Pneumomediastinum due to Penetrating Neck Injury: A Case Report

2019 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Kasım Turgut ◽  
Abdullah Algın ◽  
Hasan Öğünç Apaydın
2000 ◽  
Vol 114 (7) ◽  
pp. 554-556 ◽  
Author(s):  
M. Tariq ◽  
A. Kalan ◽  
S. S. Surenthiran ◽  
A. Bhowmik

Greater urban violence has resulted in an increased incidence of penetrating neck trauma. Penetrating neck wounds can present difficult diagnostic and therapeutic dilemmas. The evaluation and management of such injuries, however, remains controversial. There is no universally accepted specific approach to the management of patients with penetrating neck injuries, with some surgeons advocating mandatory neck exploration whilst others believe in selective surgical intervention.We believe that an equal willingness for both conservative and surgical intervention as dictated by serial bedside evaluation with adequate radiological and endoscopic support can provide the clinician a safe and effective means of managing a potentially complex and lethal problem.


2019 ◽  
Vol 20 (3) ◽  
pp. 267-269
Author(s):  
Kasım Turgut ◽  
Abdullah Algın ◽  
Hasan Öğünç Apaydın

2012 ◽  
Vol 62 (2) ◽  
pp. 172 ◽  
Author(s):  
Hyub Huh ◽  
Jin Hee Han ◽  
Jun-Young Chung ◽  
Jae-Woo Yi ◽  
Bong Jae Lee ◽  
...  

2019 ◽  
Vol 34 (2) ◽  
pp. 42-46
Author(s):  
Ruthlyn Pecolera ◽  
Rubiliza Onofre-Telan

Objective: This paper aims to describe an unconventional surgical procedure performed in a case of penetrating neck injury involving the larynx. Methods: Design: Case Report Setting: Tertiary Government Hospital Population:          One Results: A 38-year-old man sustained a hacking laceration to the anterior neck that extended into the hypopharyngeal area, transecting the thyroid cartilage. After pre-emptive tracheostomy, the patient was referred to otorhinolaryngology – head and neck surgery due to the extensive hypopharyngeal injury. Neck exploration performed to control bleeders confirmed a Schaefer-Fuhrman Classification Group 3 penetrating neck injury. Anastomotic reconstruction of the hypopharynx, transected thyroid cartilage and strap muscles was attempted using absorbable sutures with post-operative re-establishment of structural continuity and documentation of full bilateral vocal fold mobility. The patient was about to be discharged home with a tracheotomy and nasogastric tube when he suddenly deteriorated and expired on the eighth post-operative day. Conclusion:  Our technique might be utilized in cases where urgent reconstruction of laryngeal structures is considered despite serious damage to the laryngeal skeleton, and may provide a temporary surgical option for similar cases in an emergent setting. However, we cannot recommend it as a routine standard on the basis of one case. Keywords:  larynx; penetrating neck injury; vocal cord; reconstruction, neck exploration


1994 ◽  
Vol 108 (6) ◽  
pp. 522-524 ◽  
Author(s):  
M. B. Pringle ◽  
M. J. Charig

AbstractThis case report illustrates the value of intravenous digital subtraction angiography (DSA) in cases of penetrating neck injury. The debate continues between a policy of mandatory exploration of all penetrating neck wounds versus one of selective exploration with observation of the remainder. The argument for the former policy is that vascular trauma can occur without clinical signs. Whichever policy is followed a DSA provides invaluable information in strengthening the decision either not to operate or if operating which operation to perform and which approach to use. DSA is a quick, simple and safe investigation that can be carried out at any time of day or night.


2014 ◽  
Vol 42 (1) ◽  
pp. 31-33
Author(s):  
ML Aich ◽  
ABMK Alam ◽  
M Abdullah ◽  
AR Sardar

Penetrating neck wounds are potentially dangerous and require emergency management because of the presence of vital structures in the neck. Organic foreign bodies further carry a risk of wound infection. Three interesting penetrating neck injury with foreign bodies are presented of which two are metallic, one with bamboo stick penetrating the neck tissue without damaging any vital structures except facial nerve injury. Mod e of entry, the peculiarity of the foreign body, the management protocol and the outcomes of neck injury are evaluated in the three cases of this case report. Review of literature revealed that few such cases have been reported. DOI: http://dx.doi.org/10.3329/bmj.v42i1.18978 Bangladesh Med J. 2013 Jan; 42 (1): 31-33


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