Clinical Analysis of the Patients with Isolated Low-Velocity Penetrating Neck Injury
Purpose Although there has been substantial progress for the treatment of thoracic trauma, the mortality of the penetrating neck injury is still high, has been reported about 10–15%. However, there has not been a report which is reflecting Korean medical present. We retrospectively analyzed the pene...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2018-04-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-31-001.pdf |
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| _version_ | 1841558907558821888 |
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| author | Junepill Seok Hyun Min Cho |
| author_facet | Junepill Seok Hyun Min Cho |
| author_sort | Junepill Seok |
| collection | DOAJ |
| description | Purpose Although there has been substantial progress for the treatment of thoracic trauma, the mortality of the penetrating neck injury is still high, has been reported about 10–15%. However, there has not been a report which is reflecting Korean medical present. We retrospectively analyzed the penetrating neck injury patients based on the Korean Trauma Data Base. Methods Between December 2013 and June 2017 at the trauma center of the Pusan National University Hospital, Busan, Korea, total of 36 patients with isolated low-velocity penetrating neck injuries were included. We analyzed the patients’ age, gender, injury mechanism and causes by medical chart review. Results Among total of 36 patients, 26 (72.2%) were male and 10 (27.8%) were female. Homicidal neck injuries were most common, followed by accidental and suicidal injuries (47% vs. 33% vs. 19%, respectively). All penetrating injuries in our study were low-velocity trauma such as following: knife (n=16, 44.4%); glass or glass bottle (n=11, 30.6%); scissors (n=4, 11.1%); grinder (n=2, 5.6%); and three (8.3%) of miscellaneous injuries. Twenty-seven (75.0%) patients underwent emergency surgery, and only one (2.8%) patient underwent elective surgery. Eleven (30.6) patients were diagnosed with superficial injuries, including six patients who had conservative treatment. Twelve (33.3%) patients had arterial injuries and 10 (27.8%) patients had venous injuries. The patients who had deep injuries showed significant difference against the patient with superficial injury (98.0 vs. 129.1, p=0.008). Conclusions Low velocity penetrating injury confined to the neck is able to be successfully treated with prompt surgical management. Regardless of the conditions which are evaluated at emergency department, all penetrating neck injury patients should be regarded as urgent surgical candidates. |
| format | Article |
| id | doaj-art-44fcee54252745569bc444238a99f5fa |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2018-04-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-44fcee54252745569bc444238a99f5fa2025-01-06T01:07:41ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832018-04-013111510.20408/jti.2018.31.1.1939Clinical Analysis of the Patients with Isolated Low-Velocity Penetrating Neck InjuryJunepill Seok0Hyun Min Cho1Department of Trauma and Critical Care Surgery, Pusan National University Hospital, Busan, KoreaDepartment of Trauma and Critical Care Surgery, Pusan National University Hospital, Busan, KoreaPurpose Although there has been substantial progress for the treatment of thoracic trauma, the mortality of the penetrating neck injury is still high, has been reported about 10–15%. However, there has not been a report which is reflecting Korean medical present. We retrospectively analyzed the penetrating neck injury patients based on the Korean Trauma Data Base. Methods Between December 2013 and June 2017 at the trauma center of the Pusan National University Hospital, Busan, Korea, total of 36 patients with isolated low-velocity penetrating neck injuries were included. We analyzed the patients’ age, gender, injury mechanism and causes by medical chart review. Results Among total of 36 patients, 26 (72.2%) were male and 10 (27.8%) were female. Homicidal neck injuries were most common, followed by accidental and suicidal injuries (47% vs. 33% vs. 19%, respectively). All penetrating injuries in our study were low-velocity trauma such as following: knife (n=16, 44.4%); glass or glass bottle (n=11, 30.6%); scissors (n=4, 11.1%); grinder (n=2, 5.6%); and three (8.3%) of miscellaneous injuries. Twenty-seven (75.0%) patients underwent emergency surgery, and only one (2.8%) patient underwent elective surgery. Eleven (30.6) patients were diagnosed with superficial injuries, including six patients who had conservative treatment. Twelve (33.3%) patients had arterial injuries and 10 (27.8%) patients had venous injuries. The patients who had deep injuries showed significant difference against the patient with superficial injury (98.0 vs. 129.1, p=0.008). Conclusions Low velocity penetrating injury confined to the neck is able to be successfully treated with prompt surgical management. Regardless of the conditions which are evaluated at emergency department, all penetrating neck injury patients should be regarded as urgent surgical candidates.http://www.jtraumainj.org/upload/pdf/jti-31-001.pdftraumapenetratingstabneck |
| spellingShingle | Junepill Seok Hyun Min Cho Clinical Analysis of the Patients with Isolated Low-Velocity Penetrating Neck Injury Journal of Trauma and Injury trauma penetrating stab neck |
| title | Clinical Analysis of the Patients with Isolated Low-Velocity Penetrating Neck Injury |
| title_full | Clinical Analysis of the Patients with Isolated Low-Velocity Penetrating Neck Injury |
| title_fullStr | Clinical Analysis of the Patients with Isolated Low-Velocity Penetrating Neck Injury |
| title_full_unstemmed | Clinical Analysis of the Patients with Isolated Low-Velocity Penetrating Neck Injury |
| title_short | Clinical Analysis of the Patients with Isolated Low-Velocity Penetrating Neck Injury |
| title_sort | clinical analysis of the patients with isolated low velocity penetrating neck injury |
| topic | trauma penetrating stab neck |
| url | http://www.jtraumainj.org/upload/pdf/jti-31-001.pdf |
| work_keys_str_mv | AT junepillseok clinicalanalysisofthepatientswithisolatedlowvelocitypenetratingneckinjury AT hyunmincho clinicalanalysisofthepatientswithisolatedlowvelocitypenetratingneckinjury |