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Zakaria BA, Muzaffar J, Orr LE, et al. Blunt neck trauma at a level I trauma centre: six-year retrospective case note review. J Laryngol Otol. 2019;133(11):943-947doi: 10.1017/S0022215119001993.
Zakaria, B. A., Muzaffar, J., Orr, L. E., Coulson, C. J., & Sharma, N. (2019). Blunt neck trauma at a level I trauma centre: six-year retrospective case note review. The Journal of laryngology and otology, 133(11), 943-947. https://doi.org/10.1017/S0022215119001993
Zakaria, B A, et al. "Blunt neck trauma at a level I trauma centre: six-year retrospective case note review." The Journal of laryngology and otology vol. 133,11 (2019): 943-947. doi: https://doi.org/10.1017/S0022215119001993
Zakaria BA, Muzaffar J, Orr LE, Coulson CJ, Sharma N. Blunt neck trauma at a level I trauma centre: six-year retrospective case note review. J Laryngol Otol. 2019 Nov;133(11):943-947. doi: 10.1017/S0022215119001993. Epub 2019 Oct 14. PMID: 31607275.
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J Laryngol Otol. 2019 Nov;133(11):943-947. doi: 10.1017/S0022215119001993. Epub 2019 Oct 14.

Blunt neck trauma at a level I trauma centre: six-year retrospective case note review.

The Journal of laryngology and otology

B A Zakaria, J Muzaffar, L E Orr, C J Coulson, N Sharma

Affiliations

  1. College of Medical and Dental Sciences, University of Birmingham, UK.
  2. Department of Clinical Neurosciences, University of Cambridge, UK.
  3. Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, University Hospitals Birmingham, UK.
  4. Department of Otolaryngology, University Hospitals Birmingham, UK.
  5. Institute of Head and Neck Studies and Education, College of Medical and Dental Sciences, University of Birmingham, UK.

PMID: 31607275 DOI: 10.1017/S0022215119001993

Abstract

BACKGROUND: Blunt neck trauma can cause serious morbidity and mortality rates of up to 40 per cent, but there is a paucity of literature on the topic.

METHOD: A retrospective case note review was performed for all blunt neck trauma cases managed at the Queen Elizabeth Hospital Birmingham between 1st January 2011 and 31st December 2017.

RESULTS: Seventeen cases were managed, with no mortality and limited morbidity. Most patients were male (70.6 per cent) and road traffic accidents were the most common cause of injury (41.2 per cent). The median age of patients was 40.6 years (range, 21.5-70.3 years). Multidetector computed tomography angiography of the neck was performed in 9 patients (52.9 per cent) with 'hot' reports made by on-duty radiology staff matching consultant reports in all but 1 case. Six patients underwent operative exploration yielding a negative exploration rate of 33.3 per cent. Imaging reports matched operative findings in 3 cases (60 per cent).

CONCLUSION: Blunt neck trauma is uncommon but usually presents in polytrauma. Imaging has inaccuracies when compared with operative findings, regardless of radiological experience.

Keywords: Neck Injuries

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