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Penetrating neck injury: case report and evaluation of management

Published online by Cambridge University Press:  08 March 2006

M. Tariq
Affiliation:
Department of Otolaryngology, Medway Maritime Hospital, Gillingham, Kent, UK.
A. Kalan
Affiliation:
Department of Otolaryngology, Medway Maritime Hospital, Gillingham, Kent, UK.
S. S. Surenthiran
Affiliation:
Department of Otolaryngology, Medway Maritime Hospital, Gillingham, Kent, UK.
A. Bhowmik
Affiliation:
Department of Otolaryngology, Medway Maritime Hospital, Gillingham, Kent, UK.

Abstract

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.

Type
Research Article
Copyright
Royal Society of Medicine Press Limited 2000

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