devastating injuries, with high associated rates of morbidity and mortality. Airway management in trauma does not differ based on the mechanism of injury, and so the initial priority is to ensure an adequate airway through cricothyrotomy or tracheotomy. For penetrating neck trauma, initial management is evaluated in accordance with Advanced Trauma Life Support (ATLS) guidelines. Thereafter, the management of penetrating trauma of the stable patients is provided and includes carotid artery exploration and repair, vertebral artery exploration and repair, endovascular repair, jugular vein injuries, treatment of the pharynx and esophagus, and treatment of the larynx and trachea. Blunt trauma is described and includes injuries to the aerodigestive tract and cerebrovascular and vertebral injuries. Figures show an algorithm outlining operative management of known or suspected injuries to the carotid arteries, jugular vein, pharynx, and esophagus; the three separate zones of the neck; common incisions made along the sternocleidomastoid muscle; important anatomical structures of the neck; and an algorithm outlining management of known injuries to the vertebral artery. This chapter contains 31 references.

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