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Indian J Otolaryngol Head Neck Surg. 2007 Sep;59(3):221-4. doi: 10.1007/s12070-007-0065-7. Epub 2007 Oct 05.

Penetrating neck injuries.

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

B Vishwanatha, A Sagayaraj, Shalini G Huddar, Prashanth Kumar, R K Datta

Affiliations

  1. Department of E.N.T., Victoria Hospital and Bangalore Medical College, Bangalore, 560 002 Karnataka India.

PMID: 23120437 PMCID: PMC3452104 DOI: 10.1007/s12070-007-0065-7

Abstract

The incidence of penetrating and lacerated neck injuries has been rising in recent decades largely because of urban violence. Injury to the neck frequently results in multiple regional injuries and in addition poses serious threat to vital structures in the neck.From 1999 to 2005, forty-two cases of penetrating neck injuries which were treated in our hospital were included in this study. Thirty one (73.8%) injuries were due to homicide, six cases (14.2%) were due to suicide attempt and five (11.9%) were accidental injuries. Surgical management included tracheostomy neck exploration and wound repair. All the patients were followed up for a minimum period of six months. Six patients (14.2%) had unilateral vocal cord paralysis. Two patients (4.7%) developed tracheal stenosis.A proper evaluation, rapid air way intervention and proper surgical repair are essential for a successful outcome.

Keywords: Penetrating neck injuries; Tracheostomy

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